Claims Processor Customer Service

CACI International • Chantilly, VA

5d

About The Position

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.

Requirements

• 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

Nice To Haves

• 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.

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

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level