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Claims Assistant

Expired Job

Department Of Veterans Affairs Winston Salem , NC 27108

Posted 4 months ago

  • Videos

  • Duties

HelpDuties Summary

The Claims Assistant works as a member of one of the Teams in the Veterans Service Center. The Claims Assistant serves as a primary contact for the veteran and his/her representative or advocate for compensation and pension claims. The Claims Assistant is able to explain benefit programs and entitlement criteria.

Learn more about this agency

Responsibilities

The Claims Assistant is responsible for the following:

  • Performs standard clerical assignments in support of the VSC staff, processes all mail, establishes and maintains files.

  • Documents initial receipts, reads, examines, and routes all types of correspondence received in the Veterans Service Center.

  • Utilizing Electronic data processing (EDP) technology, establishes control of correspondence and case files in order to determine which office or individual has responsibility for a case or whether it should be forwarded to a Management Official for appropriate action or reply.

  • Searches data sources to locate files or information and insures that records are available for review by staff, claimants, and their representatives.

  • Determines validity and submits notice of death to the Beneficiary Identification and Records Locator Subsystem (BIRLS).

  • Initiates stop pay action on awards

  • Makes final disposition of "no-record" mail

  • Consolidates folders for veterans having more than one claim number and correcting coding BIRLS

  • Resolves confusion of two veterans with the same name correcting file materials and informing all concerned offices and data systems.

  • Prepares reports of contact on all telephone calls or inquiries needed to complete the development of claims.

  • Establishes claims and develops, through the use of standardized letters, evidence needed to complete a claim

Work Schedule: 8:00 am - 4:30 pm

Compressed/Flexible: Available

Telework: Not Available

Virtual: This is not a virtual position.

Position Description/PD#: Claims Assistant/PD# 02112A

Relocation/Recruitment Incentives: Not Authorized

Financial Disclosure Report: Not required

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, but depends on the selectee's demonstration of the ability to perform the duties of the higher grade to the satisfaction of the supervisor and the availability of ceiling, funding, and enough work to support the targeted position.

Travel Required

Not required

Supervisory status

No

Promotion Potential
6

  • Job family (Series)
    0998 Claims Assistance And Examining

  • Requirements

HelpRequirements Conditions of Employment

  • You must be a U.S. Citizen to apply for this job

  • Designated and/or random drug testing may be required

  • Selective Service Registration is required for males born after 12/31/1959

  • You may be required to serve a probationary period

  • Subject to background/security investigation

  • Selected applicants will be required to complete an online onboarding process

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 09/07/2018.

Time-In-Grade Requirement: Applicants who are current Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement.

  • GS-05: There is no Time in Grade requirement
  • GS-06: Applicants must have served 52 weeks at the GS-05. (Multiple SF 50s can be submitted to prove time in grade.)

The grade may have been in any occupation, but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials.

Provide a copy of your last or most recent SF-50, "Notification of Personnel Action" to indicate your current federal status. You must also submit additional SF-50(s) to clearly demonstrate one year time-in-grade as required in the announcement. If the most recent non-award SF-50 has an effective date within the past year, it may not clearly demonstrate that you possess one year time-in-grade. In this instance, you must provide an additional non-award SF-50 that clearly demonstrates one year time-in-grade.

Note: To support your claim that you have the required time-in-grade, you must submit your most recent promotion, within-grade increase, or appointment SF-50. If you previously held a higher grade, you must also submit any SF-50 showing that grade.

You may qualify based on your experience and/or education as described below:

Specialized Experience: You must have one (1) year of specialized experience equivalent to at least the next lower grade in the normal line of progression for the occupation in the organization.

  • For a GS-05: You must have one year of specialized experience equivalent to at least the next lower grade in the normal line of progression for the occupation in the organization of GS-04.

  • For a GS-06: You must have one year of specialized experience equivalent to at least the next lower grade in the normal line of progression for the occupation in the organization of GS-05.

Examples of specialized experience would typically include, but are not limited to:

  • Clerical work which includes handling of information, mail, and automated services

  • Basic knowledge of eligibility requirements for veteran's benefits

  • Facilitates workflow in a office environment

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, including volunteer experience.

Note: A full year of work is considered to be 35-40 hours of work per week. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment.

Physical Requirements:
The work is mostly sedentary. However, there may be some walking, standing, and carrying of light items such as papers, books, claims folders, and files from one desk to another or for returning to storage. Carts are utilized to carry large number of claims folders. This will require the incumbent to push or pull the cart from one are to another.

Education

A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Education: Applicants may substitute education for the required experience only at the G-05 level.

  • To qualify based on education for the GS-5 grade level you must have four (4) academic years above high school leading to a bachelor's degree.

Combination: Applicants may also combine education and experience to qualify at the GS-05 level. You must have an combination of specialized experience and education beyond 4 years of education the high school level. Only education in excess of the first 60 semester hours (i.e., beyond the second year) is creditable towards 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.

There is no educational substitution at the GS-06 grade level.

PLEASE NOTE: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications (particularly positions with a positive education requirement). Therefore, applicants must report only attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Applicants can verify accreditation at the following website: http://www.ed.gov/admins/finaid/accred/index.html. All education claimed by applicants will be verified by the appointing agency accordingly. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.


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Claims Assistant

Expired Job

Department Of Veterans Affairs