CLAIMS ASSISTANT - Department of Veterans Affairs - Milwaukee, WI
Summary
Vacancy Identification Number (VIN) 10061676
Our Mission: To fulfill President Lincoln's promise - "To care for him who shall have borne the battle and for his widow, and his orphan" - by serving and honoring the men and women who are America's veterans. How would you like to become a part of a team providing compassionate care to veterans?
The Veterans Benefits Administration (VBA) provides a variety of benefits and services to service members, veterans and their families. The VBA has been undergoing a major transformation that is people-centric, results-oriented and forward-looking, and which includes integration of solutions that will ensure total lifelong engagement with service members, veterans and their families. Learn more about this agency
Responsibilities
The Claims Assistant works as a member of the Veterans Service Center (VSC) team in the Veterans Affairs Regional Office, Milwaukee, WI. The Incumbent is responsible for the care and maintenance of the claims folder and insures that all pertinent records and document are preserved and are neatly and orderly filed in chronological order.
As a CLAIMS ASSISTANT for the Veteran Benefits Administration you will:
Conducts initial review of incoming mail to determine action needed.
Establishes or updates control actions using Department computer applications.
Checks all forms and evidence submitted for completeness and accuracy and routes them to the proper operating element.
Analyzes claim and determine if disposition of claim and control action has been appropriately identified.
Requests and routes claims folder/e-folder/claim to the appropriate team for further action when evidence is received.
Responsible for the care and maintenance of claims folders/e-folders
Develops straightforward evidence in conjunction with claims. Assists the VSR with the gathering of evidence for more complex cases.
Processes dependency questionnaires and admission notices.
Performs other duties as assigned.
Work Schedule: Regular office hours 8:00 AM - 4:30 PM; Alternate work schedules may be available.
Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level.
Selectees are subject to a background/suitability investigation.
Selective Service registration is required for males born after 12/31/1959.
A probationary period may be required for employees and supervisors.
Physical Requirements: The work is sedentary. Typically the employee may sit comfortably to do the work. However, there may be some walking, standing, bending or carrying of light items such as papers and books. No special physical demands are required to perform the work. The Department of Veterans Affairs provides reasonable accommodations for persons with disabilities.
Qualifications
To qualify for this position, applicants must meet all requirements by the closing date of the announcement.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge and skills, and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience you document, to include volunteer experience.
To qualify, applicants must have one year of specialized experience equivalent to at least the next lower grade (GS--04) in the normal line of progression for the occupation in the organization.
Specialized experience is defined as work which equipped the applicant with the particular knowledge, skills and abilities (KSA's) to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled, in the normal line of progression for the occupation in the organization.
Examples of specialized experience would typically include: :
(1) Experience in the preparation of claims for benefits
(2) The ability to control electronically and maintain pertinent files and documents in the claims process
(3) Work in which the applicant showed evidence of a working knowledge of the claims processing.
(4) Work which prepared the individual to successfully deal with clients from many backgrounds.
Such experience may have been gained by working in an agency or insurance company that had intricate and precise procedures for processing claims.
Or applicants may substitute education for the experience required at the GS -05 Grade level, with successful completion of four (4) years (120 semester hours) of education above the high school level from an accredited business, secretarial or technical school, junior college, college or university.
Or applicants may also combine education and experience to qualify: To calculate, first identify the percentage of required education you have earned; (only education in excess of the first 60 semester hours (i.e., beyond the second year) is creditable toward meeting the specialized experience requirement). One full academic year of study (30 semester hours) beyond the second year is equivalent to 6 months of specialized experience. Identify the percentage of required experience you possess. Add the two percentages. The total percentage must equal at least 100 percent to qualify.
Education
A transcript must be submitted with your application if you are basing all or part of your qualifications on education.
Note: Only education or a degree recognized by the U.S. Department of Education from an accredited college, university, school, or institution may be used to qualify for Federal employment. You can verify your education here. If you are using foreign education to meet qualification requirements, you must include a Certificate of Foreign Equivalency with your transcript(s) in order to receive credit for that education.
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