PAE, Inc Claims Processing Coordinator in Washington, District Of Columbia
Supporting the Most Exciting and Meaningful Missions in the World
Claims Processing Coordinator
THIS IS AN SCA POSITION WITH AN HOURLY RATE OF $26.47 & $4.27 PROVIDED IN HEALTH & WELFARE.
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 Processing Supervisor, the Claims Processing Coordinator will perform reporting, claim tracking and assignment, decision entry and special projects for the Claim Review teams while complying with established VCF Standard Operating Procedures.
Duties and Responsibilities
The Claims Processing Coordinator responsibilities include:
Reporting: Work with the data management team to generate reports that support team and individual accountability.
Claim Tracking: Work with the Special Master and the data management team to track priority lists for the Claim Review teams. Tracks team claims to ensure proper claim movement and assignment, including using anomaly and other reports to identify claims needing attention.
Claim Assignment: Assign claims to and uses reports to ascertain capacity of individual reviewers and small teams.
Quality Review Follow-up: Coordinates follow-up/issue resolution between claim review teams and the Quality Review team.
Decision Entry: Coordinate the assignments for the claims to be decided and entered. Performs determination administrative checks and enters final approved decisions by the Special Master and her designees, including completing administrative checks prior to entry.
Special Projects: Work on special projects as assigned, focusing on data and/or 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.
Experienced analyzing large volumes of data and manipulating data to produce desired counts, statistics, and other outputs
Experienced producing a variety of reports (type, format, etc.) that reflect an understanding of the “audience”/users of the reports
Understandstasks,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 andaccurately performs detailed workunderpressure without compromising quality
Proactively identifies issues that impact claim review coordination and proposes alternate solutions to address issues
Has excellent typing/keyboarding skills and writtenand oral communicationcapabilities
Must be a US Citizen and be able to obtain and maintain a Security Clearance.
Bachelor’s degree in a field such as Business, Accounting, Data Management or Statistics with a minimum of 3 years’ related experience
Held positions such as Data Analyst, Accounting Clerk
Proficient with MS Excel ( intermediate user or higher ), MS Access, and other Microsoft Office suite products
Experience in claim management or processing environments
Experience in government programs or litigation support preferred
- Reports to the Claims Processing Supervisor
An Equal Opportunity Employer. PAE’s 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.
EEO is the Law Poster at http://www1.eeoc.gov/employers/upload/eeocselfprint_poster.pdf
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PAE is a leading provider of enduring support for the essential missions of the U.S. government, its allied partners and international organizations. With over 60 years of experience, PAE supports the execution of complex and critical missions by providing global logistics and stability operations, technical services and national security solutions to customers around the world. PAE has a workforce of approximately 15,000 people in over 60 countries on all seven continents and is headquartered in Arlington, VA.
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