Claims Processor Customer Service

Job Title: Claims Processor Customer Service

Job Category: Finance and Accounting

Time Type: Full time

Minimum Clearance Required to Start: TS/SCI with Polygraph

Employee Type: Regular

Percentage of Travel Required: None

Type of Travel: None

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The Opportunity:

We are seeking a detail-oriented, active, and critical thinker to manage and review workers' compensation claims as a Claims Processor. As a Claims Processor, your duties will include analyzing and processing insurance claims, negotiating settlement elements, and maintaining accurate claims records.

The ideal candidate should have a strong understanding of workers' 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:

• Analyze and process insurance claims
• Negotiate settlement terms
• Maintain accurate claims records
• Learn and apply workers' compensation policies and regulations
• Review and assist with claim forms
• Support claimants in explaining their claims Assist management with complex cases
• Prepare reports on all cases
• Ensure timely review and approval of claims by Claims Examiners
• Accurately code injuries or illnesses in the claims system
• Maintain workers' compensation claim log Perform data entry in the Workers' Compensation system

Qualifications:

Required

• Active TS/SCI clearance with Polygraph
• Bachelor's degree or equivalent
• 10+ years of relevant experience
• Excellent communication, organizational, and negotiation skills
• Strong attention to detail
• Ability to handle confidential information
• Proficiency in Microsoft Office Suite
• Team player
• Extensive customer service experience

Desired :

• Knowledge of quantitative and qualitative research methods
• The ideal candidate will have a strong understanding of workers' compensation policies and regulations, excellent investigative skills, and exceptional customer service abilities. If you lack experience in this specific field, you must be willing to learn and apply these policies and regulations in your work.

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What You Can Expect:

 A culture of integrity.

At CACI, we place character and innovation at the center of everything we do. As a valued team member, you’ll be part of a high-performing group dedicated to our customer’s missions and driven by a higher purpose – to ensure the safety of our nation.

An environment of trust.

CACI values the unique contributions that every employee brings to our company and our customers - every day. You’ll have the autonomy to take the time you need through a unique flexible time off benefit and have access to robust learning resources to make your ambitions a reality.

A focus on continuous growth.

Together, we will advance our nation's most critical missions, build on our lengthy track record of business success, and find opportunities to break new ground — in your career and in our legacy.

Pay Range:

There are a host of factors that can influence final salary including, but not limited to, geographic location, Federal Government contract labor categories and contract wage rates, relevant prior work experience, specific skills and competencies, education, and certifications. Our employees value the flexibility at CACI that allows them to balance quality work and their personal lives. We offer competitive compensation, benefits and learning and development opportunities. Our broad and competitive mix of benefits options is designed to support and protect employees and their families. At CACI, you will receive comprehensive benefits such as; healthcare, wellness, financial, retirement, family support, continuing education, and time off benefits.

The proposed salary range for this position is:

$70,800 - $148,600