Claims Consultant - Veterans Disability Appeals

American Bankruptcy Institute; St. Louis (MO); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(K) Matching

Short-Term Disability

Long-Term Disability

Life Insurance

Paid Time Off

Paid Holidays

Flexible Spending Account

Health Savings Account

Tuition Reimbursement

Pet Insurance

Employee Assistance Program

Job summary

Allsup LLC is seeking a VA Claims Consultant to review veteran claims files, medical evidence, and VA decisions, and to draft briefs and summaries for claims at all levels of the process.

You will mentor peers, train support staff, and maintain strict confidentiality while handling sensitive claimant information. A Bachelor’s degree and 2+ years of veterans' disability claims experience are required.

Qualifications

• Requires Bachelor’s degree or equivalent experience.
• Strong oral and written communication skills and the ability to learn technical instructions.
• Minimum of two years of Veteran's disability claims handling responsibilities and experience.
• Professional oral/telephone communication skills.
• Superior organizational skills.

Responsibilities

• Review and prepare a summary of the veteran’s claims file, including VA decisions and medical evidence.
• Review medical records and determine which records to solicit from providers.
• Assist claimants with drafting lay statements and medical opinion requests.
• Review briefs written by claims agents and provide proofreading and research as needed.
• Maintain confidentiality of claimant information and assist with training peers.

Skills

Oral communication

Written communication

Organizational skills

Initiative

Attention to detail

Education

Bachelor's degree or equivalent experience

Tools

Microsoft Word

Microsoft 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

• 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.