Claims Specialist 1

Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 professionals throughout the U.S.—all committed to delivering solutions that change lives for the better. The firm is a member of a family of companies with experience in all 50 states, and clients in three Canadian provinces and Europe. PCG offers clients a multidisciplinary approach to meet challenges, pursue opportunities, and serve constituents across the public sector. To learn more, visit www.publicconsultinggroup.com.

Our Human Services team helps state and municipal human services and economic development agencies keep their promises—responsibly and sustainably—to the children, adults, and families they serve. Join us and use your professional skills to build stronger communities and better serve populations in need by making meaningful and lasting changes in government organizations.

Services:

• Program Consulting

• Finance Consulting and Billing Services

• Applied Technology

• Outsourcing and Operations

• Strategy

• Project and Grants Management

• Assessments and Feasibility Studies

PCG is seeking a highly motivated, detail-oriented, and dependable Claims Specialist I to support our Stage 1 Child Care Payment Services Program in San Diego, California. This position plays a critical role in ensuring the accurate and timely processing of child care payments to providers while assisting CalWORKs families in accessing essential child care services.
The Claims Specialist I is responsible for managing, collecting, tracking, and reporting child care payment and supportive services information through various systems, including KinderTrack and CalSAWS. The ideal candidate demonstrates strong customer service skills, attention to detail, and the ability to work effectively in a fast-paced environment.

Duties and Responsibilities

• Responsible for reviewing and processing child care provider payments accurately and in compliance with program policies and timelines.

• Maintains positive relationships with participants, providers, county staff, and partner agencies while delivering professional customer service.

• Ensures accurate data entry, payment reconciliation, recordkeeping, reporting, and budget file maintenance to support program operations, compliance, and audits.

• Monitors workloads, meets productivity goals, participates in trainings and team activities, communicates regularly with supervisors, and collaborates with team members and community partners to ensure efficient service delivery and positive client outcomes.

• Accurately enter provider timesheets, invoices, payment data, and client information into applicable systems.

• Maintains confidentiality and adheres to all program guidelines, policies, and quality standards.

Required Skills

• Strong initiative and ability to prioritize tasks, manage competing responsibilities, and meet established deadlines.

•  Excellent interpersonal skills with the ability to interact professionally with clients, providers, community partners, and team members.

• Exceptional attention to detail and commitment to maintaining accuracy in all work products.

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• Possesses strong administrative, technical, and customer service skills, including proficiency in Microsoft Office applications, data entry, and database management.

• Demonstrates the ability to learn new systems, interpret and apply policies and procedures, manage multiple priorities, and meet deadlines in a fast-paced environment.

•  Skilled in communication, problem-solving, critical thinking, and maintaining accurate records with exceptional attention to detail.

• Works effectively both independently and collaboratively, provides professional support to diverse populations, handles confidential information with discretion, and remains adaptable while ensuring compliance with organizational policies, procedures, and quality standards.

• Experience with systems such as CalSAWS and KinderTrack is preferred but not required.

Qualifications

• High school diploma or equivalent required; bachelor's degree preferred.
• Proficiency in Microsoft Excel required.
• Prior accounting, bookkeeping, payment processing, or related financial experience is preferred.
• Experience working with social service programs, child care services, or public assistance programs is a plus.

Working Conditions

• Must reside in San Diego County

• This position requires full-time (Mon-Fri) in-office work, from 8am-5pm.

• PCG does not sponsor newly hired foreign national workers for work authorization, including H-1B sponsorship.

The above is intended to describe the general contents and requirements of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive statement of all duties, responsibilities or skills of personnel so classified.

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EEO Statement:

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

Compensation:

Compensation for roles at Public Consulting Group varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience.  As required by applicable law, PCG provides a reasonable range of compensation for this role. In addition, PCG provides a range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental leave, bereavement leave.

Compensation for roles at Public Consulting Group varies depending on a wide array of factors including, but not limited to, role, skill set, and level of experience. As required by applicable law, PCG provides the following reasonable range of compensation for this role: $19.50 - $23.50. In addition, PCG provides a range of benefits for this role.

PCG does not sponsor newly hired foreign national workers for work authorization, including H-1B sponsorship.

EEO Statement:

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.