Claims Consultant - Veterans Disability Appeals

Rippling, Inc.; Houston (TX); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Vision Insurance

401(K) Matching

Short-Term Disability Insurance

Long-Term Disability Insurance

Life Insurance

Paid Time Off

Paid Holidays

Flexible Spending / Health Savings

Tuition Reimbursement

Pet Insurance

Employee Assistance Program

Job summary

Allsup LLC is seeking a Claims Consultant for Veterans Disability Appeals to review and address technical, medical and viability issues across the VA claims process. The role involves mentoring peers, coordinating medical records, and drafting supporting materials to advance claim outcomes.

The ideal candidate has a bachelor’s degree and at least two years’ veteran’s disability claims experience, with strong communication and organizational skills.

Qualifications

• Bachelor’s degree or equivalent experience.
• Two years of Veteran's disability claims handling experience.
• Strong oral and written communication skills.
• Proficiency with Word and Excel.

Responsibilities

• Prepare summaries of the veteran’s claims file and analyze medical evidence.
• Solicit medical records and coordinate disability questionnaires.
• Assist claimants with lay statements and prepare case summaries for medical consultants.
• Proofread briefs and perform necessary research.
• Review cases for technical problems and medical eligibility.
• Maintain confidentiality and document system notes of actions.
• Participate in training sessions and support peers.
• Handle special projects as assigned.

Skills

Oral communication

Written communication

Organizational skills

Education

Bachelor’s degree or equivalent experience

Tools

Word

Excel

Job description

Claims Consultant - Veterans Disability Appeals

About Allsup, LLC

Allsup LLC is a people-centered organization with a team of hundreds who are dedicated to helping people with disabilities lead lives that are as financially secure and healthy as possible. We enjoy working together to make a difference, get the job done, and find solutions for our customers.

You will enjoy a collaborative workplace, with rewarding results where your opinion matters. We have a great benefits package and paid time off program, with casual dress and a comfortable work environment. Many positions have no weekends, or minimal weekend work. You’ll have a predictable work schedule, the potential to work from home, and enjoy an employee-centered work life and have fun.

Even better, you can develop your own knowledge and professional skills through a self-driven personal improvement approach to professional development. Our business takes complex federal programs and makes them easier for people to navigate, including SSDI, veteran's disability, return to work and Medicare. Drive your expertise and advancement with the support of your supervisor and our organization.

About the role

• The VA Claims Consultant is responsible for reviewing and addressing technical, medical and viability issues on claimant cases pending at all levels of the Veteran Affairs process. Primary duties include reviewing VA claims file and medical evidence, resolving complex claim issues, and sharing knowledge with claims agents. Instructs, mentors, and trains peers and support staff. Performs work with minimal supervision.

What you'll do

• Review and prepare a summary of the veteran’s claims file which includes past and present VA decisions, analyzes medical evidence, reviews VA law and regulations, and determines any error of law administered by the Regional Office and/or Veteran Law Judge in order to compose the brief.
• Reviews medical records, applications on file, and the claim’s agent medical development profile in order to determine which medical records to solicit from the claimant’s medical providers. Selects appropriate disability benefit questionnaires and sends to the appropriate provider based upon the claimant’s medical conditions.
• Assist claimants with drafting lay statements; drafting independent medical opinion request letters and case summaries for medical consultants; identifying and sending correct VA disability benefit questionnaires
• Reviews briefs written by claims agent providing proofreading and research as needed.
• Reviews cases for technical problems and medical eligibility.
• Research and identify reference material to support case development and documentation.
• Processes work in a timely and accurate manner.
• Accurately and thoroughly document system notes of all conversations and actions.
• Maintains technical knowledge of all VA programs and procedures.
• Reviews claims for viability and closure. Contacts claimant/clients to review and discuss.
• Participates in training sessions and demonstrations.
• Maintains strict confidentiality of claimant information, procedural manuals, client/prospect lists, information on new business ventures, and other confidential Allsup information.
• Mentor peers and support staff.
• Assist, on an as needed basis, with claims agent job functions. Including, but not limited to, claim status, drafting appeals, VA Forms, etc.
• Work on special projects

Qualifications

• Requires Bachelor’s degree or equivalent experience.
• Must have strong oral and written communication skills and the ability to learn and apply technical instructions.
• Minimum of two years of Veteran's disability claims handling responsibilities and experience
• Professional oral/telephone communication skills.
• Superior organizational skills.
• High level of initiative.
• Excellent knowledge of Word and Excel.
• Health, Dental, and Vision Insurance
• 401(K) Matching
• Short-Term and Long-Term Disability Insurance
• Life Insurance
• Paid Time Off
• Paid Holidays
• Flexible Spending and Health Savings Account
• Tuition Reimbursement
• Pet Insurance
• Employee Assistance Program

DISCLAIMER

Tasks, duties, and responsibilities as listed in the job description are not exhaustive. The company may assign other tasks, duties and responsibilities with no prior notice.

Equal Opportunity Employer. ALL characteristics protected by federal, state, or local law.