Rating Veteran Service Representative Resume Example Company Name

RATING VETERAN SERVICE REPRESENTATIVE

Summary

Seasoned Rating Veteran Service Representative bringing over 20-year demonstrated track record of success in Department of Veterans Affairs as a clinic nurse, Veteran Service Representative, and Rating Veteran Service Representative. Successful at performing potent and highly effective analysis for Veteran's claim process regarding service connection, evaluation of disabilities, medical and dental treatment, permanent and total disability, special monthly compensation, Chapter 35 Dependents Educations Benefits and ancillary benefits with an efficiency-driven and accurate approach. Prepared to offer skills and experience to facilitate and further the goal of exceptional service to Veterans. Seeking to apply extensive rating application knowledge to assist in the quality assurance program. Proficient in M21-1 Adjudication Procedure Manual and 38 CFR/Code of Federal Regulation.

Skills

Highly skilled end user for VBMS, CAPRI and JLV applications
Knowledge and skill in applying analytical and evaluative methods and techniques in order to competently adjudicate claims.
Appliedspecialized education and nursing degree in leading exam training and ready for decision training to Veteran Service Representatives.
Knowledge of personal computers and various software applications including VBMS, VBMS-R, CAPRI, JLV, M21-1 Adjudication Procedure manual, 38 CRR/Code of Federal Regulations, EPSS, SHARE, Index of Court Cases and Decision Assessment Documents, Microsoft TEAMS, TMS
Extensive knowledge of anatomy and physiology, diseases and disabilities to assess source of evidence and information to arrive at rating decisions
Ability to read, understand, interpret and apply pertinent laws, regulations and procedures. This includes the ability to read, understand and interpret medical and legal terminology
Ability to communicate orally with people, including Veterans, management and co-workers, from a variety of backgrounds and with varying levels of understanding
Ability to work under stressful conditions. This includes the ability to work under time pressure and the ability to maintain self-control
Diligent reviewer and proficient in VBA regulations and procedures.

Strong aptitude for working with little supervision in remote environments
Highly empathetic and supportive team player with upbeat, positive attitude and proven skills in establishing rapport with co-workers and management.
Specialized in quality, speed and process optimization.
Knowledgeable about Veterans benefits/compensation and skilled at meeting and exceeding central office targets/goals.
Service-oriented and quality-focused with demonstrated success over 20 years of Department of Veterans Affairs experience in health care and benefits.
Reasoning - Identifies rules, principles, or relationships that explain facts, data, or other information; analyzes information and makes correct inferences or draws accurate conclusions.
Technical Competence - Knowledge of pertinent laws, regulations, or policies related to veterans benefits and entitlements.
Self-Management specialist with well-defined and realistic personal goals; high level of initiative, effort, and commitment towards completing assignments in a timely manner with minimal supervision.

Experience

Company Name | City, StateRating Veteran Service Representative06/2002 - Current

Expert adjudicator with over 14 years of claims processing experience utilizing exceptional service, employee and Veteran focused techniques to enhance efficiency and performance.
Evaluated all evidence and reconciled discrepancies to provide accurate entitlement determinations in accordance with applicable laws, guidelines, and regulations.
Consistent in exceeding productivity and quality goals with yearly awards for exceptional criteria including special cash awards.
Analyzed claims to make determinations regarding service connection, evaluation of disabilities, medical and dental treatment, permanent and total disability, special monthly compensation, and ancillary benefits.
Served in several special project groups/special operations to include military sexual trauma coordinator, Nehmer Team, traumatic brain injury, amyotrophic lateral sclerosis, and Blue Water Navy claims.
Provided special mentor review and second signature for new RVSR trainees.
Provided upper level management with brainstorming and development of a special "Ready for Decision" review team during COVID 19.
Collaborated with Pre-Team quality reviewer and developed a "Ready for Decision Tips and Tricks" short training review for Veteran Service Representatives.
Identified skill gaps through one-on-one mentoring to help at risk employees successfully complete Performance Improvement Plans and reach single signature.
Collaborated with supervisory personnel to complete upper management special tasker case reviews and high level priority problem cases to improve regional office performance.
Maintained flexibility to changing priorities and workloads, processing various type of claims for over 14 years.
Volunteered for special projects to include Blue Water Navy, Nehmer Review project, Exam training for Veteran Service Representatives, timekeeper, Military Sexual Trauma Coordinator, Spec Ops Team, and mentor for new Rating Veteran Service Representatives.
Provided written and verbal guidance as a mentor on complex cases.
Conducted formal hearings to Veterans and their representatives to resolve questions and challenges on proposals to reduce benefits.

