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Case Review Officer Jobs (NOW HIRING)

Perform Medical Review Officer duties. * Assist the Assistant Medical Director and Medical Director on MRO-related case reviews. * Perform pre-employment physical exams as needed. * Perform medical ...

Perform Medical Review Officer duties. * Assist the Assistant Medical Director and Medical Director on MRO-related case reviews. * Perform pre-employment physical exams as needed. * Perform medical ...

Compliance & Case Record Reviews * Conduct record reviews (manual and electronic) to ensure ... Officer. * Work with program teams to review billing practices and gather documentation for ...

Case Officer

Washington, DC ยท On-site +1

$72K - $109K/yr

Summary Case Officers clandestinely spot, assess, develop, recruit, and handle non-U.S. citizens ... Review our benefits Eligibility for benefits depends on the type of position you hold and whether ...

Probation Officer

Garden City, KS ยท On-site

$18.26/hr

The ISP Officer monitors the adult offender program participation and provides supervision and ... Coordinate offender case review meetings with necessary parties 25% Maintain and update ...

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Case Review Officer information

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How much do case review officer jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for case review officer in the United States is $22.95, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $24.76 per hour, depending on experience, location, and employer.

What does a case reviewer do?

A case review officer evaluates and analyzes cases, such as claims, applications, or reports, to ensure accuracy, completeness, and compliance with policies. They review documentation, make determinations, and may use case management software to document findings and decisions.

What is the difference between Case Review Officer vs Claims Adjuster?

AspectCase Review OfficerClaims Adjuster
Required CredentialsHigh school diploma or equivalent; some roles may require a bachelor's degreeHigh school diploma or equivalent; some roles may require certifications
Work EnvironmentOffice settings, government agencies, insurance companiesOffice settings, insurance companies, fieldwork in some cases
Industry UsageUsed mainly in government, legal, and insurance sectors for case assessmentsPrimarily in insurance industry for evaluating claims and determining payouts

While both roles involve reviewing cases, a Case Review Officer typically focuses on assessing legal or administrative cases within government or insurance settings, whereas a Claims Adjuster primarily evaluates insurance claims to determine coverage and settlement amounts. Understanding these differences helps job seekers identify the right career path based on their skills and interests.

What jobs pay 500,000 a year in the US?

In the US, high-paying roles such as senior corporate executives, specialized surgeons, and successful entrepreneurs can earn $500,000 or more annually. Certain finance, technology, and legal positions with extensive experience and advanced skills also have the potential to reach this income level, often supplemented by bonuses or profit sharing.

What are the key skills and qualifications needed to thrive as a Case Review Officer, and why are they important?

To thrive as a Case Review Officer, you need strong analytical skills, attention to detail, and a background in law, compliance, or a related field. Familiarity with case management systems, legal databases, and sometimes certifications in regulatory compliance or investigation techniques are typically required. Excellent communication, impartial judgment, and the ability to manage sensitive information with discretion are vital soft skills. These competencies ensure accurate and fair case assessments, support organizational integrity, and maintain trust in review processes.

What is the role of a review officer?

A review officer evaluates cases, applications, or claims to ensure accuracy, compliance, and fairness. They analyze documentation, make decisions based on policies, and may use specialized software to document findings, often working within regulatory or organizational guidelines.

How does a Case Review Officer typically collaborate with other departments during the case assessment process?

Case Review Officers regularly work with departments such as legal, compliance, and operations to ensure cases are evaluated thoroughly and fairly. They often participate in cross-functional meetings, sharing findings and gathering additional information required for accurate decision-making. Effective communication and documentation are key, as Case Review Officers must relay case updates and recommendations to both internal teams and, when appropriate, external partners. This collaborative process helps maintain transparency and consistency in case handling.

What are Case Review Officers?

Case Review Officers are professionals who assess, investigate, and review cases within an organization or government department, often related to compliance, complaints, or claims. Their primary responsibility is to ensure that cases are handled fairly, thoroughly, and in accordance with established policies and regulations. They gather and analyze information, interview relevant parties, and make recommendations or decisions based on their findings. Case Review Officers work in sectors such as social services, insurance, legal, and law enforcement, helping to ensure transparency and accountability in decision-making processes.

What is the highest paying investigator job?

For a Case Review Officer, the highest paying investigator roles are often senior or specialized positions such as corporate investigators, fraud examiners, or private investigators with extensive experience and certifications. These roles can offer higher salaries, especially in industries like finance, insurance, or corporate security, and may require advanced skills, security clearances, or specialized training.
More about Case Review Officer jobs
Who are the top companies hiring for Case Review Officer jobs? The top employers for Case Review Officer jobs are:
What states have the most Case Review Officer jobs? States with the most job openings for Case Review Officer jobs include:
Infographic showing various Case Review Officer job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 80% Full Time, 17% Part Time, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $47,743 per year, or $23 per hour.
Decision Review Officer

Decision Review Officer

Veterans Benefits Administration

Huntington, WV โ€ข On-site, Remote

$106K - $138K/yr

Full-time

Posted 5 days ago


Job description

Summary
This position is located in a Department of Veterans Affairs, Huntington, WV, Regional Office (RO) Veterans Service Center or Pension Maintenance Center. The Rating Quality Review Specialist (RQRS) is an integral part of the Veterans Service Center's quality assurance program and is a key technical adviser to the Decision Review Officers (DROs) and Rating Veterans Service Representatives (RVSRs), in the Regional Office.
Learn more about this agency
Duties
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Typical duties include, but are not limited to:
  • Performs individual quality reviews to determine the rating quality level of individual DROs and RVSRs for purposes of individual performance standards in accordance with an established monthly schedule.
  • Conducts focused "in-process reviews" for cases to determine the accuracy of claims action taken. (Such reviews are for station-level feedback and improvement only, not used for individual performance standard purposes.)
  • Responsible for sharing rating quality trend information with management on an ongoing basis and with the DROs and RVSRs during training sessions.
  • Evaluates and identifies deficiencies of all elements of a claim from evidence development, income, and dependency issues, to award processing and authorization. Provides an explanation of errors and includes comments where attention is warranted.
  • Prepares STAR data reports and provides to personnel in the regional office who are authorized to request and receive such reports.
  • Ensures all program requirements imposed by Compensation Service and/or the Pension and Fiduciary Service and the Court of Appeals for Veterans Claims are met or implemented.
  • Prepares documentation to support unfavorable finding in order to provide justification for error decisions and indicate required actions.

