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Licensed Attorney - Claims Reviewer

Kaiva Tech
locationWashington, DC, USA
PublishedPublished: 6/14/2022
Legal
Full Time

Job Description

Job Description

Kaiva Tech, LLC is seeking Licensed Attorney - Claims Reviewer


Location: Washington, D.C.


Clearance: 5C Public Trust


Position Type: Full-Time, Hybrid/Remote


Position Summary
Kaiva Tech, LLC is seeking a highly analytical and detail-oriented Licensed Attorney to support our federal government customer in reviewing and adjudicating claims submitted under an agency-managed program. This role involves evaluating claim submissions, applying government-established criteria, and preparing clear, well-supported recommendations. The position is critical in supporting the timely and accurate processing of a high volume of cases.


Essential Duties and Responsibilities

  • Review claim submissions for completeness, accuracy, and compliance with applicable federal regulations and program requirements.
  • Perform substantive analysis using government-provided methodologies, guidance, and decision frameworks.
  • Identify missing or insufficient information and coordinate with government customer representatives to resolve gaps.
  • Determine eligibility based on established criteria and prepare recommended approvals or draft denial letters with clear supporting rationale.
  • Adhere to all agency policies, procedures, timelines, and quality assurance standards.
  • Participate in required training related to claims adjudication, program operations, and system usage.
  • Maintain timely, professional communication with supervisors and designated government points of contact.
  • Uphold strict standards of integrity, confidentiality, and professionalism.

Required Qualifications

  • Juris Doctor (JD) degree from an ABA-accredited law school.
  • Active bar membership in any U.S. state or territory, in good standing
    (documentation required).
  • Strong written and verbal communication skills.
  • Ability to Submit an original writing sample by request (minimum five pages).
  • Ability to draft clear, structured, and defensible decision letters or analyses.
  • Ability to work effectively in a dynamic environment with evolving priorities and processes.
  • Ability to obtain a Public Trust 5C (or equivalent) federal background investigation.


Work Environment

  • Remote work permitted; occasional onsite attendance in Washington, D.C.
    may be required with 24-hour notice.
  • Standard full-time schedule (8 hours/day, Monday-Friday), aligned with the
    government customer's operating hours



Job Posted by ApplicantPro

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