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CC
Crook, County of (OR)
VET - VETERANS SRVC OFFCR
Career Insights for Claims Examiner (General)
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Based on Oregon data
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What they do
A Claims Examiner evaluates insurance claims in accordance with applicable contracts and government regulations within their insurance type. Determines member eligibility and financial responsibility of the insurance company.
$77,316 / year median in Oregon
+1% projected growth
Job Description
The primary duties of this position involve counseling and assisting military veterans and their dependents or survivors. Work involves assisting and advising claimants in their pursuit of benefits from the US Department of Veterans Affairs (VA) and other agencies. Duties include studying and explaining State and Federal veterans' legislation, regulations and procedures, consulting with medical care providers, preparing veterans benefit claims, and consulting with other government agencies to ensure that their clientele are receiving the maximum level of assistance and benefits to which they are entitled.
Veterans Service Officer
Veterans Service Officer
- Complete initial application, or reopen existing claims, for compensation (service-connected disabilities) or pension (non-service-connected disability).
- Assist veterans in applying for available state benefits from the Oregon Department of Veterans Affairs (ODVA), by initiating or reopening claims.
- Research medical conditions and obtain necessary medical records and statements from physicians to support the claim(s).
- Obtain necessary financial information and corroborating information and documents from the veteran's military buddies, family members, or other sources.
- File application for eligible veterans for education under the GI Bill, or for vocational rehabilitation.
- Counsel and advise survivors of a deceased veterans in obtaining death benefits such as burial in a national cemetery, burial allowances, government grave marker, government life insurance proceeds and survivor benefits.
- Advise and assist veterans on all phases of government life insurance.
- Veterans Administration home loan benefits.
- Ensure that all timelines are met so the veteran does not lose any potential benefits.
- Enter all claims information on computer and stats on the County tracking worksheet.
- Maintain claims information in VetraSpec.
- Keep in contact with VA Officials as the veteran's Power of Attorney (POA) concerning the status of individual claims.
- Assist veterans/dependents to the best of ability within the VA guidelines, in appealing denied claims to the local VA Regional Office (VARO), the local Decision Review Officers, or the Board of Veterans Appeals in Washington D.C.
- Direct veterans on how to obtain necessary inpatient and outpatient care from the VA Medical Centers (VAMCs) and Community Based Outreach Clinics (CBOCS) and research information.
- Access and obtain information regarding claims from Veteran Benefit Management System (VBMS).
- Maintain confidentiality according to HIPPA rules. Outreach
- Support implementation of coordinated strategies to promote services and connect resources with the veteran community
- Provide coverage at community meetings and gatherings as needed General Training in