Claims Consultant
Remote (Phoenix, Arizona, US); Remote (St. Louis, Missouri, US); Remote (Houston, Texas, US); Remote (Nashville, Tennessee, US); Remote (Orlando, Florida, US)
About Allsup, LLC
Allsup LLC is a people-centered organization with a team of hundreds who are dedicated to helping people with disabilities lead lives that are as financially secure and healthy as possible. We enjoy working together to make a difference, get the job done, and find solutions for our customers.You will enjoy a collaborative workplace, with rewarding results where your opinion matters. We have a great benefits package and paid time off program, with casual dress and a comfortable work environment. Many positions have no weekends, or minimal weekend work. You’ll have a predictable work schedule, the potential to work from home, and enjoy an employee-centered work life and have fun.
Even better, you can develop your own knowledge and professional skills through a self-driven personal improvement approach to professional development. Our business takes complex federal programs and makes them easier for people to navigate—including SSDI, veteran’s disability, return to work and Medicare. Drive your expertise and advancement with the support of your supervisor and our organization.
About the role
- Managing and supporting the filing of VA disability appeals on behalf of claimants at the Regional Office and Board of Veterans’ Appeals. Primary duties include supporting the Claims Agent/Case Manager in preparing an appeal in response to prior VA decisions. Performs work independently with minimal supervision.
What you'll do
- Assist claimants with drafting lay statements; drafting independent medical opinion/vocational expert request letters and case summaries; identifying and sending correct VA disability benefit questionnaires to medical care providers
- Reviews medical records for key criteria applicable to the case, applications on file, and the Claims Agent/Case Manager medical development plan to determine which medical records to solicit from the claimant’s medical providers.
- Assist Claims Agent/Case Manager in reviewing and preparing a summary of the veteran’s claims file which includes past and present VA decisions, VA examinations and past medical evidence to determine prior VA errors evidence and develop probative evidence for appeal submission
- Career path opportunity: This is a developmental position for those interested in Case Manager and VA Claims Agent positions. Case Manager/VA Claims Agent reviews claimant file and identifies needs of the case. VA Claims Agent requires accreditation from the VA and is the POA on file, ultimately responsible for BVA hearings, DRO informal conferences and high technical knowledge and direction of case. When a high level of proficiency is achieved and supervisor approval, an application will be filed with the VA Office of General Counsel for accreditation as a claims agent.
Qualifications
- Requires Bachelor’s degree or equivalent experience.
- Must have strong oral and written communication skills and the ability to learn and apply technical instructions.
- Minimum one to two years of Allsup claims handling responsibilities and experience or equivalent claims experience, including DDS or SSA experience.
- Professional oral/telephone communication skills.
- Superior organizational skills.
- High level of initiative.
- Excellent knowledge of Word and Excel.
- Health, Dental, and Vision Insurance
- 401(K) Matching
- Short-Term and Long-Term Disability Insurance
- Life Insurance
- Paid Time Off
- Paid Holidays
- Flexible Spending and Health Savings Account
- Tuition Reimbursement
- Pet Insurance
- Employee Assistance Program
Allsup is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Apply
Job Profile
Regions
Countries
401(k) matching Dental Insurance Health insurance Paid Time Off Pet Insurance Tuition reimbursement Vision Insurance
Tasks- Assist claimants
- Manage VA disability appeals
- Review medical records
Claims handling Communication Microsoft Excel Microsoft Word Organizational Technical instructions
Experience1-2 years
EducationBachelor's degree Equivalent experience
Certifications TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9
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