Senior Veterans Claims Adjudicator

Veterans Benefits Administration; Montgomery (AL); Presencial; USD 60.000 - 80.000; Jornada completa

Descripción de la vacante

Veterans Benefits Administration in Montgomery, AL seeks a Veterans Service Representative (Authorizer) to adjudicate unusually complex claims and provide second-signature approval on high-level decisions. You will analyze complex service matters such as character of discharge and fraud, and ensure decisions meet agency standards.

You will draft Statements of the Case for appeals, guide veterans through post-decision steps, and accurately enter data to generate award notices and benefit

Formación

• One year of specialized experience equivalent to at least the next lower grade (GS-10) in the normal line of progression for the occupation.
• Specialized experience includes adjudicating and authorizing veterans' claims.
• Education may substitute for the required experience per the stated rules.

Responsabilidades

• Serve as the primary authorizer for unusually complex claims, including terminations and disallowed benefits.
• Provide second-signature approval on high-level administrative decisions to ensure technical accuracy and completeness.
• Analyze and decide on complex military service claims such as character of discharge, presumed death, line-of-duty determinations, and fraud.
• Draft Statements of the Case for authorization appeals and guide veterans through post-decision processes.
• Accurately enter adjudication data in electronic systems and issue benefits payment decisions.
• Clearly explain final complex decisions to veterans via mail, phone, or in-person.

Conocimientos

Adjudicating claims

Educación

Ph.D. or equivalent doctoral degree or 3 years of grad education

Descripción del empleo

Veterans Benefits Administration in Montgomery, AL seeks a Veterans Service Representative (Authorizer) to adjudicate unusually complex claims and provide second-signature approval on high-level decisions. You will analyze complex service matters such as character of discharge and fraud, and ensure decisions meet agency standards.

You will draft Statements of the Case for appeals, guide veterans through post-decision steps, and accurately enter data to generate award notices and benefit