Claims Intake Specialist

About the role

• Job Title: Claims Intake Specialist
• Job Category: Finance and Accounting
• Time Type: Full time
• Minimum Clearance Required to Start: TS/SCI with Polygraph
• Employee Type: Regular
• Percentage of Travel Required: None
• Type of Travel: None

The Opportunity

The Claims Intake Specialist will serve as the first point of contact for individuals filing insurance claims, assisting clients in collecting and verifying essential claim information. This role will ensure accurate documentation, facilitate the intake process, and maintain a high level of customer service throughout the claims handling.

The Claims Intake Specialist will be responsible for processing claims efficiently, collaborating with team members, and ensuring that all necessary documentation is obtained to initiate the claims process.

Responsibilities

• Review incoming claim submissions for completeness and accuracy.
• Enter claim details into the claims management software system.
• Ensure all required documentation is included.

Customer Service and Communication

• Respond to calls and emails from insureds or claimants regarding claims submission.
• Provide status updates on claims to insured, claimants, and agents.
• Verify information against the insured and resolve discrepancies as needed.

Data Entry and Documentation

• Accurately input data from claims into internal systems and update records regularly.
• Maintain detailed and organized records to support timely claim resolution.

Collaboration and Reporting

• Collaborate with team members to meet daily processing goals.
• Highlight any trends or workflow bottlenecks in the claim’s intake process.
• Assist with the preparation of claim reports and analysis to improve the intake process.

Training and Development

• Participate in team meetings or training sessions to stay updated on policy changes and system updates.
• Provide feedback to improve the claims intake process and workflow.

Issue Resolution

• Troubleshoot incomplete or incorrectly submitted claims.
• Contact claimants or third parties to gather missing information

Qualifications

Required

• 2+ years claims and/or Government HR experience
• Demonstrated ability to work independently and collaboratively in a team environment.
• Strong attention to detail with the ability to follow instructions and maintain accuracy
• Excellent written and verbal communication skills
• Ability to maintain a service-oriented attitude and build positive relationships
• Strong organizational skills, with the ability to handle multiple tasks and deadlines
• Ability to sit for extended periods and work at a computer for prolonged durations
• Proven ability to handle and maintain the confidentiality of sensitive information and materials.
• Extensive customer service experience with a strong focus on professionalism and responsiveness.
• Proficiency in Microsoft Office Suite or similar productivity software.
• Comfortable working in CRM or case-management systems and learning new technology.

Desired

• Prior experience in Workers Compensation claims, insurance agency operations, and/or the insurance industry is a plus
• Familiarity with medical and insurance terminology
• Exposure to compliance or regulatory standards within insurance claims
• What You Can Expect:

• A culture of integrity.
• At CACI, we place character and innovation at the center of everything we do. As a valued team member, you’ll be part of a high-performing group dedicated to our customer’s missions and driven by a higher purpose – to ensure the safety of our nation.
• An environment of trust.

CACI values the unique contributions that every employee brings to our company and our customers - every day. You’ll have the autonomy to take the time you need through a unique flexible time off benefit and have access to robust learning resources to make your ambitions a reality.

• A focus on continuous growth.
• Together, we will advance our nation's most critical missions, build on our lengthy track record of business success, and find opportunities to break new ground — in your career and in our legacy.

Pay Range

There are a host of factors that can influence final salary including, but not limited to, geographic location, Federal Government contract labor categories and contract wage rates, relevant prior work experience, specific skills and competencies, education, and certifications. 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.

The proposed salary range for this position is

$70,800 - $148,600