Company Name | City, StateVeteran Service Representative06/2002 - 06/2006

Interviewed veterans and dependents to determine eligibility for federal and state benefits while serving on the public contact team.
Reviewed claim folders for completeness and conformity to guidelines prior to submission.
Assisted veterans in preparing forms, documents and applications for benefits.
Served as a primary contact for veterans, their beneficiaries, and their representatives and as the decision-maker for compensation or pension claims.
On the public contact team, explained the full range of VA benefits and all related programs.
Made determinations as to eligibility for the type of benefit sought and analyzed, developed, and requested required evidence for certain claims requiring a rating decision.
Decided the necessity for and type of examination, reexamination or opinions to determine the existence of or to evaluate disabilities resulting from diseases or injuries.
Reviewed all correspondence to private attorneys; acknowledges and revokes designations for private attorneys.
Utilized various electronic data processing (EDP) systems for inputting data related to claims adjudication, processing, monitoring, and correspondence preparation.
Applied a wide variety of reference materials to include manuals, directives, letters and other guidance in the decision-making process.
Applied knowledge of anatomy and physiology, diseases and disability to assess sources of evidence and information necessary to determine percentages of disabilities, permanent and total disability, and entitlement to compensation, pension and vocational training.
Gathered requisite evidence from medical, military, community, and other sources to support benefit determinations.
Worked within a team environment and served as a legal technician gathering requisite evidence from medical, military, community, and other sources to support benefit determinations.
Prepared letters and other written material for internal and external customers.
Contacted veterans, Powers of Attorney, and dependents of veterans in order to obtain information needed to process a veteran's claim.
Analyzed medical evidence, benefit and/or legal evidence to identify and recognize required actions for claim development.
Analyzed, developed and requested required evidence for claims not requiring a rating decision, such as accrued benefits, apportionment decisions, incompetency issues, etc., to develop and/or adjudicate claims or appeals.
Mentored new employees on laws, regulations and organization policies.

Company Name | City, StateClinic Nurse08/1997 - 07/2002

Triaged patients' issues based on stated symptoms, basic assessments and documented vitals.
Cared for clinic patients by administering medications and treatments for various conditions.
Used CPRS/CAPRI to update electronic medical records with relevant patient information such as in-house laboratory test results and clinician orders.
Performed nursing assessments and collected patient medical histories to help determine proper diagnosis.
Prepared patient rooms for visits by including cleaning, sanitizing equipment and stocking supplies.
Instructed patients and family members on medication and treatment instructions to promote adherence to guidelines.
Developed and maintained quality care systems and standards, including creating and improving medical protocols and guidelines.
Coordinated care with physicians and other clinical staff to prepare for treatment, carry out interventions and enhance continuum of care to deliver comprehensive services.
Immunized patients against influenza and pneumonia to protect vulnerable populations from serious illnesses.
Documented all therapies, including immunizations and diabetic checks to keep patient charts up-to-date.
Counseled patients and caregivers, providing emotional, psychological and spiritual support.
Cared for patients recovering from amputations and other surgical procedures and provided personalized daily assistance.
Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
Observed strict safety measures, including checking medication dosages before administration to patients.
Administered oral, IV and intra-muscular medications and monitored patient reactions.
Communicated with primary care physicians or emergency care providers to relay patient needs.
Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
Stocked clinical workstations and procedure rooms with necessary supplies.
Conducted patient assessments and diagnostic tests to provide physician with important patient health information.
Participated in continuing education programs and clinic/hospital workshops to enhance training and nursing knowledge.
Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
Answered patient questions and provided take-home materials for further information.
Reached out to patients to convey lab results and provide care instructions.

Education and Training

Southeastern Illinois College | City, StateAssociate of Science in Nursing06/1999

Southern Illinois University Carbondale | City, StateBachelor of Science in Education05/1991

Accomplishments

Consistently maintained high customer satisfaction ratings.
Led teams to achieve central office/regional office goals, earning recognition from upper management and financial rewards for over 20 years.
Two quality step increases in December 2014 and December 2019
Attained Registered Nursing License while working full-time as a Licensed Practical Nurse for the Marion VA Medical Center
Promoted from Veteran Service Representative to Rating Veteran Service Representative in less than 5 years
Member of VSR training team, RVSR mentor, VA exam instructor, TBI rating specialist, MST Coordinator, Ready for Decision team during COVID-19
Missouri Registered Nurse License 2001008917
Illinois Registered Nursing License 041319354
Bachelor Degree from Southern Illinois University-Carbondale graduated Magna Cum Laude
Kappa Delta Pi, Alpha Kappa Alpha, Phi Kappa Phi, and Whose Who
Recognized as Employee with Exceptional Criteria for outstanding performance and team contributions with over 20 special cash awards.

Certifications

Licensed Registered Nurse Illinois 041319354
Licensed Registered Nurse Missouri 2001008917
Illinois Teaching Certificate (Elementary Education)

Resume Overview

School Attended

Southeastern Illinois College
Southern Illinois University Carbondale

Job Titles Held:

Rating Veteran Service Representative
Veteran Service Representative
Clinic Nurse

Degrees

Associate of Science in Nursing
Bachelor of Science in Education

Rating Veteran Service Representative Resume Example

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