Medical Claim Reviewer Jobs in Reston, VA (NOW HIRING)

General
The September 11th Victim Compensation Fund ("VCF") was created to provide compensation for any individual or personal representative of a deceased individual who suffered physical harm or was killed as a result of the terrorist-related aircraft crashes of September 11, 2001 or the debris removal efforts that took place in the immediate aftermath of those crashes. The original VCF operated from 2001-2004. In 2011, the James Zadroga 9/11 Health and Compensation Act of 2010 was signed into law and reactivated the September 11th Victim Compensation Fund in October 2011. In July 2019, the Fund was reauthorized permanently. More information about the VCF can be found at https://www.vcf.gov/.
The Claim Review Support Team works with VCF and claim review leadership to support all aspects of claim review teamwork, with a particular emphasis on claim and data management, claim assessment, knowledge management and training coordination.
Working closely with respective claim review team leads and supervisors and, under the supervision of the Claims Manager, the Claim Review Assessor performs pre-screen, claim preparation, administrative checks, feed management and special projects for the claim review teams while complying with established VCF Standard Operating Procedures.
Duties and Responsibilities
The Claim Review Assessor's responsibilities include:

• Pre-screen: Responsible for "pre-screening" claims at the eligibility, compensation, and amendment stages. This includes deactivating claims and dispositioning amendments as needed, and identifying and entering appropriate missing information requests and placing claims on feeds.
• Feed management: Responsible for compiling presence and compensation feed requests, and manages special feed requests by review team.
• Claim Preparation: Populates claim review worksheets and claim summary templates, including incorporating data from the initial checks completed in pre-screen.
• Administrative Checks: Performs administrative checks prior to peer review or production of the claim to a decision maker in conjunction with the claim reviewer.
• Determination Checks/Entry: Performs administrative checks prior to entry of the decision into the system in conjunction with the Approver, and once approved, enters the approved determination and all calculations into the system to process the award.
• Special Projects: Works on special projects as assigned, focusing on claim review and coordination. Examples include tracking claims in conjunction with the Medical Expert team, assisting in the tracking of NIOSH special requests, coordinating with NIOSH on private physician verifications, tracking of Congressional interest or other claims with unique circumstances, and other projects as needed.

Competencies

• Understands tasks, task objectives and the context of those tasks in the claim review lifecycle
• Has a collaborative nature and is comfortable coordinating across teams and with various managers, supervisors, and team members
• Comfortable working in an environment with high volume inputs, outputs, and deadlines
• Passionate about attention to detail, deadlines and work quality
• Highly organized, able to multi-task, prioritizes tasks and consistently and accurately performs detailed work under pressure without compromising quality
• Proactively identifies issues that impact claim review coordination and proposes alternate solutions to address issues
• Has excellent typing/keyboarding skills and written and oral communication capabilities

Qualifications

• Bachelor's degree with a minimum of 3 years' related experience or Master's degree; paralegal certificate preferred but relevant experience may be substituted with the approval of the Contracting Officer
• Proficient with MS Excel (intermediate user or higher), MS Access and other Microsoft Office suite products
• Strong research and auditing skills

• Experience in claim management or processing environments
• Experience in government programs or litigation support preferred

• Must be able to obtain and maintain MRPT facility credentials/authorization. Note: US Citizenship is required for MRPT facility credentials/authorization at this work location.

Reporting Relationships

• Reports to the Claim Review Support Team Project Supervisor

*Employees will earn H&W dollars per eligible hour (including vacation and holiday up to 40 hours/week). H&W monies are used to offset the employer's cost of benefits the employee elects into and/or 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 & Benefits:
This 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 Details:
$31.69
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 Overview:
Our health and welfare benefits are designed to support you and your priorities. Offerings include:

• Health, dental, and vision insurance
• Paid time off and holidays
• Retirement benefits (including 401(k) matching)
• Educational reimbursement
• Parental leave
• Employee stock purchase plan
• Tax-saving options
• Disability and life insurance
• Pet insurance

Note: Benefits may vary based on employment type, location, and applicable agreements. Positions governed by a Collective Bargaining Agreement (CBA), the McNamara-O'Hara Service Contract Act (SCA), or other employment contracts may include different provisions/benefits.
Original Posting:
08/18/2026 - Until Filled
Amentum 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 at Labor Laws Posters.