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Claims Assistant

Department of Veterans Affairs

Claims Assistant

Portland, OR
Full Time
Paid
  • Responsibilities

    Claims Assistant Veterans Benefits Administration 4,120 reviews - Portland, OR $35,466 - $51,388 a year - Full-time, Part-time The duties at the GS-5 level are identical to those found at the GS-6 level, except that at that GS-5 level, the trainee will be under close supervision and guidance of the Team Supervisor. He/she will be given detailed instructions as to the approach to be used and the work methods to be utilized. The GS-5 trainee will receive technical guidance from the Team Supervisor. * Explains benefit programs and entitlement criteria to Veterans, their dependents, and their representatives; * Analyzes claims and determines if disposition of claim and control action has been appropriately identified; * Develops straightforward evidence in conjunction with claims; * Assists with the gathering of evidence for more complex cases; * Determines the need for and performs any required follow-up actions and establishes controls for future review and action;

    • Composes various types of correspondence (i.e. letters, reports of contacts, reports, FOIA (Freedom of Information Act) responses and congressional inquiry responses) that can be understood by individuals with various backgrounds and educational levels; * Processes dependency questionnaires issued to verify status of dependents of compensation and Dependency and Indemnity Compensation (DIC) recipients. This includes analysis of payment history and information provided. If needed, process award actions; * Greets all visitors and creates a favorable impression, so visitors feel VBA is interested in their welfare and responsive to their needs and questions; * Remains friendly and articulate dealing with a variety of personalities, including angry, hostile, and excitable visitors; * Determines eligibility and prepares entitlement letters for Civil Service Preference, commissary privileges, fishing licenses, etc. and type of benefit and amounts verification letters. 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. Work Schedule: Full-time, Monday-Friday, 7:30- 4:00 Compressed/Flexible: Available Telework: Telework is available after successful completion of training. Virtual: This is not a virtual position. Position Description/PD#: 02112A/12112A Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not required This is a bargaining unit position. To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 07/26/2018. Time-In-Grade Requirement: As a current Federal GS employee you must meet time-in-grade requirements (unless you are eligible for a non-competitive hiring authority such as Schedule A, VRA, or are a 30% or more disabled veteran). GS-05 Grade Level: There is no time in grade requirement for the GS-05 level. GS-06 Grade Level: You must have served 52 weeks at the GS-05 level or higher. 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. Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment. You may qualify based on your experience and/or education as described below: Specialized Experience: For the GS-5, you must have one year of specialized experience at a level of difficulty and responsibility equivalent to the GS-4 grade level in the Federal service. It may have been gained in the federal, military, or private sector. To be creditable, it must have been at least one year of specialized experience equivalent to at least the GS-04 level in the Federal service (or substitutable education) as described below: * Explaining basic benefit government benefit programs; * Providing clerical and customer service support; * Researching and reviewing records to piece together pertinent information from a variety of sources. OR, * Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have A Bachelor's degree (in any field) or four (4) years of education above high school leading to a Bachelor's or equivalent degree. (submission of transcripts required.) OR, * Combination: Applicants may also combine education and experience to qualify at this level. Only education in excess of the first 60 semester hours (i.e., beyond the second year of higher education) is creditable toward meeting the specialized experience requirement. Specialized experience: For the GS-6, you must have one year of specialized experience at a level of difficulty and responsibility equivalent to the GS-5 grade level in the Federal service. It may have been gained in the federal, military, or private sector. To be creditable, it must have been at least one year of specialized experience equivalent to at least the GS-05 level in the Federal service as described below: * Explaining basic benefit government benefit programs; * Performing a wide variety of clerical and customer service support duties; * Researching and reviewing legal and medical records and other documents to piece together pertinent information from a variety of sources; There is no educational substitute for the GS-06 level. 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: This position is primarily sedentary with some walking, standing, bending, and carrying of lightweight items (i.e. folders, claims files, etc.). None To apply for this position, you must provide a complete Application Package which includes: * Resume The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees). You will not be contacted for additional information. * Cover Letter * DD-214 * Other * Other Veterans Document * Resume * SF-15 * SF-50 * Transcript Veterans' Preference: When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit http://www.fedshirevets.gov/job/vetpref/index.aspx. Department of Veterans Affairs - 11 hours ago - save job - original job Apply On Company Site Other jobs you may like Individual Disability Claim Assistant Standard Insurance Company Portland, OR 3 days ago Individual Disability Claim Assistant The Standard Portland, OR 3 days ago Children's Support Professional (After School... 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  • Industry
    Government Administration