Veterans Claims Quality Assurance Specialist

Veterans Benefits Administration; Nashville (TN); On-site; USD 60,000 - 90,000; Full time

Job summary

Veterans Benefits Administration in Nashville, TN seeks a Veterans Service Representative (AQRS) quality reviewer to perform focused evaluations and ensure authorization quality across claims. You will share trend data with leadership and trainees, develop training materials, and guide staff to correct deficiencies.

This role emphasizes QA processes, adherence to program requirements, and thorough documentation in STAR systems.

Qualifications

• Perform focused evaluations to determine authorization quality and accuracy.
• Provide advisory services to management via quality trend info.
• Develop training strategies and materials to address deficiencies and conduct training.
• Analyze performance deficiencies and quality trends to identify knowledge/skill gaps.
• Provide quality-review services, feedback, and guidance to staff to correct issues.

Responsibilities

• Perform individual quality reviews to determine authorization quality level for VSRs.
• Conduct in-process reviews for case accuracy (station-level feedback).
• Share authorization quality trend information with management and during training sessions.
• Review products or activities for quality of performance and document results in STAR checklists.
• Evaluate deficiencies across evidence development, income/dependency, award processing and authorization.
• Prepare STAR data reports for regional office personnel who request them.
• Develop QA processes focusing on procedures and practices for unique conditions.
• Ensure all program requirements by Compensation Service, Pension and Fiduciary Service, and Court of Appeals are met.

Skills

Quality reviews

Training

Data analysis

Reporting

Advisory to management

Job description

Veterans Benefits Administration in Nashville, TN seeks a Veterans Service Representative (AQRS) quality reviewer to perform focused evaluations and ensure authorization quality across claims. You will share trend data with leadership and trainees, develop training materials, and guide staff to correct deficiencies.

This role emphasizes QA processes, adherence to program requirements, and thorough documentation in STAR systems.