Medical Claims Administrator Jobs (NOW HIRING)

Bilingual Claims Administrator
JOB DESCRIPTION

Fort Myer Construction Corporation is the DMV's leading infrastructure construction company. If you desire to be part of a company with an opportunity to grow in your career and be rewarded for your contributions - Fort Myer is the place for you. We reward our team members with competitive pay and a robust benefits package, paying 100% for medical, dental and vision insurance as well as free parking. Our mission is to serve the communities we call home by "helping build the American Dream" in DC, Maryland and Virginia. Our nearly 700 team members take pride in their work and as a result, our projects have received local and national awards. If you do not mind hard work, desire job security associated with essential infrastructure projects, and want to make a difference in our communities, then please consider joining the Fort Myer Family.

Summary:
The Bilingual Claims Administrator manages the intake, processing, and resolution of workers' compensation claims from the initial report of injury through claim closure. This position serves as the primary point of contact for injured employees, supervisors, medical providers, insurance carriers, and third-party administrators. The role requires fluency in English and Spanish and a commitment to providing accurate, timely, and compassionate service while ensuring compliance with applicable workers' compensation laws and company policies.

Duties and Responsibilities

• Receive, review, and process new workers' compensation claims in accordance with company policy and state regulations.
• Communicate with injured employees, supervisors, medical providers, insurance carriers, and third-party administrators in both English and Spanish.
• Verify claim eligibility, coverage, and compensability while maintaining accurate claim documentation.
• Coordinate medical treatment authorizations, return to work plans, and light duty accommodations.
• Prepare and translate claims correspondence, forms, and notices for Spanish speaking employees.
• Investigate claim details by gathering information from employees, supervisors, and witnesses.
• Coordinate with adjusters, nurse case managers, attorneys, and third-party administrators as needed.
• Monitor claim activity and proactively assist in resolving claims in a timely manner.
  
• Ensure compliance with workers' compensation regulations, reporting requirements, and company standards.
• Perform other related duties as assigned.

Job Requirements:

• Fluency in English and Spanish, both verbal and written.
• High school diploma or equivalent required; associate or bachelor's degree preferred.
• Five or more years of workers' compensation claims administration or related experience preferred.
• Working knowledge of workers' compensation laws, medical terminology, and claims processes.
• Proficiency in Microsoft Office (Word, Excel, and Outlook) and claims management systems.
• Excellent organizational, communication, and customer service skills.
• Ability to maintain confidentiality and exercise sound judgment.
• Strong attention to detail and ability to manage multiple priorities in a fast-paced environment.
• Experience working with insurance carriers, medical providers, and legal representatives preferred.
  Note: This is an on-site position and requires the ability to work in the office during standard business hours,

Working Conditions:

• In-person with prolonged periods sitting at a desk and working on a computer.
• Finger dexterity for extensive amounts of typing.
• Must be able to lift up to 20 pounds at a time.
• This job requires the ability to see, whether naturally or with vision correction tools (glasses, contacts).

We are an Equal Opportunity Employer and fully subscribe to the principles of Equal Employment Opportunity. Applicants and/or employees are considered for hire, promotion, training opportunities, and work assignments, without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other basis protected by federal or local laws.

Disclaimer:
The information provided in this description has been designed to indicate the general nature and level of work performed by incumbents within this job. It is not designed to be interpreted as a comprehensive inventory of all duties, responsibilities, qualifications and working conditions required of employees assigned to this job. Management has discretion to add or modify job duties of the job and to designate other functions as essential at any time.