Veterans Claims Examiner

Veterans Affairs$80K — $95K *
Education, Government & Non-Profit
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years of experience in VA claims administration
  • Thorough understanding of federal laws and regulations related to veterans' benefits
  • Exceptional analytical and critical thinking skills
  • Proven communication abilities, both written and verbal
  • Demonstrated experience in technical decision-making within regulatory frameworks
  • Experience in advising on complex veterans’ claims issues

Responsibilities

  • Conduct national STAR and SFR reviews of veterans claims
  • Provide guidance and instructions for policy and procedures to field stations
  • Make technical decisions based on regulations and policies
  • Analyze data and provide actionable recommendations
  • Advise leadership on the implications of process or legal changes
  • Act as a consultant on precedent determinations for claims
  • Assist in training and development of staff regarding claims processes

Benefits

  • Comprehensive federal benefits package available
  • Access to health insurance options
  • Retirement savings plans
  • Generous leave policies including vacation and sick leave
  • Opportunities for professional development and training
Full Job Description
Summary

The incumbent focuses on VBA's mission to drive improvement in national accuracy and consistency in the claims process of benefits delivered to Veterans and their families. The primary focus of the team is to conduct Systematic Technical Accuracy Reviews (STAR), Special Focused Reviews (SFR), and administrative reviews in compliance with statutory, regulatory, and published VBA policies.

Duties

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SPECIFIC DUTIES include:

  • In-depth knowledge of laws, regulations and procedures pertaining to the administration of claims for VA compensation and related benefits
  • Serves as a reviewer for national STAR and special focus reviews and assists field stations with instructions for implementing policy, procedures, or training.
  • Authority to make technical, and administrative decisions with regulatory/statutory guide, regulations, policies, procedures and/or instructions to carry out the functions which support operations delivery.
  • 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.
  • Deals with issues of both sensitive or of a high-profile nature while advising leadership on the national or local impact of changes in process, protocol, or legal statues, which may impact or shapes the future direction 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 CS. The incumbent may act for their immediate supervisor when called upon to do so.


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; PD: 39859A

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: 08/11/2026. This job will close when we have received 75 applications which may be sooner than the closing date.

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-13 position you must have served 52 weeks at the GS-12 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-13 Grade Level:

SPECIALIZED EXPERIENCE:The applicant must document knowledge of a complex field of laws, regulations and Federal legislation pertaining to the full range of veterans benefits and a comprehensive and thorough knowledge of state, federal and local benefit programs to be able to explain them, both orally and in writing, to individuals of all educational backgrounds.

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-13 grade level.

Additional information

Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer (TJO). Please visit the Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP), va.gov/EMPLOYEE/docs/The-Fair-Chance-to-Compete-Act.pdf for more information.

The Career Transition Assistance Plan (CTAP) provide eligible displaced VA competitive service employees with selection priority over other candidates for competitive service vacancies. To be qualified you must submit appropriate documentation (a copy of the agency notice, your most recent performance rating, and your most recent SF-50 noting current position, grade level, and duty location) and be found well-qualified (have a final rating of 85 or more) for this vacancy. Information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at http://www.opm.gov/policy-data-oversight/workforce-restructuring/employee-guide-to-career-transition/.

Placement Policy: The posting of this announcement does not obligate management to fill a vacancy or vacancies by promotion. The position may be filled by reassignment, change to lower grade, transfer, appointment, or reinstatement.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

This job opportunity announcement may be used to fill additional vacancies.

For more information on the "Who may apply" eligibility requirements, please refer to the OHRM Status Candidates and Other Candidate Definitions document.

If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.

Reasonable Accommodation (RA) Requests: If you believe you have a disability (i.e., physical or mental), covered by the Rehabilitation Act of 1973 as amended that would interfere with completing the USA Hire Competency Based Assessments, you will be granted the opportunity to request a RA in your online application. Requests for RA for the USA Hire Competency Based Assessments and appropriate supporting documentation for RA must be received prior to starting the USA Hire Competency Based Assessments. Decisions on requests for RA are made on a case-by-case basis. If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency Based Assessments if you received the link after the close of the announcement.

To determine if you need a RA, please review the

Procedures for Requesting a Reasonable Accommodation for Online Assessments.

https://appsupport.usastaffing.gov/hc/en-us/sections/28980686389652-Reasonable-Accommodation-Information)

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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.

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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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