Program Support Services Senior

Terrestris Global Solutions

About The Position

We are seeking a Program Support Services Senior to support the Third-Party Liability Program for the United States Coast Guard in Washington, D.C. At Terrestris, we leverage technology to create better mission outcomes through better human performance. We form strong client and team relationships through transparency and strive to create an environment where our team can let their excellence shine through. By finding, developing, and incorporating new ideas, we provide memorable services. Rooted in the USMC values of honor, courage, and commitment, Terrestris seeks to deliver extraordinary value to the American people by helping the Government become more efficient and effective. The Program Support Services Senior provides senior-level administrative, analytical, and operational support to the U.S. Coast Guard’s Third-Party Liability Program in Washington, D.C. This role supports claims tracking, reporting, coordination with internal and external stakeholders, and preparation of program documentation and leadership briefings. The position requires extensive experience supporting federal programs, strong communication skills, and the ability to manage complex, compliance-driven tasks independently.

Requirements

The ability to work in the U.S. permanently without sponsorship.
An associate degree from a college or university accredited by a regional or national accrediting body.
A minimum of (8) years of experience working in a general office setting, including experience in a supervisory role.
Ability to effectively communicate, both verbally and in written form, while demonstrating tact and diplomacy.
Ability to apply critical thinking to examine problems, including identifying important factors, collecting relevant data, and suggesting appropriate solutions.

Responsibilities

Apply critical thinking to examine problems, including identifying important factors, collecting relevant data, and suggesting appropriate solutions.
Responsible for effectively collaborating with coworkers to plan and organize work.
Responsible for providing guidance and supervision to lower-level clerks.
Required to conduct quality assurance reviews of the work performed by lower-level clerks.
Responsible for generating, validating, and disseminating reports for internal team utilization.
Responsible for providing onboarding support to new team members.
Utilize critical thinking abilities to identify obstacles in areas that need improvement and then communicate with the Program Manager to develop effective strategies to overcome them.
Attend regular meetings with the Program Manager to address any issues, delegate workload, and engage in discussions regarding ideas for enhancing processes.
Review and provide analysis of admission, disposition and injury reports generated by the Composite Health Care Systems (CHCSII)/Integrated Health Information System (IHiS), Tricare contractors, DoD and U.S. Coast Guard Military.
Compile data from the medical acute care clinics, emergency rooms, and other clinics where patients were treated as a result of a motor vehicle accident or personal injury. Also, the contractor shall investigate medical information on the Emergency Treatment Records (ETRs) to ensure that all sources of recovery are forwarded to the U.S. Coast Guard Claims and Litigation Division (CG-LCL).
Interview beneficiaries and initiate correspondence to obtain necessary insurance information regarding the injury/accident including the civilian attorney's name, if applicable and then consolidate the information from the patient, accident reports, and medical records into a tort case file.
Explain and answer questions from patients and insurance companies on statutes, regulations, and matters applicable to the TPL process.
Assist patients in the completion of required forms and documents.
Receive and answer requests for information, medical invoices, and liens for TPL claims from civilian attorneys, military legal offices, and government agencies.
Draft correspondence, file records, make copies of related correspondence, answer related phone calls and transfer calls to appropriate personnel, perform data entry by way of MS Access and utilize the task feature in MS Outlook to maintain Task List generated by the Government Program Manager.
Prepare FMCRA liens to include billing forms and UB92 insurance forms, compile all medical and legal documentation into a case file and forwards completed case files to the Claims and Litigation office at U.S. Coast Guard Headquarters or military legal office having jurisdiction over the case, which adjudicates and collects the reimbursement.
Enter each open case into a computer tracking system.
Provide support to generate medical liens and route for review and approval and determine if TPL case meets current threshold guidelines.
Establish new case files, maintain existing case files and utilize US Coast Guard information services to establish and maintain case files.
Review incoming mail and faxes received to determine priority and process, route for action, scan, and email outgoing correspondence.