General Planner

Remote, USA Full-time
About the positionResponsibilities• Review, evaluate, and validate Proof of Loss (POL) submissions and supporting documentation. • Assess eligibility, qualified amounts, duplication of benefits, and compensation recommendations. • Issue Requests for Information (RFIs) when documentation is incomplete or inconsistent. • Coordinate with Site Inspectors and Subject Matter Experts (SMEs) as needed. • Conduct detailed QC assessments to ensure accuracy, completeness, and policy compliance. • Provide clear feedback to claims reviewers, identifying discrepancies, errors, and rework needs.• Support adherence to FEMA policy, regulatory requirements (44 CFR Part 296), and program guidance. • Track QC findings, trends, and suggest improvements to workflow and staff training. • Prepare structured, defensible bulleted analyses and written memorandum in support of determination and appeals processes. • Review administrative records for completeness, proper organization, and privacy compliance. • Draft appeal recommendations supported by substantial evidence and accurate policy application. • Provide clear, empathetic, and professional communication to claimants, FEMA personnel, and internal team members.• Explain policy, documentation requirements, and process steps in an understandable manner. • Support FEMA navigators and cross-functional teams as needed. • Utilize government systems of record for case notes, uploads, and final documentation. • Ensure timely entry of activities, decisions, and supporting documents within required timeframes. Requirements• High school diploma required. • 1 - 10 years of combined experience in:• Claims or case processing• Disaster-related loss evaluation• Customer service and claimant interaction• Reviewing and analyzing documentation and valuations• Strong technical understanding of:• Disaster-related damages, losses, repairs, and replacement cost principles• Eligibility review and benefit calculations• Duplication of benefits• Excellent written and verbal communication• Ability to draft clear, accurate, and defensible analyses and memorandums• Comfortable using claims management systems, databases, and digital tools• Ability to learn FEMA's systems of record and workflow tools• Highly organized, attentive to detail, and able to manage a high-volume caseload under tight timelines.Nice-to-haves• Bachelor's Degree• Prior FEMA, disaster assistance, insurance adjusting, or federal claims processing experience• Familiarity with the Hermit’s Peak/Calf Canyon Fire Assistance Act• Experience supporting federal programs or regulatory compliance workBenefits• competitive salary• a comprehensive health plan including dental and vision coverage• company-paid life & disability insurance policies• 401(k) plan with company match• an educational reimbursement program Apply tot his job
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