The incumbent serves as an Insurance Specialist on the Quality Assurance staff. The staff is responsible for the oversight of the Insurance Quality Assurance program.
Specific duties include: Conducts in-depth reviews of the Insurance Policy holders Services and Insurance Claims divisions task inputs to ensure the accuracy of Operations processing and disbursements. As part of those reviews, makes recommendations to improve the Insurance Program's overall Quality Assurance program as it relates to disbursements and policy procedures.
These recommendations may have a good deal of impact throughout the Insurance program and may represent significant departures from established work practices. Analyzes computer generated listings of insurance transactions to examine for possible fraudulent activities. Monitors computer generated listings to verify the appropriateness of certain account transactions.
Analyzes transactional histories, source documents and other documentation in cases where fraud or inappropriate processing of insurance transactions is suspected. Periodically conducts formal training to newly assigned personnel or training on new procedures to the Quality Assurance Staff, and refresher training to Operations staff.
Advises and assists lower grade Insurance Specialists in Operations on more difficult cases they may encounter and provide refresher training for such. Assists the supervisor with feedback on performance reviews on lower grade and/or new employees. Provides input to the supervisor for performance appraisals and supervisory evaluations.
Performs work independently utilizing judgment and follows assignments through to completion, prepares reports and recommendations to the Assistant Director and/or Staff Chief(s). Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level.
The grade progression for this position is GS-9/11. Work Schedule: Full time, Monday through Friday Compressed/Flexible: Available (6:00am - 6:00pm) 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#: Insurance Specialist; PD39230A and PD39231A Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not Required
A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/.
If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://www.ed.gov/about/initiatives/international-affairs/recognition-of-foreign-qualifications. You may submit unofficial transcripts when applying.
However, if you are selected for the position, you will be required to provide an official transcript or a statement from the institution (e.g., from the registrar, dean, or other appropriate official) or equivalent documentation prior to the start date.
janelle.phillips@va.gov · (313) 471-3888
This position is with Veterans Benefits Administration, Department of Veterans Affairs.
The posted pay range is $68013 – $106982/yr.
This position is eligible for telework.
This position requires a Other security clearance.
Applications close on 2026-10-24.
There are 3 openings for this position.
This position is open under the 'Fed Transition' hiring path.
Source: USAJOBS.gov — U.S. Federal Government · Retrieved 2026-10-20 · Not affiliated with or endorsed by OPM or USAJOBS.gov
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