Bilingual Claims Administrator - R2710

Fort Myer Construction•Washington, DC

7d•Onsite

About The Position

Fort Myer Construction Corporation is seeking a Bilingual Claims Administrator to manage the intake, processing, and resolution of workers' compensation claims. This role is crucial for serving injured employees, supervisors, medical providers, insurance carriers, and third-party administrators, requiring fluency in both English and Spanish. The company is a leading infrastructure construction firm in the DMV area, committed to community service and employee growth, offering competitive pay and a comprehensive benefits package.

Requirements

Fluency in English and Spanish, both verbal and written.
High school diploma or equivalent required.
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.
This is an on-site position and requires the ability to work in the office during standard business hours.

Nice To Haves

Associate or bachelor's degree preferred.

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.