Role Description This position is located in the Education Call Center Division within the Department of Veterans Affairs, Regional Processing Office (RPO) in Muskogee, OK. The incumbent reviews education awards to ensure proper payment, eligibility, and entitlement regulations and laws have been applied in processing the education award. The incumbent advises education claimants and their representatives via telephone of their benefits, rights, and privileges which they are entitled to under the laws administered by VA in a high-volume call center. The incumbent must possess the technical and communication skills to effectively carry out the duties of this position. - Assists individuals in developing needed evidence, preparing required documentation, and resolving errors and/or delays in obtaining benefits. - Explains the types of documents necessary to facilitate timely processing of claims and assists in obtaining and completing such documents and forms in accordance with the type of claim being submitted. - Responsible for counseling Veterans, their dependents and beneficiaries via telephone in a high-volume call center regarding the full range of education benefits through the Department of Veterans Affairs. - Explores all avenues of assistance available to Veterans, beneficiaries, and dependents and takes initiative to encourage individuals to fully utilize these benefits. - Researches issue(s) to include direct contact with RO of jurisdiction if warranted, or in course of research, with other Federal or state agencies as necessary. - Explains decisions and reasons for decisions made by the VA and communicates verbally this information to the claimant. - Informs individuals of their right to appeal decisions and explains the appeal process. - Provides advice, expertise and problem-solving assistance to claimants who call the National Education Call Center using discretion and tact when communicating negative or stressful information. - Exhibits the ability to complete the contact independently and refer few calls to a higher level. Work Schedule: Full time, Monday through Friday 8:00 - 4:30 pm CST during training. Upon completion of training, work schedule will be Full time, Monday through Friday 10:00 - 6:30pm CST. Compressed/Flexible: Not Available Telework: Not available, this is a remote position. Virtual: This is not a virtual position. Position Description Title/PD#: Veterans Claims Examiner; PD37925A Relocation/Recruitment Incentives: Not Authorized Financial Disclosure Report: Not Required Qualifications - To qualify for this position, applicants must meet all requirements by the closing date of this announcement: 07/15/2026. - GRADE REQUIREMENT: To receive CTAP selection priority, your grade level upon Reduction in Force must be at least 9 with promotion potential of at least None. - MINIMUM QUALIFICATIONS: You may qualify based on your experience and/or education as described below: - Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade (GS-07) in the normal line of progression for the occupation in the organization. - Specialized experience is defined as: - Experience reading, interpreting and applying laws, regulations, directives, manuals or training materials. - Experience developing information and evaluating evidence to determine a decision to resolve delays or other problems while counseling individuals from a variety of audiences. - Education: Applicants may substitute education for the required experience. To qualify based on education for this grade level you must have earned a master's or equivalent graduate degree (including LL.B. or J.D. if related) or have completed two full years of progressively higher-level graduate education leading to such a degree and which demonstrates the competencies necessary to do the work. - Combining Education & Experience: If you do not fully meet the length of experience and education described for a specific grade level (e.g. have six months of experience and some coursework but not a degree), the two can be combined to total 100% of the requirement. - Volunteer Experience: 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; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. - Full vs. Part-Time Employment: Full-time employment is considered to be at least 35 hours per week. Part-time experience will be credited on a pro-rated basis; when including part-time employment in your resume you must specify the average hours worked per week. Requirements - The work is primarily sedentary. - The EBS will be required to talk for long periods of time, which occasionally puts a strain on the throat/vocal cords. - There are no other special physical demands required to perform the work. - There may be some walking, standing, and carrying of light items such as papers, books, claims folders, and files from one desk to another or for returning to storage. - Extensive use of a computer and a telephone with a headset is required.

