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General Planner

Remote, USA Full-time Posted 2025-11-24
About the position Responsibilities • 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 work Benefits • 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 Apply To this Job

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