Search jobs > Orlando, FL > Claim

Claims Consultant

Allsup Inc.
Orlando, Florida, US
Full-time

Allsup LLC is a people-centered organization with a team of hundreds who are dedicated to helping people with disabilities lead lives that are as financially secure and healthy as possible.

We enjoy working together to make a difference, get the job done, and find solutions for our customers.

The information below covers the role requirements, expected candidate experience, and accompanying qualifications.

You will enjoy a collaborative workplace, with rewarding results where your opinion matters. We have a great benefits package and paid time off program, with casual dress and a comfortable work environment.

Many positions have no weekends, or minimal weekend work. You’ll have a predictable work schedule, the potential to work from home, and enjoy an employee-centered work life and have fun.

Even better, you can develop your own knowledge and professional skills through a self-driven personal improvement approach to professional development.

Our business takes complex federal programs and makes them easier for people to navigate including SSDI, veteran’s disability, return to work and Medicare.

Drive your expertise and advancement with the support of your supervisor and our organization.

About the role

Managing and supporting the filing of VA disability appeals on behalf of claimants at the Regional Office and Board of Veterans’ Appeals.

Primary duties include supporting the Claims Agent / Case Manager in preparing an appeal in response to prior VA decisions.

Performs work independently with minimal supervision.

What you'll do

Assist claimants with drafting lay statements; drafting independent medical opinion / vocational expert request letters and case summaries;

identifying and sending correct VA disability benefit questionnaires to medical care providers.

  • Reviews medical records for key criteria applicable to the case, applications on file, and the Claims Agent / Case Manager medical development plan to determine which medical records to solicit from the claimant’s medical providers.
  • Assist Claims Agent / Case Manager in reviewing and preparing a summary of the veteran’s claims file which includes past and present VA decisions, VA examinations and past medical evidence to determine prior VA errors evidence and develop probative evidence for appeal submission.
  • Career path opportunity : This is a developmental position for those interested in Case Manager and VA Claims Agent positions.

Case Manager / VA Claims Agent reviews claimant file and identifies needs of the case. VA Claims Agent requires accreditation from the VA and is the POA on file, ultimately responsible for BVA hearings, DRO informal conferences and high technical knowledge and direction of case.

When a high level of proficiency is achieved and supervisor approval, an application will be filed with the VA Office of General Counsel for accreditation as a claims agent.

Qualifications

  • Requires Bachelor’s degree or equivalent experience.
  • Must have strong oral and written communication skills and the ability to learn and apply technical instructions.
  • Minimum one to two years of Allsup claims handling responsibilities and experience or equivalent claims experience, including DDS or SSA experience.
  • Professional oral / telephone communication skills.
  • Superior organizational skills.
  • High level of initiative.
  • Excellent knowledge of Word and Excel.

Benefits

  • Health, Dental, and Vision Insurance
  • 401(K) Matching
  • Short-Term and Long-Term Disability Insurance
  • Life Insurance
  • Paid Time Off
  • Paid Holidays
  • Flexible Spending and Health Savings Account
  • Tuition Reimbursement
  • Pet Insurance
  • Employee Assistance Program

DISCLAIMER

Tasks, duties, and responsibilities as listed in the job description are not exhaustive. The company may assign other tasks, duties and responsibilities with no prior notice.

Allsup is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

J-18808-Ljbffr

3 days ago
Related jobs
Allsup Inc.
Orlando, Florida

Assist Claims Agent/Case Manager in reviewing and preparing a summary of the veteran’s claims file which includes past and present VA decisions, VA examinations and past medical evidence to determine prior VA errors evidence and develop probative evidence for appeal submission. Minimum one to two ye...

Promoted
AmTrust Financial
Maitland, Florida

As product manager, responsible for production support management for incidents and bug fixes by working closely with Global Technology Organization (GTO) and the claims business to ensure that issues are identified, reported, managed, and communicated through to completion for all claims applicatio...

Promoted
AssistRx
Orlando, Florida

The main function of this role is to help alleviate the pain points in the Product Intake process for Business Development, Account Management, and Operations. The proposal is to have the product team manage all the product Intakes across the business. This position will be responsible to lead all t...

Promoted
Shyft6
Orlando, Florida

The Business Analyst participates in the planning, design, and development of engineering systems critical to core. The Business Analyst is also responsible for generating and compiling. Develop and manage analytics deliverables across tenants by defining and reporting key metrics on business perfor...

Promoted
Maverc Technologies
Ocoee, Florida

We are currently seeking a FB&R Business Analyst to enhance our financial systems and support our clients effectively. The FB&R Business Analyst plays a critical role in facilitating financial processes, ensuring accurate reporting, and streamlining operations. The narrative portion of Maver...

Promoted
ApexFocusGroup
Orlando, Florida
Remote

No customer service representative agent experience needed. Customer Service Representative Agent Work From Home - Remote Online Panelists. Customer service representative agent experience is not necessary. If you are a customer service representative agent or someone just looking for a flexible par...

Promoted
Westgate Resorts
Ocoee, Florida

Receive and prioritize claims, state agency documents, determinations, and other unemployment-related data. Transfer completed claim responses to the Unemployment Claims Specialist for imaging and appropriate storage. ...

Promoted
Barge Design Solutions, Inc.
Orlando, Florida

Project Manager - Transportation ( Roadway). Project Manager to join our State & Local Client Center and. This position willpartner closely with the Director of Projects to achieve. Collaborate with the Director of Projects, Client Service Leaders (CSLs), and Marketing for the development and execut...

Promoted
Michael Page
Orlando, Florida

The Project Manager will report significant issues in a timely manner to the Project Executive and will prepare Monthly Progress Reports in accordance with contract documents. Successful track record as a Project Manager with Commercial Construction projects. Mid-Size GC that is continuing to grow a...

solera
Orlando, Florida

Claims Representative II - Schaumburg, Illinois or Virtual, USA. We are looking for an experienced and energetic Customer Service Representative who ranks in the top quartile among their peers. You will serve as the Customer Service Representative. Collaborate with all HyperQuest teams to ensure pro...