| Location | Washington, DC |
Works under the direction of a supervisor or manager and follows established standard operating procedures and guidelines.Duties may include but are not limited to• Intake and Review of ClaimsReceives and reviews more complex or time-sensitive claims for completeness and jurisdictionDetermines claimants eligibility under applicable statutes regulations and program guidance andIdentifies missing documentation and requests additional evidence.• Evidence DevelopmentGathers medical records exposure documentation and other relevant materialsCommunicates with claimants representatives medical providers and other agencies as appropriate to seek clarification andor additional informationEnsures the administrative record is complete.• Medical and Technical EvaluationReviews medical records and reportsIdentifies when medical or scientific consultation is required and contacts appropriate professionals to facilitate it andAssesses causation and compensability based on program criteria.• Legal and Regulatory AnalysisApplies governing laws regulations policies and precedents to the facts of the claimResearches and evaluates statutory criteria such as causation exposure thresholds timelines and eligibility requirements andInterprets medical and technical evidence in conjunction with established program standards.Drafts letters memoranda decisions and case development logs to document timely development of administrative claims.• Appeals and ReconsiderationReviews requests for reconsideration or appealsPrepares case files and memoranda for review bodies or adjudicative authorities andImplements final decisions.• Performs ancillary duties as required including maintenance of records returning calls from applicants and other administrative tasks as assigned.Maintains organized case files and tracking systems.Coordinates with other RECA Program legal support staff to manage expedient claim review within statutory timeframes.RequiredMust be able to obtain and maintain MRPT facility credentialsauthorization. Note US Citizenship is required for MRPT facility credentialsauthorization at this work location.Requires Law degree or currently attending an ABA-accredited law school having completed at least one year of study or an equivalent level of legal training or experience or an equivalent level of education may be substituted.Requires sound working knowledge of federal and state court systems legal research procedures and legal research resources.Requires excellent written and oral communication skills and thorough knowledge of legal research tools such as LEXIS and Westlaw.Must have hands-on familiarity with a variety of computer applications including word processing databases such as document review and file management systems spreadsheets and imaging.Excellent customer service and professional presentation skills required.PreferredAbility to consistently deliver highest quality work under extreme pressure will be very important.Experience with benefithealth claims processing and adjudication.Familiarity with Administrative Law or similar programs to RECA.Experience performing research across a variety of platforms both legal and non-legal.Employees will earn H&W dollars per eligible hour including vacation and holiday up to 40 hoursweek. H&W monies are used to offset the employers cost of benefits the employee elects into andor utilizes. Any remaining health and welfare monies after all applicable deductions would be cashed out to the employee on a 1 pay period lag. Service Contract Act SCA Compensation & BenefitsThis is an hourly overtime-eligible position that falls under the Service Contract Act SCA. In accordance with the Health and Welfare provisions of the SCA and in addition to your base hourly rate you may be eligible to receive an additional health and welfare payment for each hour you work to ensure compliance with the minimums set forth by the act. The amount you are entitled to receive will vary depending upon the fringe benefits you select now and in the future. Compensation Details38.77 The compensation range or hourly rate listed for this position is provided as a good-faith estimate of what the company intends to offer for this role at the time this posting was issued. Actual compensation may vary based on factors such as job responsibilities education experience skills internal equity market data applicable collective bargaining agreements and relevant laws.Benefits OverviewOur health and welfare benefits are designed to support you and your priorities. Offerings includeHealth dental and vision insurancePaid time off and holidaysRetirement benefits including 401k matchingEducational reimbursementParental leaveEmployee stock purchase planTax-saving optionsDisability and life insurancePet insuranceNote Benefits may vary based on employment type location and applicable agreements. Positions governed by a Collective Bargaining Agreement CBA the McNamara-OHara Service Contract Act SCA or other employment contracts may include different provisionsbenefits. Original Posting10222026 - Until FilledAmentum anticipates this job requisition will remain open for at least three days with a closing date no earlier than three days after the original posting. This timeline may change based on business needs. Amentum is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race sex sexual orientation pregnancy including pregnancy childbirth breastfeeding or medical conditions related to pregnancy childbirth or breastfeeding age ancestry United States military or veteran status color religion creed marital or domestic partner status medical condition genetic information national origin citizenship status low-income status or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation or any other protected category under federal state or local law. Learn more about your rights under Federal laws and supplemental language atLabor Laws Posters.