Role Description The Third Party Sr. Claims Representative is responsible for the day-to-day management of client accident claims from assignment through completion. This role typically manages third-party claims, including: - Repair and rental management - Claimant communication - Client communication Key responsibilities include: - Confirming coverage and liability are properly in order - Providing operational input and guidance to teammates - Working with the Claims Supervisor and Claims Manager to meet client and customer expectations Qualifications - Associate degree (A.A.) or equivalent from a two-year college or technical school, or 2–4 years of related experience - Prior experience in automotive, fleet management, claims management, or vehicle re-marketing strongly preferred - Ability to obtain and maintain insurance adjuster licensing as required in all states - Strong oral and written communication skills - Ability to analyze liability, assess damages, and evaluate complex claims accurately - Customer service and empathy - Attention to detail with meticulous documentation - Proficiency with claims management systems and Microsoft Office - Strong investigative, analytical, and problem-solving skills - Ability to multi-task, prioritize, and manage a high volume of claims effectively - Knowledge of insurance principles, coverage, and legal/regulatory compliance is a plus - Mathematical/Analytical Skills Requirements - Review and send loss notices to clients per client parameters - Perform general administrative tasks such as mailing, creating, and gathering documents - Contact various parties to obtain missing or additional information for claim processing - Conduct thorough investigations to establish fault or liability for an incident - Watch for signs of fraudulent activity and refer suspicious cases to a Special Investigation Unit (SIU) - Evaluate the extent of damage, including property damage and loss of wages - Monitor the progress of repairs to ensure timely and accurate completion - Perform detailed market research to determine the actual cash value (ACV) of a totaled vehicle - Verify coverage and initiate rental arrangements - Review additional repair costs and approve payment - Adhere to all federal and state laws and regulations governing the claims process - Ensure clear, professional communication with all parties involved - Determine appropriate settlement amounts and negotiate resolutions - Ensure thorough documentation of all claim activity - Set and maintain appropriate financial reserves for each claim - Process timely and accurate payments for covered expenses - Manage a high volume of claims and meet key performance indicators (KPIs) - Finalize and close claims ensuring all necessary steps are completed - Actively accept and implement coaching and feedback - Mentor and assist in training team members Benefits - Competitive compensation and PTO - 401(k) with employer contribution - Medical, dental, vision, life, and disability insurance - Several voluntary benefit options - A flexible work environment with remote options post-probation

Role Description The Credentialing Specialist is an integral member of the Revenue Cycle Department. The Credentialing Specialist creates and maintains credentialing and renewal information for Workit providers. - Follow and maintain credentialing & clinic licensure policies and protocols - Ensures reports on the credentialing status of providers are up-to-date and accurate - Ensures all clinic information is accurate within payor directories - Processes applications, verifies information, researches application details, and ensures processes are accurate and completed promptly - Maintain up-to-date data for each provider in the credentialing database and online systems - Monitor staff credentials and licenses - Work closely with the Credentialing Manager and billing staff to identify and resolve any denials or authorization issues related to provider credentialing - Complete revalidation requests issued by payers - Maintains positive and optimistic attitude - Other tasks as assigned Qualifications - 2-3 years of Billing and Credentialing experience - Deep knowledge of HIPAA standards of operations - Familiarity with major payer portals and CAQH management - Ability to communicate clearly and concisely via email, Slack, and face-to-face - Proven aptitude for collaboration inside and outside of the department - Ability to bring organization and precision to complex datasets - Ability to use technology at an appropriate level for the role - Access to consistent, high-speed internet access - Works independently and meets deadlines Requirements - Schedule: 8:00am - 4:30pm local time - Pay range: $22.50 — $22.50 USD Benefits - Fully remote work - 5 weeks PTO (includes your birthday, 2 mental health days, and 2 floating holidays!) - 11 paid holidays - Comprehensive health, dental, pharmacy, and vision insurance with options to fit your family's needs - 12 weeks paid Parental Leave after 1 year of employment (includes maternity, paternity, adoption, and all ways in which our people build modern families) - 401k + 4% matching - Healthcare & dependent care Flexible Spending Accounts (FSA & DCFSA) - Health Savings Accounts (HSA) - Employee assistance program, complete with financial coaching and counseling sessions - Professional development allowance for Providers and Behavioral Health team - Opportunities for internal mobility and growth at a Company with a proven track record of promoting internally - Vibrant, democratized culture with clubs and multiple ERG groups - Colleagues who care deeply about closing health disparity gaps within the addiction space for underserved populations

Role Description Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims. Documents and monitors open case inventory and ensures proper and timely closing of files. Makes decisions on claims within delegated limited authority. Qualifications - Empowered to grow - Emboldened to act - Inspired to innovate Requirements - Competitive base pay - Bonus/Incentive Pay and other Performance-Based Rewards, if applicable. Benefits - Medical, Dental and Vision Plans - Prescription Drugs - HSA, HRA, and FSA Accounts - Paid Holidays, Vacation and Sick Leave - 401(k) Retirement Plan - Tuition Assistance - Paid Parental Leave - Supplemental Health Benefits - Enhanced Mental Health Support - Virtual Physical Therapy - Caregiving Services - Life Assistance Program - Training programs that promote continuous learning and career progression while enhancing job performance. - Sustainability programs that give back to the communities in which we live and work. - A culture of respect, collaboration, entrepreneurial spirit and inclusion.