Claims Specialist (Hybrid) 2023-1289

Company: Managed Care Advisors
Location: Bethesda
Posted on: September 18, 2023

Job Description:

Position Title: Claims Specialist (Hybrid) 2023-1289 Location: Bethesda, Maryland, United States Department Name: Client Services Job Type: Full Time Description: OverviewAre you focused on details, skilled in claims management, and committed to customer service? Would you like to work in a professional organization that values intelligence, integrity and initiative? Would you like to be appreciated for your technical expertise? As a Claims Specialist working on a Federal contract, you will be part of a collegial team that processes workers' compensation claims and communicates with all workers' compensation stakeholders, including the Agency. In this position, you are responsible for daily claims management of workers' compensation claims nationally. You are recognized as a general technical expert in the interpretation of complex or unusual policy coverages in area of expertise. Under general management direction, you work with broad authority on assignments requiring a degree of technical complexity and coordination. ResponsibilitiesEducating and assisting federal employees with claims under the Federal Employees' Compensation Act (FECA) regarding the claims process and status.Using the Employees' Compensation Operations and Management Portal (ECOMP) to monitor, review, and submit claims for workers' compensation benefits.Answering incoming telephone calls from federal employees and agency representatives.Facilitating the timely completion and submission of all required forms.Reviewing medical and administrative documentation for accuracy.Identifying and resolving claims documentation omissions or deficiencies.Answering questions with regard to the claims process.Calculate and verify Continuation of Pay and compensation amounts.Maintain high quality standards in accordance with our Quality ProgramSome evening or weekend coverage may be required.QualificationsBachelor's degreeA minimum of 2 years' experience in workers' compensation, lost time claim handling, claims adjuster/administration, case management, claims life cycle, and/or utilization reviewAn additional 4 years' experience may be substituted for a bachelor's degreeFederal Employees' Compensation Act (FECA) knowledge preferredStrong computer skills (Microsoft Excel, Word, PowerPoint, and Outlook)U.S. citizenAble to obtain and maintain security clearanceIn addition to a competitive salary, comprehensive health and welfare benefits, and incentive compensation, MCA offers participation and vesting in a 401(k) plan with a company match. You will also be eligible for participation in our tuition reimbursement program and many other benefits. If you would like to contribute to our important mission and work collegially in a professional organization that values intelligence, integrity, and initiative, consider a career with MCA.Located steps from the Bethesda Metro Station, Managed Care Advisors (MCA), is a rapidly expanding Managed Healthcare, Employee Benefits, Workers' Compensation, and Disability Management Company servicing Federal, Local and State government and private industry and public customers nationwide and across all US Territories. We believe in helping those with work sustained illnesses and injuries to live their best life by, providing case management and support to workers, providers, employers and claims staff. To be considered for this position, please submit a cover letter and resume, and complete the application.The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of all duties, responsibilities, and qualifications required. Important Information Successful candidates will be required to undergo a credit and criminal background check, drug screen, and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of employees upon hire. Search Firm Representatives Please be advised that MCA is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, a valid written agreement and task order must be in place before any resumes are submitted to MCA. All resumes submitted by search firms to any employee at MCA without a valid written agreement and task order in place will be deemed the sole property of MCA and no fee will be paid in the event that person is hired by MCA. MCA is an Equal Opportunity and Affirmative Action Employer All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by the federal state, or local laws as appropriate, or upon the protected status of the person's relatives, friends or associates.MCA abides by the requirements of 41 CFR 60-741.5(a). This regulation prohibits discrimination against qualified individuals on the basis of disability and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities.MCA abides by the requirements of 41 CFR 60-300.5(a). This regulation prohibits discrimination against qualified protected veterans and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans. PI32344041-25660-9f4333980d38

Keywords: Managed Care Advisors, Bethesda , Claims Specialist (Hybrid) 2023-1289, Other , Bethesda, Maryland