Veterans Claims Examiner (Senior Quality Review Specialist)

Veterans Affairs$95K — $115K *
Education, Government & Non-Profit
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years of relevant experience in veterans benefits administration
  • In-depth knowledge of VA compensation laws, regulations, and procedures
  • Ability to manage and lead various QA-related projects or programs
  • Strong analytical skills to conduct studies and make recommendations
  • Experience in overseeing quality assurance reviews and processes
  • Familiarity with federal service requirements and standards
  • U.S. citizenship and Selective Service registration for applicable candidates

Responsibilities

  • Lead reviews for national STAR and appeal reviews
  • Conduct studies and analyze findings to recommend improvements
  • Gather and critically analyze data for decision-making
  • Monitor quality review teams' work products for improvements
  • Make technical and administrative decisions to support QA operations
  • Manage multiple concurrent projects with cross-functional coordination
  • Act as a consultant for regulatory and operational decisions regarding Compensation Service

Benefits

  • Comprehensive benefits package available for federal employees
  • Options for health insurance, retirement plans, and paid leave
  • Family benefits designed to reward federal careers
  • Access to training and development resources
  • Eligibility for federal employment benefits varies by position type
Full Job Description
Summary

This position is in the Veterans Administration (VA), Veterans Benefits Administration (VBA), Compensation Service (CS). The Veterans Claims Examiner (Senior Quality Review Specialist) reports to the Quality Assurance (QA) Chiefs & Asst. Director for QA; and is a key technical advisor to the QA Chiefs and Asst. Director; will serve as QA Project Manager (PM) and this will include training new QA Consultants.

Duties

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SPECIFIC DUTIES include:

  • Serves as a lead reviewer for national STAR reviews including appeal reviews and special focus reviews including the review of recons from STAR quality reviews and conducts quality reviews of the work performed by Quality Review consultants to provide internal oversight of the VBA national QRT and QA programs.
  • Conducts or leads studies, analyzes findings, and makes recommendations on VBA's Quality Review Team and various QA programs and may develop implementation plans for activation of associated projects, assuring logistical and cost-benefits issues are fully addressed.
  • In-depth knowledge of laws, regulations, and procedures about the administration of claims for VA compensation and related benefits. Gathers relevant data, analyzes it critically, and makes recommendations based on findings using available information resources such as internet tools, manuals, and other reference material.
  • Monitors the work products of VBA national quality review teams and QA programs to recommend program improvements and effect positive changes.
  • Authority to make technical and administrative decisions with regulatory/statutory guidance, regulations, policies, procedures, and/or instructions to carry out the functions that support operations delivery and assist field stations with instructions for implementing policy, procedures, or training.
  • Manages multiple projects or programs concurrently where effort involves coordination among multiple resources, other divisions, or agents outside of the organization.
  • Serves as an advisor and consultant to the supervisor on precedent determinations involving decisions on individual cases and national issues regarding technical, regulatory, procedural, and operational aspects of Compensation Service.


Work Schedule: Full time, Monday through Friday, 8:00AM - 4:30PM

Compressed/Flexible: Not Available

Telework: This position is eligible for situational (ad hoc) telework only. The selectee is required to report to the official duty station each scheduled workday. Telework may be approved only on a case-by-case basis with supervisory approval. Routine or recurring telework is not authorized for this position.

Virtual: This is not a virtual position.

Position Description/PD#: Veterans Claims Examiner (Senior Quality Review Specialist); PD: 39934-A

Relocation/Recruitment Incentives: Not Authorized

Financial Disclosure Report: Not Required

Requirements

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Conditions of employment

As a condition of employment for accepting this position, you will be required to serve a 1-year probationary period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:

  • your performance and conduct;
  • the needs and interests of the agency;
  • whether your continued employment would advance organizational goals of the agency or the Government; and
  • whether your continued employment would advance the efficiency of the Federal service.


Upon completion of your probationary, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.

  • You must be a U.S. Citizen to apply for this job
  • Selective Service Registration is required for males born after 12/31/1959
  • You may be required to serve a probationary period
  • Subject to background/security investigation
  • Selected applicants will be required to complete an online onboarding process


Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements I-9 Acceptable Documents.

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement:08/03/2026.

TIME-IN-GRADE REQUIREMENT: Applicants who are current Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements.

  • For a GS-14 position you must have served 52 weeks at the GS-13 level.


The grade may have been in any occupation, but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials.

MINIMUM QUALIFICATION REQUIREMENT: You may qualify based on your experience as described below:

GS-14 Grade Level:

  • SPECIALIZED EXPERIENCE: One year of experience which includes managing workload related to the application of veteran benefits programing such as compensation, pension, fiduciary, and/or appeals; explaining benefit programs or decisions to multiple audience through various communication means such as orally or in writing.


Volunteer Experience: 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.

Full vs. Part-Time Employment: Full-time employment is considered to be at least 35 hours per week. Part-time experience will be credited on a pro-rated basis; when including part-time employment in your resume you must specify the average hours worked per week.

Physical Requirements: The work, which involves mental rather than physical exertion, is primarily sedentary and requires no special physical exertion. However, there is some walking, standing, and carrying of light items such as papers, books, and claims folders. Carts are used to carry large numbers of claims folders. This will require the incumbent to push or pull the cart from one area to another. Occasional travel will be required for meetings, training, conferences, etc.

For more information on these qualification standards, please visit the United States Office of Personnel Management's website at http://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.

Education

There is no education substitution for the GS-14 grade level.

Additional information

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

Benefits

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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

Review our benefits

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

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