Veterans Service Representative | $85/hr Remote

Crossing Hurdles; United States; Remote; CAD 117,000 - 165,000; Part time

Job summary

Crossing Hurdles is seeking a detail-oriented Veterans Service Representative to review AI-generated disability claims on a remote contract. The role emphasizes thorough evidence evaluation, strict regulatory adherence, and precise documentation to support AI training.

You will assess medical documentation, perform claim ratings, and participate in higher-level review simulations using VBMS. Strong QA experience and familiarity with federal processes are essential.

Qualifications

• Experience reviewing disability claims and determining entitlement.
• Familiarity with federal/VA guidelines and evidence standards.
• Ability to synthesize complex information into concise decisions.

Responsibilities

• Review AI-generated disability claims for completeness and accuracy.
• Assess AI medical documentation and its impact on determinations.
• Document reasoned benefit determinations for AI training.
• Conduct QA reviews of AI-driven decisions per VA standards.
• Access and update claim files using VBMS or equivalent systems.
• Simulate higher-level review decisions to support appeals processes.
• Provide clear written/verbal feedback to improve AI model training.

Skills

Evidence gathering

Regulatory knowledge

Claims evaluation

Attention to detail

Tools

VBMS

Job description

Type: Contract

Compensation: $60 - $85/hour

Location: Remote

Commitment: 10-40 hrs/week

Role 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.

Requirements

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