• Oversees planning, supervision, and quality of work of affirmative claims personnel
• Resolve billing disputes and maximize recoveries from commercial health insurers
• Develop vision, goals, plans and standards for Claims team
• Implement goals and plans and sees them through to completion
• Initiates revisions and improvements to claims processing in response to statutory, regulatory and/or mission adjustments
• Prepares draft legislation, rules, and regulations in response to changes in relevant statutes and claims policy
• Analyzes underlying facts and legal authorities to protect the best interests of the government
• Drafts formal responses to written requests, performs legal research and provides advice.
• Assigns work to subordinate attorneys and paralegals based upon priorities, assignments and capabilities.

Conditions of employment

• Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
• Must be able to obtain and maintain a Secret Security Clearance.
• Must be a graduate of a law school possessing the first professional law degree (LL.B. or J.D.) and be an active member in good standing of the Bar of a State or District of Columbia, a U.S. territory, or a U.S. commonwealth.
• Business travel may be required up to 5% of the time.

Qualifications

Applicants will be evaluated to determine if they meet the minimum qualification requirements and on the extent to which their application shows possession of the following knowledge, skills and abilities (KSAs) associated with the position:

• Skill in identifying legal issues related to civil claims, insurance, or financial recoveries
• Ability to prepare litigation reports and briefings
• Skill in oral and written advocacy.
• Ability to effectively, professionally, and ethically manage a heavy caseload of clients with complex legal needs.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

Your application package (resume and supporting documents) will be evaluated for basic qualification requirements and for the skills needed to perform the duties of the position, as described in this vacancy announcement and identified by the Selecting Official.

Veteran's preference requirements do not apply to attorney positions in the excepted service, however the principles of veteran's preference will be followed to the extent which is administratively feasible.

Time in Grade: The Qualifying Authorities (QA's) will make a determination as to the applicability of time in grade based on the requirements of the position. If you are currently employed as an attorney by the Federal government you must have completed one year at the next lower grade level within 30 days of the closing date of the announcement, or previously served at the same or higher grade level as the position being filled.

The following documents are required to be submitted as part of your application package.

If you fail to provide these documents, you will be marked as having an incomplete application package and you will not be considered any further.

1. Your resume: Your resume may be submitted in any format and must support the specialized experience described in this announcement.

NOTE: The maximum number of pages accepted for a resume is TWO pages. Applicants with resumes exceeding two pages will be removed from consideration.

If your resume includes a photograph or other inappropriate material or content, it will not be used to make eligibility and qualification determinations and you may not be considered for this vacancy. For additional information see: What to include in your resume.

2. Law school transcripts: This position has an individual occupational requirement for education. You MUST submit a copy of your transcript(s) with your application package, or you may be rated ineligible. Unofficial transcripts are acceptable, but official transcripts will be required prior to entry on duty. See: Transcripts and Licenses

3. Certificate of Good Standing: Certificate of good standing from the Bar of a state, territory or commonwealth of the United States (e.g., American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands), or the District of Columbia. Document should be dated within three (3) months of the date the application is submitted. Document should be dated within three (3) months of the date the application is submitted. If the document has been ordered, but not arrived, you may provide a screenshot of your certificate (clearly showing a time/date within the last 90 days) which validates your current, active status.

4. Other supporting documents:

• Writing sample of 3-5 pages, including the analysis of a legal issue (highly desired).
• Self-certified statement of fitness to practice law (highly desired). The statement should state under oath that your fitness to practice law has never been challenged in any jurisdiction. The statement must be dated within 90 days of the closing date of the announcement. If fitness has been challenged, you must provide a sworn statement in detail as to the circumstances.
• Cover Letter, optional.
• Most recent Performance Appraisal, if applicable.
• Veteran's documents, if applicable.
• Permanent change of station (PCS) orders and marriage license, if claiming military spouse preference.
• Time-in-grade documentation: If you are applying for a higher grade and your SF-50 has an effective date within the past year, it may not clearly demonstrate you meet the one year time-in-grade requirement so you will need to provide an SF-50 which clearly demonstrates you meet the time-in-grade requirements (examples of appropriate SF-50s include Promotions, Within-grade Grade/Range Increases, and SF-50s with an effective date more than one year old).

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