Veterans Service Representative

ESR Healthcare; United States; Remote; USD 39,000 - 55,000; Part time

Job summary

Executive Staff Recruiters / ESR Healthcare seeks a Contractors Veterans Service Representative to review AI-assisted disability claims remotely in the United States. You will evaluate evidence, assess medical documentation, and prepare detailed determinations for AI training, ensuring alignment with VA standards and regulatory guidelines.

The role requires experience with veterans' benefits, claim examinations, and familiarity with VBMS or equivalent systems to manage records and support

Qualifications

• Proven expertise as a Veterans Service Representative or equivalent, with strong experience in benefit determination and evidence gathering.
• Familiarity with VA qualification standards and related functions.
• Experience using VBMS or similar claims management platforms.

Responsibilities

• Review and analyze AI-generated disability compensation claims, ensuring comprehensive evaluation of evidence and adherence to established regulatory guidelines.
• Assess AI-generated medical documentation and determine its impact on existing disability claims, weighing complex evidence accurately.
• Complete detailed benefit determinations and document rationales with clarity and precision for AI training.
• Conduct quality assurance reviews of AI-generated claims decisions, pinpointing inconsistencies or errors according to VA standards.
• Utilize specialized systems such as VBMS to access, update, and manage claim files and supporting documentation.
• Simulate higher-level review decisions, providing expertise on appeals and supplemental claim processes for AI training.
• Deliver constructive written and verbal feedback to enhance AI model training accuracy and effectiveness.

Skills

Veterans Service Representative

Education

GS-0996/GS-0105/GS-0512 familiarity

Tools

VBMS

Job description

Veterans Service Representative

https://jobs.micro1.ai/post/7d5ea7c4-e77b-4cea-b528-4fbc14376446?referralCode=1761f2a1-0970-4c4f-a273-a1b557d5ad9f&utm_source=referral&utm_medium=share&utm_campaign=job_referral

Role Type: Contractor

Location: Remote

Scope of Work

1. Review and analyze AI-generated disability compensation claims, ensuring comprehensive evaluation of evidence and adherence to established regulatory guidelines.
2. Assess AI-generated medical documentation and determine its impact on existing disability claims, weighing complex evidence accurately.
3. Complete detailed benefit determinations and document rationales with clarity and precision for AI training.
4. Conduct quality assurance reviews of AI-generated claims decisions, pinpointing inconsistencies or errors according to VA standards.
5. Utilize specialized systems such as VBMS to access, update, and manage claim files and supporting documentation.
6. Simulate higher-level review decisions, providing expertise on appeals and supplemental claim processes for AI training.
7. Deliver constructive written and verbal feedback to enhance AI model training accuracy and effectiveness.

Preferred Qualifications

1. Proven expertise as a Veterans Service Representative or equivalent, with strong experience in benefit determination and evidence gathering.
2. Familiarity with GS-0996: Veterans Claims Examining, GS-0105: Social Insurance Administration, or GS-0512: Internal Revenue Agent functions.
3. Demonstrated skill evaluating disability compensation and conducting claim ratings in a regulated environment.
4. Experience using VBMS or similar claims management platforms.
5. Background in quality assurance for claims or similar processes within federal, state, or related agencies.
6. Ability to synthesize complex information and present informed decisions for higher-level review processes.