Beneficiary Services Representative (PEBLO)

Work Hours: Monday – Friday 40 hrs/wk

Paid Holidays: New Year’s Day, Martin Luther King Day, Presidents Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day and Christmas Day. If the holiday falls on Saturday, it is observed on Friday. If the holiday falls on a Sunday, it is observed on Monday.

Vacation: Two weeks vacation and 56 hours of sick leave, Per SCA Guidelines


QUALIFICATIONS

Clearance:

  • Must be a US citizen
  • Must be able to pass a background check, drug test and obtain a National Agency Check with Inquiries (NACI).

Education: Associate Degree in business administration, management or health care organizations from an accredited college or university.

Experience: Two years’ experience as a PEBLO (Physical Evaluation Board Liaison Office) within the DoD military health system in the last 6 years; or five years’ experience working in a civilian disability program; or two years’ experience as a VA Medical Service Coordinator (MSC)

English Language Requirement:  Personnel shall read, understand, speak and write English well with demonstrated organization, facilitation and communication skills.


TYPE OF WORK

Background:

Provides Disability Evaluation System (DES) guidance in accordance with established DoD guidelines, data collection, medical coordination, Service member/commander/stakeholder advising, and procedural work related to Medical Evaluation Board (MEB) processing and Temporary Disability Retired List (TDRL) reevaluations in accordance with applicable instructions, regulations and directives.

 

Scope:

Liaison support is provided to active duty and Reserve Component (RC) members (Air Force Reserve Component (AFRC) and Air National Guard (ANG)) and commanders on program requirements, military benefits, legal rights, and the appeals process.  Coordinates Aeromedical evacuation or other patient travel requirements, fitness for duty determinations, line of duty (LOD) and other program requirements related to the DES.  Provides Physical Evaluation Board (PEB) findings to service member and medical staff. Tracks each DES case from referral to final disposition.  Guides the Service member throughout the DES process.

Mandatory Skills

  • Ability to plan, organize, and manage functions and staff within an MTF to meet program objects. Knowledge of the military healthcare organizational structure, major issues, policies, procedures and operations related to the management of the healthcare delivery systems.
  • In-depth knowledge, experience, and training to handle and solve complex cases that arise when addressing fitness for duty or physical disability evaluation issues.
  • Tact, diplomacy, and restraint in counseling and explaining entitlements, benefits, and responsibilities to all customers.
  • Effective interpersonal communication skills to effectively accomplish the IDES process
  • Master of oral and written communication and customer service principles, methods, practices and techniques analytic methods, to include using research tools and statistical analysis and, interpersonal relations practices.
  • Ability to communicate effectively both orally and in writing to motivate, train, and work effectively with a diverse workforce. Must be able to draw realistic conclusions and recommend viable solutions.
  • Ability to gather data from various sources, analyze data, statistical analysis, prepare statistical reports and recommendations for improvements.
  • Skill in applying fact finding, analytical, and problem solving methods and techniques.
  • Knowledge of DES processing regulations, instructions, procedures, and policies to assure timely case processing.
  • Practical knowledge and understanding of the TRICARE program.

GCI is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, disability, or national origin.  GCI gives preferential treatment to veterans.

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