Job opening: Decision Review Officer (Rating Quality Review Specialist)
Salary: $88 520 - 115 079 per year
Published at: Nov 26 2024
Employment Type: Full-time
The Rating Quality Review Specialist is an integral part of the Veterans Service Center's quality assurance program and is a key technical adviser to the Decision Review Officers (DROs) and Rating Veterans Service Representatives (RVSRs), in the Regional Office. The purpose of this position is to measure individual performance quality and identify training needs through the review and assessment of completed claims involving appeals and rating decisions.
Duties
MAJOR DUTIES:
Performs individual quality reviews to determine the rating quality level of individual DROs and RVSRs for purposes of individual performance standards in accordance with an established monthly schedule.
Conducts focused "in-process reviews" for cases to determine the accuracy of claims action taken. (Such reviews are for station-level feedback and improvement only, not used for individual performance standard purposes.)
Responsible for sharing rating quality trend information with management on an ongoing basis and with the DROs and RVSRs during training sessions.
Reviews products or activities for quality of performance and enters the results into the on-line STAR checklists.
Evaluates and identifies deficiencies of all elements of a claim from evidence development, income, and dependency issues, to award processing and authorization. Provides an explanation of errors and includes comments where attention is warranted
Prepares STAR data reports and provides to personnel in the regional office who are authorized to request and receive such reports.
Develops various quality assurance processes with emphasis on work procedures and techniques that address unique work conditions and practices.
Ensures all program requirements imposed by Compensation Service and/or the Pension and Fiduciary Service and the Court of Appeals for Veterans Claims are met or implemented.
Prepares documentation to support unfavorable finding in order to provide justification for error decisions and indicate required actions.
Conducts statistical analysis of quality reviews to identify trends, significant problems areas and processes requiring improvement.
Relays quality trend information with management on an ongoing basis for use in operations, decision making, and planning.
Requirements
- You must be a U.S. citizen to apply for this job
- Selectees are subject to a background/suitability investigation
- Selective Service registration is required for males born after 12/31/1959
- A probationary period may be required for employees and supervisors
- A complete application package; Resume, Transcripts, etc.
- Selected applicants will be required to complete an online onboarding process.
Qualifications
Specialized Experience:
To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 12/06/2024.
Time-in-grade: Applicants who are/were 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 GS-12. To support your claim of time in grade, you must submit your most recent appointment, promotion, or within grade increase SF-50. Some applicants may have to submit more than one SF-50 to demonstrate their eligibility. See the required documents section for more information.
The Office of Personnel Management's group coverage qualification standards, associated individual occupational requirements (IOR), and individual qualification standards covering white collar occupations in the Federal competitive service can be found here.
This position does not have an Individual Occupational Requirement.
Specialized Experience: GS-13: To qualify, applicants must have one year of specialized experience equivalent to at least the next lower grade (GS-12) in the federal service in the normal line of progression for the occupation in the organization. Specialized experience is defined as: work that involves functioning in either a capacity performing training, analyst or information systems duties of a claim's management process. Examples of specialized experience include, but are not limited to:
Conducting reviews to analyze the quality of completed rated cases.
Conducting evaluations and reviews on a quantitative or qualitative basis of claims development programs and operations to determine the effectiveness in meeting established goals and objectives.
Preparing or conducting training activities; Identifying knowledge/skill gaps and plan training strategies.
Providing and implementing data for one or more information management systems accurately and timely or providing technical guidance and direction to staff in the daily operation and maintenance of claims management systems.
Note: 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: A full year of work is considered to be 35-40 hours of work per week. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment.
Education
There is no educational substitution for the GS-13 level.
Contacts
- Address St Louis Regional Benefit Office
9700 Page Ave
Overland, MO 63132
US
- Name: Michael Reid
- Phone: (313) 596-7255
- Email: [email protected]