Decision Review Officer (Rating Quality Review Specialist)

Quick Facts

• Role: Rating Quality Review Specialist (Decision Review Officer)
• Focus: Quality assurance for completed disability claims involving appeals and rating decisions
• Schedule: Full-time, Monday–Friday, 7:30am–4:00pm
• Telework: Situational (ad hoc) telework only; must report to the official duty station each scheduled workday

Description

The Rating Quality Review Specialist measures individual performance quality by reviewing completed appeals and rating decisions to determine rating accuracy and identify training needs. The role supports station-level improvement through focused in-process reviews and provides ongoing quality trend information and STAR checklist results to management and staff. You will ensure program requirements are implemented and prepare documentation to support unfavorable error findings.

Responsibilities

• Perform individual monthly quality reviews to determine rating quality levels for DROs and RVSRs
• Conduct focused in-process reviews to determine accuracy of claims actions (station feedback/improvement only)
• Share rating quality trend information with management and during training sessions
• Review claim products/activities for quality and enter results into online STAR checklists
• Evaluate claim elements end-to-end (evidence development, income, dependency, award processing, authorization) and document error explanations
• Prepare STAR data reports for authorized regional office personnel
• Develop quality assurance processes emphasizing work procedures and techniques
• Ensure program requirements from Compensation Service and/or Pension and Fiduciary Service and the Court of Appeals for Veterans Claims are met
• Prepare documentation supporting unfavorable error decisions and required actions
• Conduct statistical analysis of quality reviews to identify trends and problem areas
• Relay quality trend information for operations, decision-making, and planning

Requirements

• U.S. citizen
• Selective Service registration for males born after 12/31/1959
• Subject to background/security investigation
• Ability to serve a 1-year probationary period; employment contingent on written certification that continued employment advances the public interest
• Current federal GS employees must meet time-in-grade requirements for GS-13 (52 weeks at GS-12)
• Minimum qualification: 1 year of specialized experience equivalent to GS-12 in training/analyst/information systems duties within a claims management process
• No educational substitution at this grade level

Benefits

A comprehensive U.S. government benefits package is available, with eligibility depending on appointment type (full-time/part-time/intermittent).