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VA Claims Specialist

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Description

Summary

The VA Claim Processing Specialist is responsible for the filing of all VA Basic expense claims and all non-conveyance claims including Third Party claims, max guaranty claims, Compromise Sales and Refunding claims  in accordance with investor/insurer timeframes and follow up on all claim payments.  It is essential these functions are handled as timely as possible within established requirements to minimize all associated losses.   

 

Essential Job Functions:

  • File all VA Basic expense claims within insurer/investor timeframes
  • File all non -conveyance claims including third party claims, max guaranty claims, Compromise Sale claims and Refunding claims within investor/insurer timeframes.
  • Follow-up daily/weekly on all outstanding claim proceeds
  • Work to resolve all exceptions on suspended claim funds  or denied claims 
  • Monitor daily reports and queues
  • Ensure Manager is kept informed of all trends and issues including, but not limited to VA claim curtailments, loss mitigation denials.
  • Plan and schedule work so that it can be performed effectively and efficiently to reduce costs where possible by improving methods and processes
  • Complies timely and accurately with instructions provided by Manager.  If unable to meet a deadline, the deadline must be renegotiated prior to the initial deadline date.

 

 

Other Related Duties:

Performs other related duties as assigned.

 

Supervisory Responsibilities:

This position has no supervisory responsibilities.


Qualifications:

To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.

  • Basic knowledge and experience with VA default guidelines and requirements
  • Attention to detail with a high level of accuracy.
  • Strong analytical and problem solving skills.
  • Excellent communication skills.
  • Demonstrates professional behavior and teamwork, is dependable and adheres to Company policies and procedures.
  • Strong decision making skills.
  • Ability to meet deadlines in a fast paced environment.
  • Excellent organizational skills
  • Strong team player.
  • Ability to manage time well and prioritize tasks.
  • Microsoft office experience and advanced Excel knowledge.
  • Strong work and business ethics.
  • Ability to read, analyze and interpret documents such as legal documents, policies and procedures and financial reports.
  • Problem solve and seek new solutions to issues and/or work arounds.
  • Ability to effectively write reports and correspondence.
  • Ability to define problems, collect data, establish facts and draw valid conclusions.
  • Proficient in computer skills and knowledge of word processing, spreadsheets, accounting general ledgers, accounts receivable, accounts payable and e-mail internet software.
  • Ability to work with minimal supervision.
  • Must be able to handle high volumes in a fast paced environment.
  • Ability to meet critical departmental and federal timelines with accuracy and efficiency.
  • Ability to build relationships with both internal and external clients/vendors

 

 

Education and/or Experience:

Bachelor’s Degree (B.A.) from a four-year College or University preferred; or four to six years related experience and/or training; or equivalent combination of education and experience.

 

Language Skills:

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals.  Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

 

Mathematical Skills:

Ability to calculate figures and amounts such as discounts, interest, commissions, and percentages.

 

Reasoning Ability:

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

 

Certificates, Licenses, Registrations

None required

 

Customer Service Relationships:

Assesses and diffuses problem situations and requires influencing others to reach consensus. Requires tact and diplomacy to handle difficult customer relationships. Explores alternatives and creative solutions to meeting the needs of customers.

 

Physical Demands :

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  While performing the duties of this job, the employee is frequently required to sit and talk or hear.  The employee is occasionally required to stand; walk; use hands to finger, handle, or feel; and reach with hands and arms.  The employee must occasionally lift and/or move up to 25 pounds.

 

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

 

 

Employer’s Rights:

This job description does not list all the duties of the job. You may be asked by your supervisors or managers to perform other duties. You will be evaluated in part based upon your performance of the tasks and functions listed in this job description. The employer has the right to revise this job description at any time. The job description is not a contract for employment, and either you or the employer may terminate employment at any time, for any reason.

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