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Aps 5 Delegate
1 month ago
Salary Range: $88,923 - $92,670 + Attractive Superannuation
The Processing Branch plays a vital role in the comprehensive assessments and determinations for both liability claims and claims concerning incapacity and permanent impairment payments. These claims are submitted by ADF and ex members who suffer mental or physical injury, illness or disease as a result of service.
The role of a Delegate within the Processing Branch is to enable eligible clients to access compensation, health and other care services that promote and maintain self-sufficiency, well-being and quality of life. These services are provided for under the _Military Rehabilitation and Compensation Act 2004_ (MRCA), _the Safety, Rehabilitation and Compensation (Defence-related Claims) Act 1988 _(DRCA) and the _Veterans’ Entitlements Act 1986 _(VEA)._ _
As an integral part of our team, you will be responsible for thoroughly reviewing and determining claims, ensuring accuracy, fairness, and providing essential support for serving and ex serving members and their families.
**Duties**
- Establish new client cases in the DVA’s records management systems, and make corrections and updates to existing client records to improve data quality and accuracy
- Based on medical, health and service record information provided by clients and/or their representatives, and with reference to established criteria, make an initial assessment of, and document, client eligibility for compensation and benefits
- If DVA’s liability to provide compensation is established, forward claims to DVA’s compensation teams so that the degree of the client’s incapacity can be determined
- Obtain and examine medical and other health records and the expert opinions of medical and mental health professionals to inform an assessment of the permanence and degree of impairment experienced by a veteran or member as a result of their service
- Based on information provided by clients and/or their representatives, and with reference to established criteria, make an initial assessment of, and document, the degree to which a claimant’s service contributed to their injury or illness
- Drawing on expert medical opinion, and with reference to the relevant Act, DVA policy and established criteria and guidelines, assess and determine veterans’ degree of impairment and the level of compensation to which they are entitled
- Document decisions and the consideration of evidence in clients’ records, ensuring the completeness and accuracy of the information reported and the provision of a detailed rationale for determinations made
- Make and maintain contact with clients and/or their representatives to confirm or seek further information, undertake a needs assessment to identify required services and benefits, explain the claims process and to keep them informed of the progress or outcomes of compensation claims
- Identify veterans who may be at risk and refer these client’s cases to DVA’s case management area
- Identify priority claims and escalate these to the Team Leader to be flagged for immediate assessment
- Based on a thorough assessment of the information provided, attend to and process claims efficiently to ensure the achievement of monthly KPIs, with precedence given to priority and aged claims
- Provide assistance and advice in relation to the management of escalated claims and Ministerial enquiries
- Collaborate with colleagues, and other teams across the organisation and in DVA’s partner agencies to verify and share information, provide updates in relation to the progress of claims and provide or seek advice to support effective decision-making.
**Eligibility**
- Under section 22(8) of the Public Service Act 1999, employees must be Australian citizens to be employed in the Australian Public Service (APS).
- All applicants external to DVA offered employment will be required to successfully undergo a pre-engagement screening check, even if they have a security clearance. The screening check is conducted in accordance with the Australian Government Protective Security Policy Framework requirements.
**Notes**
Where a non-ongoing position is offered, the role will be filled for an initial specified term of up to18 months.
A merit pool of suitable applicants may be created which may be used to fill future ongoing and non-ongoing vacancies should they become available over the next 18 months.
DVA is committed to improving the data skills and capability of our workforce to underpin our goal of becoming a leading data-driven organisation.