Telework: This position is eligible for situational ad hoc telework only. The selectee is required to report to the official duty station each scheduled workday. Telework may be approved only on case-by-case basis with supervisory approval. Routine or recurring telework is not authorized for this position.
Work Schedule: Full time, Monday - Friday 8:00 am - 4:30 pm
Compressed/Flexible: Not Available
Virtual: This is not a virtual position.
Position Description/PD#: Decision Review Officer (RQRS) 37138A
Relocation/Recruitment Incentives: Not Authorized
Financial Disclosure Report: Not required
Bargaining Unit: Yes
Requirements
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Conditions of employment
As a condition of employment for accepting this position, you will be required to serve a 1-year probationary period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider:
  • your performance and conduct;
  • the needs and interests of the Agency;
  • whether your continued employment would advance organizational goals of the Agency or the Government; and
  • whether your continued employment would advance the efficiency of the Federal service.

Upon completion of your probationary period or trial period, your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest.
Additional Conditions of Employment are as follows:
  • You must be a U.S. Citizen to apply for this job
  • Selective Service Registration is required for males born after 12/31/1959
  • You may be required to serve a probationary or trial period
  • Subject to background/security investigation
  • Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements I-9 Acceptable Documents.
  • Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.

Qualifications
To qualify for this position, applicants must meet all requirements by the closing date of this announcement:07/28/2026.
TIME-IN-GRADE REQUIREMENT: As a current Federal, GS employee you must meet time-in-grade requirements by the closing date of this announcement.
  • For a GS-13 position you must have served 52 weeks at the GS-12 level.

NOTE: All current or former Federal employees must provide a copy of their SF-50 (you may need to submit more than one), "Notice of Personnel Action" that indicates proof of status and time-in-grade eligibility. The SF-50 must include your position, title, series, grade, step, tenure (1 or 2), and type of service (Competitive or Excepted).
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. 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.
  • Specialized Experience: One (1) year of Specialized Experience equivalent to at least the next lower grade level (12). Specialized Experience is defined as work that involves functioning in either a capacity performing training, analyst or information systems duties of a claims management process. The experience should be substantive and relevant and may have been gained in the federal, military, or private sector.

Examples of specialized experience include, but are not limited to:
  1. Conducting reviews to analyze the quality of completed rated cases;
  2. Conducting evaluations and reviews on a quantitative or qualitative basis of claims development programs and operations to determine the effectiveness in meeting established goals and objectives;
  3. Preparing or conducting training activities;
  4. Identifying knowledge/skill gaps and plan training strategies;
  5. Providing and implementing data for one or more information management systems accurately and timely or providing technical guidance and direction to staff in the daily operation and maintenance of claims management systems.

Volunteer Experience: Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
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; when including part-time employment in your resume you must specify the average hours worked per week.
Physical Requirements: The work normally involves mental rather than physical exertion. The work is mostly sedentary.
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 at this grade level.
Additional information
VA supports the use of telework as a way to help attract and retain talented individuals in public service, increase worker productivity, and better prepare the agency to operate during emergencies. This position may be authorized for telework. Telework eligibility will be discussed during the interview process.
The Career Transition Assistance Plan (CTAP) provide eligible displaced VA competitive service employees with selection priority over other candidates for competitive service vacancies. To be qualified you must submit appropriate documentation (a copy of the agency notice, your most recent performance rating, and your most recent SF-50 noting your current position, grade level, and duty location) and be found well-qualified (have a final rating of 85 or more) for this vacancy. Information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at http://www.opm.gov/policy-data-oversight/workforce-restructuring/employee-guide-to-career-transition/.
Placement Policy: The posting of this announcement does not obligate management to fill a vacancy or vacancies by promotion. The position may be filled by reassignment, change to lower grade, transfer, appointment, or reinstatement. Management may use any one or any combination of these methods to fill the position.
It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.
This job opportunity announcement may be used to fill additional vacancies.
Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.
Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer (TJO). Please visit the Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP), https://www.va.gov/EMPLOYEE/docs/The-Fair-Chance-to-Compete-Act.pdf
For more information on the "Who may apply" eligibility requirements, please refer to the OHRM Status Candidates and Other Candidate Definitions document.
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Reasonable Accommodation (RA) Requests: If you believe you have a disability (i.e., physical or mental), covered by the Rehabilitation Act of 1973 as amended that would interfere with completing the USA Hire Competency Based Assessments, you will be granted the opportunity to request a RA in your online application. Requests for RA for the USA Hire Competency Based Assessments and appropriate supporting documentation for RA must be received prior to starting the USA Hire Competency Based Assessments. Decisions on requests for RA are made on a case-by-case basis. If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency Based Assessments if you received the link after the close of the announcement. To determine if you need a RA, please review: Procedures for Requesting a Reasonable Accommodation for Online Assessments. (https://appsupport.usastaffing.gov/hc/en-us/sections/28980686389652-Reasonable-Accommodation-Information)
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.