Works under the direction of a supervisor or manager and follows established standard operating procedures and guidelines.

Duties may include but are not limited to:

• Intake and Review of Claims

• Receives and reviews more complex or time-sensitive claims for completeness and jurisdiction;
• Determines claimants’ eligibility under applicable statutes, regulations, and program guidance; and
• Identifies missing documentation and requests additional evidence.

• Evidence Development

• Gathers medical records, exposure documentation, and other relevant materials;
• Communicates with claimants, representatives, medical providers, and other agencies, as appropriate, to seek clarification and/or additional information;
• Ensures the administrative record is complete.

• Medical and Technical Evaluation

• Reviews medical records and reports;
• Identifies when medical or scientific consultation is required and contacts appropriate professionals to facilitate it; and
• Assesses causation and compensability based on program criteria.

• Legal and Regulatory Analysis

• Applies governing laws, regulations, policies, and precedents to the facts of the claim;
• Researches and evaluates statutory criteria such as causation, exposure thresholds, timelines, and eligibility requirements; and
• Interprets medical and technical evidence in conjunction with established program standards.
• Drafts letters, memoranda, decisions, and case development logs to document timely development of administrative claims.

• Appeals and Reconsideration

• Reviews requests for reconsideration or appeals;
• Prepares case files and memoranda for review bodies or adjudicative authorities; and
• Implements final decisions.

• Performs ancillary duties, as required, including maintenance of records, returning calls from applicants, and other administrative tasks as assigned.

• Maintains organized case files and tracking systems.
• Coordinates with other RECA Program legal support staff to manage expedient claim review within statutory timeframes.

Required

• 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.
• Requires Law degree, or currently attending an ABA-accredited law school, having completed at least one year of study or, an equivalent level of legal training or experience  or an equivalent level of education may be substituted. 
• Requires sound working knowledge of federal and state court systems, legal research procedures, and legal research resources.  
• Requires excellent written and oral communication skills and thorough knowledge of legal research tools such as LEXIS and Westlaw. 
• Must have hands-on familiarity with a variety of computer applications, including word processing, databases (such as document review and file management systems), spreadsheets, and imaging.  
• Excellent customer service and professional presentation skills required.

Preferred

• Ability to consistently deliver highest quality work under extreme pressure will be very important.
• Experience with benefit/health claims processing and adjudication.
• Familiarity with Administrative Law or similar programs to RECA.
• Experience performing research across a variety of platforms, both legal and non-legal.

*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:

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:

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.