Claims Examiner

CACI

Today
Intel Agency (NSA, CIA, FBI, etc)
Senior Level Career (10+ yrs experience)
No Traveling
Business - Support
Chantilly, VA (On-Site/Office)

The Opportunity:

We are seeking a detail-oriented, pro-active, critical thinker to manage and review workers' comp claims as a Claims Examiner.

As a Claims Examiner, your duties will include investigating and processing insurance claims, negotiating settlements, and maintaining accurate claims records.

The ideal candidate should have a strong understanding of worker's compensation policies and regulations, excellent investigative skills, and exceptional customer service skills. If you have no prior experience with these policies and regulations, you must be willing to learn and be responsible for implementing claims based on these policies and regulations.


Responsibilities:

Learn / understand worker’s compensation policies and regulations.

Review workers' compensation claim forms.

Assists claimants as needed in relating their claim.

Assists management with more complex cases.

Maintains accurate records and prepares required reports on all cases.

Performs other related duties as assigned.

Ensure employees’ Workers Compensation claims are reviewed and approved by Claims Examiners promptly

Ensure Claim forms are accurately completed

Identify accurate code for injury or illness based on the claim form and enter it into the claims system

Maintain worker's compensation claim log

Data entry into Worker's Compensation system


Qualifications:

Required:

Active/current TS/SCI with Polygraph is required.

Bachelor’s degree or equivalent and 5+ years of relevant experience.

Excellent communication skills.

Excellent organizational skills and attention to detail.

Excellent negotiation skills.

Ability to work with and to preserve confidential material.

Proficient with Microsoft Office Suite or similar software.

Ability to work as a member of a team.

Extensive experience in customer service.

Desired:

Knowledge of quantitative and qualitative research methods.
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About Us
For more than 56 years, we have delivered innovation, expertise, and excellence in support of our customers’ vital national missions to defeat global terrorism, secure the homeland, and improve government services. Through our long-standing customer relationships across the federal marketplace, we have become a trusted provider of high-value solutions and services for our nation’s highest priorities. CACI’s employees – some 65 percent of whom hold security clearances – stand ready to provide the exceptional service, dedication, and innovation our customers require. Our leading-edge solutions and services counter national security threats; keep America’s armed forces equipped and mission-ready; secure vital data and IT infrastructures; support and protect space operations; and help customers modernize and transform how the government does business.