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Claim Review Assessor

at PAE

Posted: 6/22/2019
Job Status: Full Time
Job Reference #: R0031669
Categories: Other/General
Keywords: online

Job Description

Supporting the Most Exciting and Meaningful Missions in the World

       

       

Claim Review Assessor

       

General

The September 11th Victim Compensation Fund ("VCF") was created to provide compensation for any individual or personal representative of a deceased individual who suffered physical harm or was killed as a result of the terrorist-related aircraft crashes of September 11, 2001 or the debris removal efforts that took place in the immediate aftermath of those crashes.  The original VCF operated from 2001-2004.  In 2011, the James Zadroga 9/11 Health and Compensation Act of 2010 was signed into law and reactivated the September 11th Victim Compensation Fund in October 2011.  In December 2015, the Fund was reauthorized for five additional years.  More information about the VCF can be found at https://www.vcf.gov/.

The Claim Review Support Team works with VCF and claim review leadership to support all aspects of claim review team work with a particular emphasis on claim and data management, claim assessment, knowledge management and training coordination.

Working closely with respective claim review team leads and supervisors and, under the supervision of the Claims Manager, the Claim Review Assessor performs pre-screen, claim preparation, administrative checks, feed management and special projects for the claim review teams while complying with established VCF Standard Operating Procedures.

Duties and Responsibilities

The Claim Review Assessor’s responsibilities include:

  • Pre-screen:  Responsible for “pre-screening” claims at the eligibility, compensation, and amendment stages.  This includes deactivating claims and dispositioning amendments as needed, and identifying and entering appropriate missing information requests and placing claims on feeds.
  • Feed management:  Responsible for compiling presence and compensation feed requests, and manages special feed requests by review team.
  • Claim Preparation:  Populates claim review worksheets and claim summary templates, including incorporating data from the initial checks completed in pre-screen. 
  • Administrative Checks:  Performs administrative checks prior to peer review or production of the claim to a decision maker in conjunction with the claim reviewer.
  • Special Projects:  Works on special projects as assigned, focusing on claim review and coordination.  Examples include tracking appeals in conjunction with the hearings team, assisting in the tracking of NIOSH disability evaluation requests, coordinating with NIOSH on private physician verifications, tracking of Congressional interest or other claims with unique circumstances, and other projects as needed.

Competencies

  • Understands tasks, task objectives and the context of those tasks in the claim review life-cycle
  • Has a collaborative nature and is comfortable coordinating across teams and with various managers, supervisors, and team members
  • Comfortable working in an environment with high volume inputs, outputs, and deadlines
  • Passionate about attention to detail, deadlines and work quality
  • Highly organized, able to multi-task, prioritizes tasks and consistently and accurately performs detailed work under pressure without compromising quality
  • Proactively identifies issues that impact claim review coordination and proposes alternate solutions to address issues
  • Has excellent typing/keyboarding skills and written and oral communication capabilities

Qualifications

  • Bachelor’s degree with a minimum of 3 years’ related experience or Master’s degree; paralegal certificate preferred but relevant experience may be substituted with the approval of the Contracting Officer.
  • Proficient with MS Excel (intermediate user or higher), MS Access and other Microsoft Office suite products
  • Strong research and auditing skills
  • Experience in claim management or processing environments
  • Experience in government programs or litigation support preferred
  • Must be able to obtain a government security clearance

Reporting Relationships

  • Reports to the Claims Manager

       

PAE is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran’s status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law.

       

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For more than 60 years, PAE has tackled the world’s toughest challenges to deliver agile and steadfast solutions to the U.S. government and its allies. With more than 20,000 employees on all seven continents and in more than 70 countries, PAE delivers a broad range of operational support services to meet the critical needs of our clients. Our headquarters is in Falls Church, Virginia. Find us online at pae.com.

If you need a reasonable accommodation for any part of the employment process, please contact us by email at jobs@pae.com and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis.



Posted 30+ Days Ago

Full time

R0031669