Benefits Specialist Jobs

About The Position

Requirements

• One year of specialized experience equivalent to at least the GS-12 grade level, involving training, analyst, or information systems duties related to a claims management process.
• Specialized experience may include conducting quality reviews of completed rated cases; evaluating claims-development programs or operations quantitatively or qualitatively; preparing or conducting training; identifying knowledge or skill gaps and planning training strategies; accurately and promptly providing or implementing data for information management systems; or providing technical guidance and direction on claims management systems.
• Current Federal GS employees must meet the GS-13 time-in-grade requirement: 52 weeks at GS-12 by the announcement closing date.
• Applicants must be U.S. citizens.
• Selective Service registration is required for males born after December 31, 1959.
• Applicants may be required to serve a probationary or trial period and are subject to a background/security investigation.
• Selected applicants must complete online onboarding and provide acceptable identification for pre-employment Form I-9 requirements.
• The work is mostly sedentary and primarily involves mental rather than physical exertion; some walking, standing, and carrying of light items may occur.

Responsibilities

• Conduct individual quality reviews on an established monthly schedule to determine the rating quality level of DROs and RVSRs for individual performance standards.
• Conduct focused in-process reviews to assess the accuracy of claims actions for station-level feedback and improvement; these reviews are not used for individual performance standards.
• Share rating quality trend information with management on an ongoing basis and with DROs and RVSRs during training sessions.
• Evaluate claims for deficiencies across all elements, including evidence development, income and dependency issues, award processing, and authorization.
• Explain errors and provide comments where attention is warranted.
• Prepare STAR data reports and provide them to authorized Regional Office personnel who request and receive them.
• Ensure program requirements imposed by Compensation Service, the Pension and Fiduciary Service, and the Court of Appeals for Veterans Claims are met or implemented.
• Prepare documentation supporting unfavorable findings to justify error decisions and indicate required actions.

Benefits

• Federal employees and their families have access to a comprehensive benefits package; specific benefits are not enumerated in the posting.