Washington, DC
Claims Review Assessor
R0084336
Washington, DC, United States
Full_time
Supporting the Most Exciting and Meaningful Missions in the World
Claims Review Assessor
The September 11th Victim Compensation Fund (“VCF”) was created to provide compensation for any individual (or a 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. On January 2, 2011, President Obama signed into law the James Zadroga 9/11 Health and Compensation Act of 2010 (Zadroga Act) that reactivated the September 11th Victim Compensation Fund in October 2011. On December 18, 2015, President Obama signed into law a bill reauthorizing the Act and extending the Fund for five years. More information about the VCF can be found at https: //www. vcf. gov/.
The VCF is embarking on an exciting initiative to support its claim review process. The Claim Review Support Team will work 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 will perform 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 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 lifecycle.
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:
Must be able to obtain and maintain a US government security clearance.
Bachelor’s degree with a minimum of 3 years’ related experience or Master’s degree.
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.
Reporting Relationships
Reports to the Claims Manager.
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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.
Security Clearance Required: Yes
Amentum / Equal Opportunity Employer
JBAMN R0084336 2023. 03. 10
FVR02 SKUUU, Washington, DC Washington, DC ZC ZCCX
