TVC - Claims Benefit Advisor - Strikeforce (Veteran Services Representative III)

2 weeks ago

Waco, Texas, United States CAPPS, Inc. Full time
Job Description

THIS IS A REMOTE POSITION.

Please Note: All applications must contain complete job histories, which includes job title, dates of employment, name of employer, supervisor's name and phone number, and a description of duties performed. To receive Military Employment preference, a copy of the DD Form 214 (member #1 not accepted), NA Form 13038, VA Summary Benefits Letter, or a DD form 1300 must be provided before an interview can be extended. College transcripts, licenses, certifications, etc. must be provided before an interview can be extended. If this information is not provided prior to the interview, your application may be rejected because it is incomplete. Attaching documents to the application is preferred. Resumes do not take the place of this required information.

To learn more about TVC Employee Benefits, please click on the link below:

Submitted Through Work in Texas:

Work in Texas (WIT) applicants must complete the supplemental questions to be considered for the posting. To complete the supplemental questions please go to CAPPS Recruit to register or login and access your profile.

CAPPS Recruit:

General Description: As a member of the State Strike Force Team of the Texas Veterans Commission, this position performs senior level claims review. Work may involve assessing existing claims for proper documentation and completeness; reviewing claims for correct application of laws and procedures; evaluating action taken by rating boards in rating veterans' claims for benefits and taking necessary corrective action for successful adjudication of veterans' claims for benefits. To promote a strong environment, TVC maintains a telecommuting policy. The policy is decided by division and contingent on continued performance.

Essential Duties and Responsibilities:

  • Develops, reviews, and files claims and supporting evidence for successful adjudication.
  • Coordinates staff activity in the development and adjudication of existing claims and appeals.
  • Reviews work of staff to determine compliance with applicable legal requirements, agency policies and accepted standards.
  • Consults and instructs with Claim Advisors and VCSOs (Veteran County Service Officers) concerning veteran's claims work and related problems.
  • Understands and applies Department of Veterans Affairs (VA) rules and regulations when reviewing VA documents and veterans claim submissions.
  • Evaluates and analyzes existing benefit claims and determines appropriate action necessary to complete processing and adjudication.
Military Crosswalk information:

Qualifications:

Minimum Education: Graduation from an accredited four-year college or university with major course work in social work, business management, political science or a related field. Experience and education may be substituted for one another. College Transcripts are required, it is preferred they be attached to the application.

Minimum Experience:Five (5) years of specialized experience assisting with documentation to determine basic eligibility for benefits or programs, preferably VBA experience.

Additional Requirements:
A valid Texas Driver's License must be provided within 90 days of hire.

Preferred Experience and Qualification:

  • Honorably discharged veteran preferred.
  • Experience in filing benefit claims with the Department of Veteran Affairs
Knowledge, Skills and Abilities:

  • Knowledge of VA rules and regulations and VA databases such as, VBMS, SHARE, and CASEFLOW.
  • Skill in the use of personal computers. Microsoft Office Suite strongly preferred.
  • Ability to interpret laws, rules, and regulations applicable to the processing of veterans' claims.
  • Ability to maintain efficient and effective relationships with stakeholder
Ability to communicate effectively both orally and in writing.

Environmental & Physical Conditions:

Normal office work environment, mostly sedentary in nature.

May involve walking; standing; remaining stationary for long periods of time; pulling and pushing; kneeling, stooping, and bending; and safely lifting and carrying items weighing up to 30 pounds.

Work involves extensive telephone usage and repetitive hand/wrist/finger motions while using the computer.

Notes to Applicants:

To receive Military Employment preference, applicable source documents must be provided before an interview can be extended. Attaching documents to the application is preferred.

College transcripts, licenses, certifications, etc. must be provided before an interview can be extended. Attaching documents to the application is preferred.

If you require any reasonable accommodation for the interview process, please inform the hiring representative who calls to schedule your interview.

This position has been designated as a security sensitive position. A criminal background investigation will be conducted on the final candidate for this position.

DUE TO THE HIGH VOLUME OF APPLICATIONS, WE DO NOT ACCEPT TELEPHONE CALLS. APPLICANTS SCHEDULED FOR INTERVIEWS WILL BE CONTACTED.

Veterans Information:

The Texas Veterans Commission is committed to hiring Veterans and is proud to employ the highest percentage of Veterans among all state agencies.

Additional info may apply via the job posting.

AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER:


The Texas Veterans Commission does not discriminate on the basis of person's color, race, national origin, gender, gender identity/gender expression, sexual orientation, marital status, disability religion, or age in employment or the provision of services.

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