PS:Claims&Appeals Officer (EL)

Veterans Service, Department of; Xenia (OH); On-site; USD 65,000 - 90,000; Full time

Job summary

State of Georgia is seeking a Veterans Claims and Appeals Officer to represent claimants in the VA benefits appeals process and advocate on their behalf throughout reviews by VBA, BVA, and potentially higher courts.

The role requires expert knowledge of VA law, appeals procedures, and familiarity with medical evidence and service records. A Bachelor's degree and 2 years of related experience are required, with the ability to work independently and manage a caseload.

Qualifications

• Bachelor's degree from an accredited college or university.
• Strong knowledge of VA regulations and benefits processes.
• Excellent organizational and interpersonal communication skills.
• Ability to read, review, analyze and research a veteran's file with critical thinking.

Responsibilities

• Represent veterans, dependents, and survivors during the VA benefits appeals process.
• Draft formal written briefs and argue appeals at hearings.
• Collaborate with attorneys, medical professionals, and agency representatives to develop appeals.

Education

Bachelor's degree

Job description

Explore a World of Opportunity with the State of Georgia! We are the force that drives Georgia! Georgia State Government is a large enterprise, composed of various agencies and entities with a common goal to improve the lives of Georgia's more than 10 million citizens! Join Team Georgia and impact lives everyday while receiving a robust benefits package designed for every stage of your career!

Job Title: PS:Claims&Appeals Officer (EL)

Agency: Department of Veterans Service

Job Requisition ID: JR0000005583

Shift: Day (United States of America)

Job Description:

Under supervision, the Veterans Claims and Appeals Officer 1 represents veterans, dependents, and survivors during the VA benefits appeals process. This specialized position advocates for claimants whose initial applications for VA benefits have been denied or under-awarded, ensuring that every appellant receives a fair and thorough review. The role requires expert knowledge of VA law and regulations, appellate procedures, and familiarity with medical evidence, military service records, and case law impacting veteran's claims. The Veteran Claims and Appeals Officer1 is responsible for managing and presenting appeals at various stages of the U.S. Department of Veterans Affairs adjudication process, including reviews by the Veterans Benefits Administration (VBA), Board of Veterans Appeals (BVA), and potentially higher-level courts or administrative panels.

• Duties include reviewing denied claims, analyzing case files, gathering and interpreting supporting documentation (e.g., service records, medical evidence), and preparing legal arguments to support the veteran's position.
• The officer will draft formal written briefs, represent clients during virtual and in-person hearings, and provide guidance on the appeals timeline and procedural requirements.
• This role also involves staying current on changes to VA laws, Title 38 of the U.S. Code, relevant precedent decisions, and emerging issues in veteran's law.
• The Appeals Officer will collaborate closely with attorneys, medical professionals, and federal and state agency representatives to develop compelling appeals on behalf of client.

• Must have a valid driver's license, able to successfully complete a National Agency Check with Inquiries (NAC-I) and fingerprints to obtain a required Personal Identity Verification (PIV) card issued by the Department of Veterans Affairs. This condition of employment may not be waived.
• Failure to obtain a PIV card will result in immediate termination of employment.
• Must pass the Training Responsibility Involvement Preparation of Claims Test (TRIP).
• Must be able to attend Annual Training.

Note: This vacancy is located at 1700 Clairmont Road, Decatur, GA 30033

Minimum Qualifications:

• Bachelor's degree from an accredited college or university and two (2) years of professional job-related experience.
• Military veteran status or extensive professional experience working with military or veteran populations.
• Knowledge of VA regulations and benefits processes.
• Strong understanding of medical conditions related to military service.
• Ability and the patience to read, review, analyze and research a veterans entire file combined with critical thinking and problem solving.
• Requires the collaboration with various agencies and individuals (VA partners and other VSO organizations, etc.) regarding the proper interpretation and application of the 38 CFR.
• The appeals position requires the individual to learn and adhere to proper Board practices and professional procedures.
• Excellent organizational and interpersonal communication skills.
• Proficiency in Microsoft Office and electronic case management systems.
• Ability to work independently and manage a caseload effectively.

Equal Employment Opportunity Employer

The State of Georgia does not discriminate based on race, color, national origin, sex, religion, age, disability, or other protected categories in employment or the provision of services. Qualified applicants may request reasonable accommodation when needed during the application and/or screening process by contacting the appropriate agency Human Resources department.

Georgia State Government is a large enterprise, composed of various entities with a common goal to improve the lives of Georgia's 10 million citizens. With nearly 62,000 employees, we are one of the single largest employer in the state. Public service opportunities stretch across the state as employees live and work in all 159 counties. From traditional fields such as accounting, nursing, and engineering to unique fields like forestry and natural resources management, Georgia state government provides a world of opportunity.