Quality Assurance Specialist at Veteran Benefits Guide

Enterprise, Nevada, United States -

Full Time

Start Date

Immediate

Expiry Date

12 May, 26

Salary

0.0

Posted On

11 Feb, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Detail-Oriented, VA Laws And Regulations Knowledge, Company Processes Knowledge, Reviewing Denied VA Rating Decision Letters, Identifying Higher-Level Reviews, Identifying Supplemental Claims, Identifying Clear And Unmistakable Errors, Preparing Rebuttals, Quality Reviews, Conducting Audits, Time Management, Interpersonal Skills, Communication Skills, Persuasive Argumentation, Computer Proficiency, Working Independently

Industry

Business Consulting and Services

Description

Description What is VBG: Veteran Benefits Guide has been proud to serve our nation’s service members for more than 10 years. Founded by a U.S. Marine Corps Veteran, VBG assists Veterans through the challenging VA claims process to efficiently secure their hard-earned benefits. Now operating with more than 225 team members nationwide, VBG has helped over 55,000 Veterans through the VA claims process. The company is dedicated to honoring service and supporting the Veteran community through ongoing advocacy, community partnerships, and meaningful opportunities within its workforce. What we are looking for: The Veteran Benefits Guide Quality Assurance (QA) Specialist is a highly detail-oriented position requiring expertise with VA Laws and Regulations, as well as a current, detailed, comprehensive knowledge of company processes and procedures. The primary responsibilities of a QA Specialist are reviewing denied VA Rating Decision Letters and identifying Higher-Level Reviews, Supplemental Claims, and Clear and Unmistakable Errors. The QA Specialist will also prepare rebuttals and responses to VA Letters as deemed necessary. Additionally, the QA specialist is responsible for performing quality reviews and conducting audits to ensure that processes and procedures meet the established standards set by the organization. Essential Functions: Reasonable accommodation may be provided to enable individuals with disabilities to perform essential functions. • Review and prepare responses to VA letters and other correspondence, ensuring accuracy, regulatory compliance, and timely submissions • Interpret and analyze Rating Decision Letters to determine required next steps • Prepare and compile all necessary documents to prepare Reconsiderations (RECON) response for both New Claims and Increased Claims • Prepares QRT Template, including Course of Action, providing guidance to departments in alignment with company policies, procedures, and operational Standards Maintain a record tracking of all VA Rating Decision Letter denials in the tracking system • Performs an audit to identify trends of past VA decisions in the tracking system • Performs quality reviews and conducts audits to identify trends of the past • Work closely with the development team to improve existing products • Conducts systematic review of all operational workflows, providing mentoring, training, and analysis • Completes additional duties as assigned by the direct Supervisor or Management Qualifications and Competencies: • Excellent time management, interpersonal, and communication skills • Detail-oriented and high tolerance for repetitive tasks • Ability to craft well-worded and persuasive arguments in response to the VA decision letter • Proficient computer skills and typing at 30+ WPM • Microsoft Office proficiency • Ability to work independently on personal goals • Ability to interact with coworkers and business partners in a professional manner • Ability to make prompt, sound decisions based upon analysis of complex issues • Superlative attention to detail • Ability to maintain direction and professionalism in high-pressure situations • Willingness to embrace change and successfully implement new approaches and ideas • Strong work ethic with customer-centric focus • Expert knowledge of complex disability claims • Proficient in claims-oriented medical terminology • Demonstrated personal credibility and effectiveness • Read VA manual (M-21) • Use ECFR Required Education and Experience: Either a high school diploma (preferred) or a general education degree (GED) is required and at least 2 years of Veteran Benefits Guide experience and/or training or recent strongly comparable and immediately applicable external prior employment experience. EEO: Veteran Benefits Guide provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, national origin, ancestry, physical disability, mental disability, medical condition, marital status, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), gender (including gender identity and gender expression), genetic characteristic, sexual orientation, registered domestic partner status, age, military or veteran status, hair style or hair texture, reproductive health decision making, or any other characteristic protected by federal, state, or local laws.

Responsibilities

The primary duties involve reviewing denied VA Rating Decision Letters to identify necessary next steps like Higher-Level Reviews or Supplemental Claims, and preparing accurate rebuttals and responses to VA correspondence. The specialist will also conduct quality reviews and audits to ensure adherence to established organizational standards and procedures.