Kenneth Weiskerger

Veterans Claims Examiner GS-0996-09

Veterans Benefit Administration

06.2018 - Current

Worked 40 hours per week.
$71,000/year
Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants and schools throughout the claims adjudication process.
Utilized analytical skills to evaluate enrollments for accuracy and appropriateness of charges before approving payments as part of the claims adjudication process.
Participated in team meetings to address organizational challenges related to claims adjudicating and develop solutions collaboratively.
Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information on claim status.
Maintained detailed records of all claims activities, ensuring compliance with regulatory requirements and company policies.
Interpreted policy provisions to accurately determine eligibility and payments.
Provided exceptional customer service by empathetically addressing claimants'' concerns and effectively explaining the claims process to them.
Mitigated processing errors by identifying patterns in claims data and escalating concerns to appropriate leadership members for further investigation.
Conducted thorough investigations of complex claims, such as payment and entitlement audits, when necessary.
Served as a mentor to other claims examiners, sharing expertise and providing guidance on best practices within the field of claims examination.
Assisted other Claims Examiners with best practices for quickly finding relevant training material and policy procedures, fostering a supportive learning environment.
Managed extensive caseloads effectively while maintaining high-quality work standards and meeting strict deadlines consistently.
Conducted day-to-day administrative tasks to maintain accurate information files.
Analyzed spreadsheet information gathered by investigation and reported findings and recommendations relating to Automated Claims processing.
Reviewed and corrected claims errors by gathering information from schools and using that information to independently make decisions.
Verified accuracy of data submitted by school to maintain accuracy of records.
Established productive working relationships with school certifying officials.
Developed expertise in processing complex claims such as dual source awards, administrative errors, payment audits, on-the-job training and apprenticeship awards, death claims, incarceration, mitigating circumstances, overlapping terms, Colmery 113 claims, Rudisill Claims, Licensing and Certifications (LAC), and delimiting date extensions.
Succeeded in efficiently processing personal tasks without needing frequent assistance from leads or trainers.
Demonstrated proficiency in assessing numerous documents concerning GI Bill, SOP, and policy advisories.
Applied laws, policies, procedures, guidelines, and legislation independently to support the Department of Veterans Affairs Education Division.
Communicated with veterans, school certifying officials, and team members via email, phone, in-person meetings, and messaging.
Demonstrated expertise in providing individuals with detailed information, advice, and aid pertaining to all educational benefits.
Responding promptly to payment- and debt-related inquiries raised by veterans, schools, or any other relevant parties.
Assisted in expanding reviews of claims processing procedures, resulting in improved support for veterans and their loved ones.
Consistently surpass set standards for both quality and production.

Summary

Overview

Work History

Veterans Claims Examiner GS-0996-09

Education

Bachelor of Science - Political Science

Skills

Accomplishments

Timeline

Veterans Claims Examiner GS-0996-09

Bachelor of Science - Political Science

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