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Claim Support Representative I

Company: DOMA Technologies
Location: Virginia Beach
Posted on: June 10, 2021

Job Description:

DOMA Technologies delivers comprehensive and managed cloud services in support of federal, healthcare, state, local, education, and commercial customers. The DOMA DX7.7 Content Services Platform is a powerful cloud based Intelligent Content Services Platform that is delivered as a Software as a Service (SaaS) solution. DOMA has built an unparalleled development team focused on cloud application development delivering all aspects of the requirement gathering, design, development, testing, and deployment. We assist federal, health, and private organizations to embrace intelligent automation and stay one step ahead.

We are looking for a Claim Support Representative I (CSR I) to join our team at our main office located in Virginia Beach, VA. We offer the potential for career development, the opportunity to create positive change in the world, and the chance to be a part of a great team. And we are committed to being an equal opportunity employer.

Summary of Position

The Claims Support Representative I (CSR I) is responsible for processing medical record requests to include initiation of outbound calls and responding to incoming calls from private health care providers. Representatives must provide a high level of customer service, maximize productivity, perform heavy and accurate data entry of personal identifiable information, review medical records and other correspondence received from healthcare providers.

This is a Service Contract Act (SCA) covered position.

Essential Duties and Responsibilities

  • Acts as a liaison between Veterans, Private Health Care Providers and Department of Veteran's Affairs to obtain medical records.
  • Consistent and accurate data entry of personal health information and personal identifiable information.
  • Provides medical release authorization forms to healthcare facilities to authorize release of patient private medical records.
  • Communicates with healthcare providers via phone.
  • Ability to interpret Department of Veterans Affairs Forms.
  • Ensures all data entry is accurate and preform quality check of documents and related data within the DOMA software.
  • Ability to reference, interpret and apply frequent changes to VBA Private Medical Records (PMR) work instructions.
  • Ability to use various databases concurrently.
  • Preps, scans, and indexes US mail.
  • Exposed to PHI & PII and expected to maintain confidentiality at all times; must adhere to HIPAA rules and regulations.
  • Meets established productivity goals and quality standards.
  • Regular and predictable on-site attendance.
  • Required to work outside of normally scheduled hours as mandated by client, project and/or workload (e.g. evenings, weekends, holidays and/or overtime).


  • High school diploma or equivalent.
  • Minimum 2 years' customer service experience; working with high volume computer entry.
  • Prior call center experience preferred.
  • Receive and maintain a favorable adjudication for a National Agency Check with Inquiries (NACI) background investigation.
  • Proficient in Microsoft Office Suite, Adobe and computer database software.
  • Fluent and articulate in written and verbal English.
  • Positive phone presence and high focus on customer service and quality.
  • Able to multi-task a high volume of contacts and records and navigate a computer while on the phone with customers.

Additional Requirements

  • Required to work outside of normally scheduled hours as mandated by client, project and/or workload (e.g. evenings, weekends, and/or holidays).
  • Operates personal computers, printers, telephones, copy machines and other commonly used office accessories/equipment.
  • Exposed to confidential information and expected to maintain confidentiality at all times; must adhere to HIPAA rules and regulations.
  • May be required to maintain established work pace, meet deadlines; may have last minute urgent requests.
  • Concentration may be required on various subjects by listening, reading and thinking clearly.
  • Interaction with others may be required. May need to listen, think, and speak in order to interact with others.
  • Business interactions and behavior between coworkers and/or external customers are required. This may require face-to-face or telephone interactions.
  • Thinking at work may include listening, learning, analyzing, evaluating, and the ability to interpret what is seen and/or heard, or to link information from one or several things to the next.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

DOMA Technologies is an equal employment opportunity / affirmative action employer. Candidates are selected based on qualifications and defined requirements of the job, not based on race, color, religion, sex, sexual orientation, gender identity, national origin or any other protected status. Further, DOMA Technologies encourages United States' Veterans and persons with disabilities to apply for positions for which they are qualified.

Keywords: DOMA Technologies, Virginia Beach , Claim Support Representative I, Other , Virginia Beach, Virginia

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