Claims Consultant-DC
Veterans of Foreign Wars (VFW) - Washington, District of Columbia, us, 20022
Work at Veterans of Foreign Wars (VFW)
Overview
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Overview
Claims Consultant-DC
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Veterans of Foreign Wars (VFW) 2 days ago Be among the first 25 applicants Join to apply for the
Claims Consultant-DC
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Veterans of Foreign Wars (VFW) Get AI-powered advice on this job and more exclusive features. Nature Of Work
Assist members of the veterans’ community in the preparation, development, and submission of claims for veterans’ benefits to the Department of Veterans Affairs. Analyze veterans’ applications/claims and electronic folders, develop issues for use in the appellate process, participates in the VFW Veterans’ Outreach Program, counsel members of the veterans’ community on the Department of Veterans Affairs, federal and state agency benefits. Nature Of Work
Assist members of the veterans’ community in the preparation, development, and submission of claims for veterans’ benefits to the Department of Veterans Affairs. Analyze veterans’ applications/claims and electronic folders, develop issues for use in the appellate process, participates in the VFW Veterans’ Outreach Program, counsel members of the veterans’ community on the Department of Veterans Affairs, federal and state agency benefits.
Typical Duties And Responsibilities
Process inquiries from the veterans’ community concerning veterans’ benefits. Ensure that the appropriate forms are accurately and efficiently submitted. Monitor claim progression, reviewing decisions when applicable to determine appropriate courses of action to resolve unfavorable decisions.
Research and develop evidence for appeals through coordination with outside agencies, VA, and private medical facilities. Prepare statements on behalf/support of the veteran’s claim or appeal.
Participate in the VFW Veterans’ Outreach Program to counsel and assist veterans/claimants on benefits available to them through the Department of Veterans Affairs, federal and state agencies.
Perform as a case manager, conducting follow-up to ensure veterans’ progression in the assistance program is satisfactory.
Performs administrative and clerical duties for self and as assigned by the Associate Director, National Capitol Region Benefits Office.
Knowledge, Skills, And Abilities Required
VFW membership eligibility is not required.
Position prefers an Associate’s degree or a minimum of three years directly-related work experience and training.
Proficiency in human relations skills and basic analytical abilities are required to interface with the veterans’ community, analyze claims folders, VA and Federal regulations and policies pertinent to the claim. Position requires knowledge of given subjects to such a degree as to make the incumbent authoritative in veterans’ affairs. Typically includes public speaking on a particular subject and incumbent may be frequently called upon for his/her views on special veterans’ affairs issues.
Basic knowledge of general office machinery and computer operations is required. Demonstrate ability to apply complex VA rules and regulations necessary in filing VA claims and appeals.
Position requires VFW accreditation with the Department of Veterans Affairs and successful completion of the Veterans Benefits Administration’s Training, Responsibility, Involvement and Preparation of claims (TRIP) test. Incumbent will, from time to time, be required to take recertification tests to monitor their proficiency in the laws pertaining to veterans’ benefits.
Scope Of Position
This position is FLSA exempt.
The incumbent is under the direct supervision of the Associate Director, National Capitol Region Benefits Office, and VFW National Veterans Service and has no supervisory responsibility.
Typical decisions involve determining individual veteran needs and ascertaining the appropriate course of action to resolve the issue presented.
Plans and prioritizes work for own position on a daily basis.
Typical problem solving includes interviewing veterans to determine eligibility for benefits, claims issues, ascertaining appropriate courses of action, reviewing VA policies, procedures and laws, assisting in filing for the benefits sought and monitoring case progression.
Typical contacts are with members of the veterans’ community to resolve questions and clarify status of constituents’ claims.
Provides input to the Associate Director, National Capitol Region Benefits Office concerning the National Veterans Service annual budget. Initiates process activities in the limited area such as providing recommendations concerning the expansion of the VFW veterans' outreach program.
Working Conditions
Incumbent functions in normal office environment approximately 90% of the time. Limited domestic travel is required to participate in training conferences 5% of the time and local travel is required 5% of the time for VFW veterans’ outreach or other duties as assigned. Limited telework option may be available.
Basic computer skills needed to access claims databases, including claims management database and Microsoft applications.
Performance of duties in a location remote from NVS headquarters requires incumbent to work independently, with little immediate supervision; with requirement to provide reliable reports that attest to performance of duties.
Position requires the ability to analyze complex materials.
Major Accountabilities
Ensures veteran’s community inquiries are timely reviewed and processed, ensuring appropriate documentation is accurately completed and the claim forwarded to the applicable agency in a timely manner.
Ensures that veterans’ claims issues are properly documented in TVB, researched, and developed prior to submission to the applicable federal agency and that the veteran is adequately represented in the appellate process.
Ensures that members of the veterans’ community are counseled concerning their rights and entitlements and are treated in a fair and caring manner.
Ensures proper records are maintained to render timely and accurate reports to the Associate Director National Capitol Region Benefits Office, concerning monthly activities.
The above duties are general in nature and are not intended to reflect all of the duties which may be required of the incumbent.
This position is not eligible for relocation assistance. If not already listed as a requirement for the position, all employees (if eligible) are encouraged to become members of the VFW. If ineligible for VFW membership, employees (if eligible) are encouraged to join the VFW Auxiliary. Additionally, all employees are encouraged to actively promote the benefits of membership in the VFW and VFW Auxiliary to others that qualify.
The VFW offers a comprehensive benefits packet to include, but not limited to, medical, dental, vision, tuition reimbursement, paid time off, life insurance, long term disability, and a wellness reimbursement program. Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
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