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Claims Assistant - Department of Veterans Affairs - Milwaukee, WI

Summary

Vacancy Identification Number (VIN): 1955428

OUR MISSION: To fulfill President Lincoln's promise – "To care for him who shall have borne the battle, and for his widow, and his orphan" – by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate care to Veterans?

The Veterans Benefits Administration (VBA) provides a variety of benefits and services to service members, veterans, and their families. VBA has been undergoing a major transformation that is people-centric, results-oriented, and a forward-looking integration of solutions that will ensure total lifelong engagement with service members, veterans, and their families. For more information on the Department of Veterans Affairs, go to http://ift.tt/RuzGum

Duties

The Claims Assistant works as a member of a Veterans Service Center team in the Veterans Affairs Regional Office, Milwaukee, WI.  The Incumbent is responsible for the care and maintenance of the claims folder and insures that all pertinent records and document are preserved and are neatly and orderly filed in chronological order.
As a Claims Assistant for the Veteran Benefits Administration you will:

• Works as a member of the Intake Processing Center Team in the Veterans Service Center.
• Incumbent serves as the primary contact for the veteran, his representative or advocate for compensation and pension claims.
• Explains Veterans benefit programs and entitlement criteria to veterans, dependents and others. Screens initial claims for benefits.
• Analyzes claim documents and determines if disposition of claim and control action has been appropriately identified. 
• Evaluates all facts and evidence and applies pertinent laws, precedents and regulations to determine entitlement or development needed. 
• Utilizes VA systems to prepare correspondence to Veterans and claimants. 
• Establishes and maintains veteran's claims folders. Creates and updates control actions.
  Performs other duties as assigned.

Work Schedule:  Regular office hours Monday-Friday
Position Description Title: Claims Assistant GS-0998-05/06 full performance level 6
Promotion Potential: The select may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level.

Travel Required

• Not Required

Relocation Authorized

• No

Job Requirements

Key Requirements

• You must be a US citizen to apply for this job.
• Subject to a background/suitability investigation.
• Selective Service Registration is required for males born after 12/31/1959.
• Promotion potential to GS-06 level.

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of the announcement.
GS-05: One year of specialized experience equivalent to the GS-04 grade level in the federal service.
GS-06: One year of specialized experience equivalent to the GS-05 grade level in the federal service.
Examples of specialized experience include: experience in the preparation of claims for benefits; procurement of relevant evidence; the ability to control electronically and maintain pertinent files and documents in the claims process; work in which the applicant showed evidence of a working knowledge of the claims processing; and prepared the individual to successfully deal with clients from many backgrounds. Such experience may have been gained by working in an agency or insurance company that had intricate and precise procedures for processing claims.
OR
Applicants may substitute education for the experience required.
GS-05: successful completion of four (4) years (120 semester hours) of education above the high school level from an accredited business, secretarial or technical school, junior college, college or university.
There is no educational substitution for the GS-06 grade level.
It is the applicant's responsibility to provide documentation or proof that he or she has met the applicable educational requirements for substitution. Applications submitted without the required supporting documents will not be accepted. An unofficial transcript; statement from the institution's registrar, dean, or other appropriate official; or equivalent documentation is acceptable at the time of application. Education submitted must be appropriately accredited by an accredited body recognized by the Secretary of the U.S. Department of Education. For additional information, refer to the U.S. Department of Education web site at http://www.ed.gov/.
OR
Applicants may also combine education and experience to qualify: To calculate, first identify the percentage of required education you have earned; (only education in excess of the first 60 semester hours (i.e., beyond the second year) is creditable toward meeting the specialized experience requirement). One full academic year of study (30 semester hours) beyond the second year is equivalent to 6 months of specialized experience. Identify the percentage of required experience you possess.  Add the two percentages.  The total percentage must equal at least 100 percent to qualify.
There is no education substitute for the GS 6.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social).  Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.

Physical Requirements: The work is mostly sedentary. However, there may be some walking, standing, and carrying of light items such as papers, books, claims folders, and files from one desk to another or for returning to storage. Carts are utilized to carry large number of claims folders. This will require the incumbent to push or pull the cart from one area to another.

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