Senior Claims Examiner

Senior Claims Examiner

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, 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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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. 

Your potential is limitless. So is ours.

Learn more about CACI here.

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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. Learn more here.

The proposed salary range for this position is:

$77,200 - $162,200

CACI is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, age, national origin, disability, status as a protected veteran, or any other protected characteristic.