Insurance Specialist.

Veterans Benefits Administration; Philadelphia (Philadelphia County); Presencial; USD 42 000 - 64 000; Tempo integral

Resumo da oferta

Veterans Benefits Administration in the United States seeks a detail-oriented professional to review and process complex insurance and payment actions. The role involves auditing policy accounts, reconciling suspense funds, and preparing correspondence to customers explaining actions taken and amounts due.

You will work with Treasury and internal teams to verify funds, research discrepancies, and ensure timely clearance of balances.

Responsabilidades

• Reviews work items, suspense payment actions, and out of balance policies. Assesses policy billing, transaction history, liabilities, and funds in suspense. Conducts complex policy and loan audits and calculates complex refund actions to determine appropriate allocation of funds on a policy to bring the account current, to resolve or establish indebtedness. Completes system actions and, when applicable calculates, interest prior to releasing a payment, establishing a lien, or developing to recoup funds.

Descrição da oferta de emprego

• Reviews work items, suspense payment actions, and out of balance policies. Assesses policy billing, transaction history, liabilities, and funds in suspense. Conducts complex policy and loan audits and calculates complex refund actions to determine appropriate allocation of funds on a policy to bring the account current, to resolve or establish indebtedness. Completes system actions and, when applicable calculates, interest prior to releasing a payment, establishing a lien, or developing to recoup funds. Responsible for processing returned payments, completing research and development to locate payees and proper application of funds. Prepares and releases correspondence to customers which explain policy actions and money due or owed.
• Conducts research and development of information into missing government checks initiated by the Department of Veterans Affairs Insurance program regarding inquiries to the Treasury Department. Initiates status of checks through the TCIS (Treasury Check Information System) to determine the status of funds available and refund the available funds. If funds are determined to be unavailable, the incumbent determines whether fraudulent activity or an incorrect payee was involved. Research, contacts and interacts with the Veteran and the Check Claims Department of the Treasury. If an incorrect payee is involved, the incumbent initiates recovery of funds.
• Coordinates with peers and supervisors throughout the workday to resolve complex policy issues and ensure timely completion of priority workload.
• Responsible for processing loan and cash surrenders actions, processing underwriting applications such as reinstatements and conversions, and overdue dividend payments. Receives control listings to be reviewed, suspense payment lists, suspended accounts list, billing alter policies, which are audited and corrected. Reviews and adjusts policies regarding Allotment and Deduction from Benefit billing payment, correcting the policy balance and paid to information. This includes, but is not limited to, disbursement of dividends held on account, reinstatement of lapsed insurance, calculating monetary requirements for reinstatements of lapsed or automatically surrendered insurance, auditing years of activity (premiums and loans), and missing check processing.

Duties

• Reviews work items, suspense payment actions, and out of balance policies. Assesses policy billing, transaction history, liabilities, and funds in suspense. Conducts complex policy and loan audits and calculates complex refund actions to determine appropriate allocation of funds on a policy to bring the account current, to resolve or establish indebtedness. Completes system actions and, when applicable calculates, interest prior to releasing a payment, establishing a lien, or developing to recoup funds. Responsible for processing returned payments, completing research and development to locate payees and proper application of funds. Prepares and releases correspondence to customers which explain policy actions and money due or owed.
• Conducts research and development of information into missing government checks initiated by the Department of Veterans Affairs Insurance program regarding inquiries to the Treasury Department. Initiates status of checks through the TCIS (Treasury Check Information System) to determine the status of funds available and refund the available funds. If funds are determined to be unavailable, the incumbent determines whether fraudulent activity or an incorrect payee was involved. Research, contacts and interacts with the Veteran and the Check Claims Department of the Treasury. If an incorrect payee is involved, the incumbent initiates recovery of funds.
• Coordinates with peers and supervisors throughout the workday to resolve complex policy issues and ensure timely completion of priority workload.
• Responsible for processing loan and cash surrenders actions, processing underwriting applications such as reinstatements and conversions, and overdue dividend payments. Receives control listings to be reviewed, suspense payment lists, suspended accounts list, billing alter policies, which are audited and corrected. Reviews and adjusts policies regarding Allotment and Deduction from Benefit billing payment, correcting the policy balance and paid to information. This includes, but is not limited to, disbursement of dividends held on account, reinstatement of lapsed insurance, calculating monetary requirements for reinstatements of lapsed or automatically surrendered insurance, auditing years of activity (premiums and loans), and missing check processing.

Requirements

Conditions of employment

As a condition of employment for accepting this position, you will be required to serve a 1-year probationary period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:

• your performance and conduct;
• the needs and interests of the Agency;
• whether your continued employment would advance organizational goals of the Agency or the Government; and
• whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your probationary period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

Additional Conditions Of Employment Are As Follows

• You must be a U.S. Citizen to apply for this job
• Selective Service Registration is required for males born after 12/31/1959
• You may be required to serve a probationary or trial period
• Subject to background/security investigation
• Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements
• Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement: 10/26/2026.

