Licensed Attorney - Claims Reviewer

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

(documentation required).

Work Environment

may be required with 24-hour notice.

government customer's operating hours

Job Posted by ApplicantPro