Job Summary
Managed Care Advisors (MCA), a rapidly expanding Consulting and Full-Service Claims and Medical Case Management Company, has an immediate opening for a self-motivated, detail oriented Sr. Claims Specialist to service federal government customers nationwide and across all US Territories. This is a nationwide position open to remote work, or locally at our Florida location in Lake Mary, or work locally in Maryland at our Bethesda office located within walking distance to the Metro.
Come join our winning team and grow with us!
Managed Care Advisors
- Provides an exciting and fast paced work environment
- Provides growth opportunities and cultivates talent
- Celebrates our individual and team successes together
- Provides a comprehensive benefits package
- Supports a team oriented work atmosphere
Responsibilities:
The Senior Claims Specialists serve as Subject Matter Experts in FECA and federal workers' compensation. They provide guidance to the Claims Team and communicate with all workers' compensation stakeholders, including the Agency and the Office of Workers Compensation Programs (OWCP) /U.S. Department Labor. The Senior Claims Specialists serve as a resource to Agency partners in complex cases, and provide training to MCA Claims Specialists, Medical Case Managers, and other staff.
- Educating and assisting federal employees with claims under Federal Employees Compensation Act (FECA).
- Using the Employees' Compensation Operations and Management Portal (ECOMP) to monitor, review, and submit claims for workers' compensation benefits.
- Facilitating the timely completion and submission of all required forms.
- Confirming facts surrounding the incident, as reported.
- Reviewing medical and administrative documentation for accuracy.
- Identifying and resolving claims documentation omissions or deficiencies.
- Answering questions with regard to the claims process.
- Creating training modules with the assistance of the Training Specialist and Account Manager.
- Create Continuation of Pay authorization and denial memos.
Qualifications:
- minimum of 8 years' experience in workers' compensation, claims administration, and/or utilization review. Federal workers' compensation experience preferred.
- Attention to detail
- Strong computer skills
- Superior communication skills (interpersonal, written and verbal)
- Bachelor's degree
- United States citizenship
- Ability to work independently and make decisions
- Excellent verbal, written, and interpersonal communications skills
- Active federal security clearance preferred
- Upon hire, successful candidate will be required to obtain a confidential-level security clearance
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, 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 employee upon hire.
MCA strives to make our career site accessible to all users. If you need a disability-related accommodation for completing the application process, please contact MCA regarding accommodations.
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 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.