TIME-IN-GRADE REQUIREMENT

• For a GS-07 position you must have served 52 weeks at the GS-05 level.
• For a GS-09 position you must have served 52 weeks at the GS-07 level.

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. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade.

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.

Minimum Qualification Requirement

GS-07 Grade Level:

Specialized Experience:

You must have one year of specialized experience equivalent to the GS-05 level or higher. Specialized experience is defined as: (1) applying established laws, regulations, policies, procedures, and guidelines to perform assignments; (2) reviewing information and records to identify issues and determine appropriate actions; (3) providing customer service and responding to routine inquiries; (4) communicating with internal and external stakeholders; and (5) using sound judgment to resolve routine problems or refer more complex matters to the appropriate individual.

OR

Education:

Applicants may substitute education for the required experience. To qualify based on education you must have:

• One full year of graduate level education. Graduate level education must demonstrate the competencies necessary to do the work of the position.

OR

• Superior Academic Achievement (3.0 GPA or higher). Superior Academic Achievement (SAA) is based on: 1) class standing, 2) grade point average or 3) honor society membership. For more information on calculating SAA please visit www.opm.gov.

Combining Education & Experience:

If you do not fully meet the length of experience and education described for a specific grade level (e.g., have six months of experience and some coursework but not a degree), the two can be combined to total 100% of the requirement.

GS-09 Grade Level:

Specialized Experience:

You must have one year of specialized experience equivalent to the GS-07 level or higher. Specialized experience is defined as: (1) knowledge of legal and regulatory basis of the VA Insurance laws, programs, practices, methods, and technologies sufficient to perform assignments independently using procedures that are conventional and apply to most situations; and (2) knowledge of Insurance Service's organization and operations and familiarity with the work processes of organizations with which the VA Insurance program must coordinate its operations.

OR

Education:

• A master's or equivalent graduate degree in an accredited or pre-accredited college or university;

OR

• 2 full years of progressively higher-level graduate education leading to such a degree; or possession of an LL.B. or J.D degree, if related. Graduate-level education must demonstrate the competencies necessary to do the work of the position.

Combining Education & Experience:

If you do not fully meet the length of experience and education described for a specific grade level (e.g., have six months of experience and some coursework but not a degree), the two can be combined to total 100% of the requirement.

Volunteer Experience:

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; religious; 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.

Full vs. Part-Time Employment:

Full-time employment is considered to be at least 35 hours per week. Part-time experience will be credited on a pro-rated basis. Applicants wishing to receive credit for such experience must indicate the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment.

Physical Requirements:

The position is primarily in an office setting. Some travel may be necessary on occasion for training, meetings, or customer interactions.

Education

A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Education must be accredited by an

Note: You may submit unofficial transcripts when applying. However, if you are selected for the position, you will be required to provide an official transcript or a statement from the institution (e.g., from the registrar, dean, or other appropriate official) or equivalent documentation prior to the start date.

Additional information

Special Employment Consideration:

VA encourages persons with disabilities to apply, including those eligible for hiring under 5 CFR 213.3102(u), Schedule A, Appointment of persons with disabilities [i.e., intellectual disabilities, severe physical disabilities, or psychiatric disabilities], and/or Disabled veterans with a compensable service-connected disability of 30% or more. Contact the Agency Contact for information on how to apply under this appointment authority via the Selective Placement Coordinator.

Interagency Career Transition Assistance Plan (ICTAP)

(ICTAP) provides eligible displaced Federal/VA competitive service employees with selection priority over other candidates for competitive service vacancies. To be qualified you must submit appropriate documentation (a copy of the agency notice, your most recent performance rating, and your most recent SF-50 noting your current position, grade level, and duty location) and be found well-qualified (have a final rating of 85 or more) for this vacancy. Information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at

Placement Policy:

The posting of this announcement does not obligate management to fill a vacancy or vacancies by promotion. The position may be filled by reassignment, change to lower grade, transfer, appointment, or reinstatement. Management may use any one or any combination of these methods to fill the position. This job opportunity announcement may be used to fill additional vacancies.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members

Please visit the

Reasonable Accommodation (RA) Requests:

If you believe you have a disability (i.e., physical or mental), covered by the Rehabilitation Act of 1973 as amended that would interfere with completing the USA Hire Competency Based Assessments, you will be granted the opportunity to request a RA in your online application. Requests for RA for the USA Hire Competency Based Assessments and appropriate supporting documentation for RA must be received prior to starting the USA Hire Competency Based Assessments. Decisions on requests for RA are made on a case-by-case basis. If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency Based Assessments if you received the link after the close of the announcement. To determine if you need a RA, please review the

For more information on the "Who may apply" eligibility requirements, please refer to the

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding.

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.