Supervisory Insurance Specialist

Summary

This position serves as the Assistant Director, Insurance Operations, and has responsibility for the administration and management of the Insurance Claims Division and the Policyholders Services Division, within the Philadelphia Insurance Center.

Duties

Oversees the daily operations of the Insurance Claims Division and the Policyholder Service Division using delegated authority to make decisions impacting those operations and eligibility for benefits. Applies complex facts and conflicting documentation to a wide array of procedures as well as to both national and state statutes, and case law. Provides direction and knowledge of customer service principles in order to administer a nationwide toll-free telephone customer service center. Provides technical guidance and direction in claims authorizations, benefits information, and other activities related to program benefits. Provides technical guidance which covers a wide range of benefit program activities. Participates in the research and evaluation of new technologies for the nationwide programs. Analyzes and evaluates the effectiveness of programs or operations in meeting established goals and objectives. Conducts studies, surveys, research and analysis concerning operations which may have a major impact on the program and its participants. Responsible for keeping the Director, Deputy Director and other Assistant Director's of the Insurance Service informed of changes in the Insurance Claims and Policyholders Service Division and how those changes affect the rest of the benefit program and other programs administered by VA. Responsible for providing timely responses to Congressional, White House and other special inquiries concerning Benefits along with the maintenance of records systems. Responsible for personnel actions such as filling vacancies, evaluating and reviewing employee performance, and taking disciplinary actions. Forecasting of workload by subunit and function in order to plan, budget and provide for adequate staff, space, equipment and training in light of budgetary constraints and rapid technological changes is required.

Qualifications

To qualify for this position, applicants must meet all requirements by the closing date of this announcement: 10/27/2026. TIME-IN-GRADE REQUIREMENT: Applicants who are current Federal employees and have held a GS grade at any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement. For a GS-15 position you must have served 52 weeks at the GS-14 level. The grade may have been in any occupation but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade. Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment. MINIMUM QUALIFICATION REQUIREMENT: GS-15 Grade Level: Specialized Experience: You must have one year of specialized experience equivalent to the GS-14 level or higher. Specialized experience is defined as: (1) managing a diverse program where laws, rules, regulations, policies and procedures are followed; (2) planning, organizing, directing, controlling, reviewing, and applying judgment to tasks; (3) compiling and analyzing technical and legal information from available sources to make decisions and resolve problems; and (4) providing information to various stakeholder groups orally or written. 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. Applicants wishing to receive credit for such experience must indicate the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment. Physical Requirements: The position is primarily in an office setting. Some travel may be necessary on occasion for training, meetings, or customer interactions. For more information on these qualification standards, please visit the United States Office of Personnel Management's website at http://://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/.

Education

There is no educational substitution for a GS-15.