OST, Inc. · 19 hours ago
Claims Appeals Examiner
Mc Lean, VA 22102, USA
Full-time
Hybrid
Mid, Senior Level
$75K/yr - $75K/yr
5+ years expOptimal Solutions & Technologies (OST, Inc.) is focused on excellence in Management Consulting, Information Technology, and Research Development and Engineering services. The Claims Appeals Examiner will process and adjudicate claims appeals for the National Flood Insurance Program, analyze case files, communicate with stakeholders, and produce detailed documentation and reports.
Information TechnologyManagement ConsultingService Industry
No H1B
Security Clearance RequiredU.S. Citizen Only
Responsibilities
Core responsibilities focus on the daily processing and adjudication of claims appeals for the National Flood Insurance Program (NFIP)
Research, analyze, and evaluate claims appeal case files and supporting documentation; formulate conclusions and prepare clear, well-reasoned written determinations in letter or narrative form for policyholder appeals
Track, report, and communicate appeal status, risks, and issues in accordance with client requirements
Assist in the preparation, review, and delivery of claims appeals reports and required program deliverables
Support disaster response activities, including the preparation of time-sensitive and mission-critical reports
Produce high-quality, accurate documentation and analytical reports
Identify, document, and escalate risks within assigned areas of responsibility
Complete all mandatory OST and project-required training
Coordinate and communicate with FEMA personnel and insurance industry stakeholders regarding policyholder appeals
Maintain timely, accurate case notes and data within the system of record, updating daily as required
Perform quality control reviews as assigned to ensure compliance and accuracy
Maintain awareness of current NFIP policies, procedures, and program updates
Support team operations as needed, including cross-training to ensure continuity of operations
Qualification
Required
Bachelor's degree required
Minimum of 5 years of successful claims-handling experience at a Property & Casualty insurance company
Strong analytical and problem-solving skills with close attention to detail
Excellent written and verbal communication skills
Proficiency in Microsoft Office, particularly Excel, Word, and PowerPoint
Ability to learn and apply new skills through OST-provided training
U.S. citizenship required
Ability to obtain and maintain a Public Trust security clearance
Preferred
Prior experience with the National Flood Insurance Program (NFIP) or flood insurance industry
Claims experience as an adjuster, examiner, or in direct support of those roles
Experience producing reports and analyses using Excel
Familiarity with underwriting processes
Coursework in business, economics, or a related field
Benefits
Full benefits
Possible bonus potential based on merit and performance
Company
OST, Inc.
OST solves complex problems and overcomes challenges to deliver optimized, value-driven solutions that improve our customers’ business operations and advance their missions by building a great firm that attracts, develops, excites, and retains exceptional people.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Marcus Collier
Chief Executive Officer
Nicholas Petrillo
Senior Security Specialist in COOP/Emergency Management
Recent News
Maryland Daily Record
2025-11-13
2023-12-09
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