Claims Manager

Claims Manager

The Claims Manager is responsible for reviewing, processing, and managing claims submitted by victims or their authorized representatives through an electronic portal or paper applications. This role involves verifying the accuracy and completeness of claim information, ensuring proper documentation is provided, and addressing any discrepancies through professional communication with claimants. The Claims Manager identifies related federal cases, collaborates with internal teams, and forwards claims to the appropriate U.S. Attorney's Office for further action. Additionally, they track restitution payments, manage claims outcomes, and generate regular reports for senior management. The position requires strong attention to detail, communication skills, and proficiency in office software to ensure accurate and timely claims processing.

Compensation & Benefits:

Estimated Starting Salary Range for Claims Manager: $60,000 - $70,000

Pay commensurate with experience.

Full time benefits include Medical, Dental, Vision, 401K, and other possible benefits as provided. Benefits are subject to change with or without notice.

Claims Manager Responsibilities Include:

• Receive claim submitted by claimant or claimant's authorized representative.
• Review claim submitted by claimant.
• Identify case(s) associated with the claimant.
• Consult with claimant on any issues with submitted claim.
• Identify the USAO to forward claim package for presentation to the Court.
• Enter and track restitution paid.
• If claim is denied and no appeal filed by USAO:
• If claim approved:
• Provide info to USAOs and CEOS, as appropriate.
• Reporting
• Produce a variety of documents and materials utilizing a wide range of office software applications, as necessary. Assignments may include integrating output from different database applications, charts, and graphs into word processing documents, presentations, or spreadsheets. Ensure proper format, spelling, punctuation, capitalization, and grammar of all written documents.
• When applicable, keep the Government Program Manager apprised of updates and escalate, as may be necessary, situations that arise which require Government oversight or approval.
• Performs other job-related duties as assigned
• If claim is submitted electronically in the DMAVR portal, access user Dashboard.
• If claim is submitted via paper application, initiate claim in the portal by manually entering information.
• Review for claim completion to include ensuring all necessary supporting documentation is provided.
• Identify discrepancies in information provided.
• Review submitted documents to confirm they are the correct documents.
• Communicate in a professional and courteous manner with claimant via the portal concerning any missing, unknown, or discrepancies in information.
• Utilize systems (e.g., the Victim Notification System (VNS); PACER; Lexis-Nexis) to locate federal cases in which claimant was identified as a victim.
• If no case can be identified, forward to EOUSA Program Manager for additional review.
• Communicate effectively with claimant.
• If unable to resolve, may - reject/return claim as invalid, incomplete, or unverifiable.
• Send to EOUSA project manager (contractor or government employee?) for secondary review and confirmation of USAO assignment.
• After final review, claims manager or EOUSA Project Manager sends claim package to USAO via the portal.
• Review databases for restitution paid to claimant.
• Provide to USAOs with claim package.
• Receive claim back from USAO via portal.
• Determine if another case exists to present the claim and forward to a newly identified USAO for eligibility determination.
• Notice to the claimant via portal and instruct claimant to complete ACH form to obtain payment information [form stored in portal and/or DMAVR website]
• Track AVAA DMA paid.
• Provide EOUSA Program Manager with weekly and monthly reporting of claims processing activity and completed work.
• Provide EOUSA Program Manager with weekly and monthly DMA paid.
• Maintain log and report any communications with claimants or their authorized representatives outside of the portal.

Claims Manager Experience, Education, Skills, Abilities requested:

• Possess a four-year undergraduate degree, in a related field (i.e., business administration, criminal justice, etc.), with a minimum of three (3) years of professional work experience, to include customer service responsibilities preferably in victim services.
• Work independently and efficiently, with the ability to multi-task and prioritize a shifting workload.
• Retrieve and analyze data and information from multiple sources.
• Attention to detail and quality control techniques to ensure accuracy.
• Excellent written and oral communication skills.
• Proficient in Microsoft Office software programs (i.e., Word, PowerPoint, Excel, and Outlook) and in accessing, learning and maintaining various databases and on-line resource search engines.
• Operate a variety of office equipment, including personal computers, photocopiers, telephone systems, and scanners.
• Perform editing, reformatting, and generating written and electronic documents using MS Word, Excel, and other document generation software.
• Must pass pre-employment qualifications of Cherokee Federal.

Company Information:

Cherokee Nation 3S (CN3S) is a part of Cherokee Federal - the division of tribally owned federal contracting companies owned by Cherokee Nation Businesses. As a trusted partner for more than 60 federal clients, Cherokee Federal LLCs are focused on building a brighter future, solving complex challenges, and serving the government's mission with compassion and heart. To learn more about CN3S, visit cherokee-federal.com.

#CherokeeFederal #LI-RA2

Cherokee Federal is a military friendly employer. Veterans and active military transitioning to civilian status are encouraged to apply.

Similar searchable job titles:

• Claims Processing Specialist
• Restitution Claims Coordinator
• Victim Claims Administrator
• Claims Case Manager
• Claims Resolution Specialist

Keywords:

• Claims review
• Restitution tracking
• Federal case identification
• Victim services
• Database management

Legal Disclaimer:

All qualified applicants will receive consideration for employment without regard to protected veteran status, disability or any other status protected under applicable federal, state or local law.

Many of our job openings require access to government buildings or military installations. Candidates must pass pre-employment qualifications of Cherokee Federal.