Legal Administrative Specialist (Claims Examiner)

Employer
USAJobs
Location
Washington D.C.
Posted
Nov 13, 2018
Closes
Nov 21, 2018
Function
Administrative
Hours
Full Time
TRAVEL REQUIRED:

Not required


RELOCATION AUTHORIZED:
Relocation expenses reimbursed No


KEY REQUIREMENTS:
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  • U.S. Citizenship is required.
  • Must be able to obtain and maintain a Secret security clearance.
  • One year probationary period, unless excepted by regulation.
  • Incumbent will be subject to random drug testing.
  • Applicants must meet all the required qualification requirements, including education and any selective placement factors described below by the closing date of this announcement.

    If you are qualifying based on education OR if there are mandatory education requirements listed below, you MUST submit a copy of your college transcript with your application.

    Applicants applying for the GS-09 grade level must meet one of the following requirements:

    A. Have at least 1 full year of specialized experience equivalent to the GS-07 level in the Federal service which provided you with the particular knowledge, skills and abilities to perform the duties of the position.

    Qualifying specialized experience must demonstrate the following:

    - Experience reviewing incoming claims to ensure accuracy and completeness of forms and other documentation.
    - Experience contacting applicants, through email, telephone and/or written correspondence to obtain verification of furnished information and request additional data.
    - Experience maintaining a database with information regarding adjudication and subrogation.  

    OR

    B. Have a master's or equivalent graduate degree, OR 2 full years of progressively higher level graduate education leading to such a degree, OR LL.B or J.D. from an accredited college or university. This education must demonstrate the knowledge, skills, and abilities to do the work of the position to be filled; OR

    C. Have a combination of graduate level education and specialized experience (as described above), which is equivalent to the GS-07 level in the Federal Service. This experience and education together meets 100% of the qualification requirements for this position.

    Combination of Experience and Education: When an applicant has less than one year of specialized experience as described in the announcement, he or she may combine successfully completed graduate-level education with experience to meet the total qualification requirements. Generally, 18 graduate semester hours is equivalent to 1 full-time year of graduate study (your school and department determine what constitutes 1 full time year of graduate study). The percentage of specialized work experience and the percentage of graduate study must total at least 100%.

    Applicants applying for the GS-11 grade level must meet one of the following requirements:

    A. Have at least 1 full year of specialized experience equivalent to the GS-09 level in the Federal service which provided you with the particular knowledge, skills and abilities to perform the duties of the position.  

    Qualifying specialized experience must demonstrate the following:

    - Experience reviewing incoming claims to determine if all required documents are included. 
    - Experience evaluating and making recommendations on requests for reconsideration submitted by claimants.
    - Experience determining whether a claim is payable or not payable in accordance with regulatory and legal statutes.

    OR

    B. Have a Ph.D. or equivalent doctoral degree OR 3 full years of progressively higher level graduate education leading to such a degree, or LL.M. from an accredited college or university.

    OR

    C. Have a combination of graduate level education and specialized experience (as described above), which is equivalent to the GS-09 level in the Federal Service.  This experience and education together meets 100% of the qualification requirements for this position.

    Combination of Experience and Education: When an applicant has less than one year of specialized experience as described in the announcement, he or she may combine successfully completed graduate-level education with experience to meet the total qualification requirements.  Generally, 18 graduate semester hours is equivalent to 1 full-time year of graduate study (your school and department determine what constitutes 1 full time year of graduate study).  The percentage of specialized work experience and the percentage of graduate study must total at least 100%.

    Note:  All applicants WILL BE required to submit transcripts as verification of educational requirement.  If you fail to provide requested information, or the information you submit is insufficient to verify your eligibility, you may lose consideration for this position.

    See the qualifications section of this vacancy announcement for education requirements, if applicable.

    For reasonable accommodation at the U.S. Department of State, please contact the Office of Accessibility and Accommodations at (202) 663-3474 or ReasonableAccommodations@state.gov.

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    You will be evaluated for this job based on how well you meet the qualifications above.

    Your application will be evaluated and rated under the Category Rating and Selection procedures.  Based on your responses to the job-specific self-assessment questions, eligible candidates are placed for selection consideration into one of three pre-defined quality categories as described below:

    Highly-qualified Category - In addition to meeting minimum qualifications for the position, candidates must fully demonstrate proficiency in all major aspects of the position.  

    Well Qualified Category - In addition to meeting minimum qualifications, candidates must demonstrate proficiency in some, but not all of the major aspects of the position.

    Qualified Category - In addition to meeting minimum qualifications, applicants must demonstrate a basic level of knowledge, skill and ability of the position.

    Your qualifications will be evaluated on the following knowledge, skills, abilities (KSAs) and other characteristics that are relevant to the duties of this position and must be fully supported by information in your resume:

    • Ability to review and/or prepare various legal documents and forms.
    • Ability to meet deadlines and manage priorities.
    • Ability to use an automated tracking system to input and retrieve information and monitor due dates.
    • Knowledge of interpersonal communication
    • Ability to communicate orally and in writing. 

    Your resume serves as the basis for qualification determinations and must highlight your most relevant and significant work experience and education (if applicable) as it relates to this job opportunity. 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; religious; spiritual; community, student, social). Your resume should include the dates of all qualifying experience (from month/year to month/year) and the number of hours worked/volunteered per week. For assistance with creating a resume, please click
    here.

    Application of Veterans Preference: The Category Rating Method does not add veterans' preference points or apply the "rule of three," but protects the rights of veterans by placing them ahead of non-preference eligibles within each pre-defined quality category. Preference eligibles who meet minimum qualification requirements and who have a compensable service-connected disability of at least 10 percent (i.e., CPS and CP) must be listed in the highest quality category, except when the position being filled is scientific or professional at the GS-09 grade level or higher.

    Agency Career Transition Assistance Program (CTAP) or Interagency Career Transition Assistance Program (ICTAP) candidates must be rated "Well Qualified" for the position to receive consideration for special priority.

    Applicants must meet all the qualification requirements and submit any required supporting documentation by the closing date of this announcement. Your application package must contain sufficient information to make a valid determination that you fully meet the basic/specialized experience requirements as stated in this job opportunity announcement for each grade level(s) for which you are applying. Applicants found to be among the top qualified candidates will be referred to the hiring official for further consideration and possible interview.


    To preview questions please click here.

    Read more Security clearance Secret

    Drug test required No


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