Claims manager Jobs in Oklahoma City, OK

As a Case Manager - Level I, you'll play a key role in guiding cases through the review process with care and precision. You'll review ESR case details, examine medical and service records, and identify if clarification is needed before submitting requests to the VA. Your keen attention to detail will ensure cases are prepared for the next steps in processing.

In this role, you'll collaborate with claimants and clinic staff to coordinate and manage appointments, oversee the completion of examinations, and ensure all essential information is accurately submitted for review.

If you're a detail-oriented professional who enjoys problem-solving, coordinating processes, and helping others, this position offers an opportunity to make a meaningful impact in supporting Veterans.

WORKSITE : Remote

WORK SCHEDULE : Sunday - Thursday or Tuesday - Saturday- shifts hours will vary between 7 am - 7 pm in your time zone

COMPENSATION : 19.00 - 21.00

WHAT WE OFFER :

• Paid sick leave based on state regulations after 90 days of employment
• Medical, dental, and vision are offered after a waiting period (60% paid by Fortuna)
• Free TeleMedicine and Mental Health for all employees and their families
• Additional volunteer options such as Group Life Insurance, Accidental Insurance, Critical Care, Short Term Disability

WHAT YOU'LL DO :

Review details of the ESR received from the VA.

Review medical and service records.

Determine if further clarification is needed and submit clarification requests to the VA.

Once the case is ready for further processing, work with claimants and collaborate with clinic staff to complete, manage, and monitor scheduling of the necessary appointment(s).

Ensure the completion of the exam and submission of the necessary exam information into the review process.

Maintain a working understanding of potential issues that could arise in the processing of the case.

Collaborate with staff from exam facilities and other cross-project workstreams to facilitate efficient, accurate, timely, and complete case handling.

WHAT YOU'LL BRING :

Excellent customer service, leadership, and team interaction skills required

Demonstrated ability to coach team members to higher levels of performance

Must have the ability to organize simultaneous tasks for individual assignments and the workflow of others within the unit

Proven ability to work as a team member

Commitment to contributing to the VA's mission and supporting Veterans through the MDE program.

Education :

Associate's degree preferred

High school diploma or GED required

Experience :

1 - 2 years of Customer Service or Contact Center Scheduler experience required

Fortuna operates as a staffing agency that sources, screens and presents potential candidates for employment opportunities on behalf of our clients.

Fortuna was founded in 2012 by practicing professionals with more than 50 combined years of experience. Our headquarters is in McClellan, California with offices in Los Angeles and New York, and satellite offices in the Philippines and Israel. Fortuna is an active member of multiple California service agreements, including the CMAS, ITMSA (Tier 2), and CalPERS SpringFed Pool, as well as multiple municipalities and large corporation vendor pools

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Job Posted by ApplicantPro