ZipRecruiter

Log In

1

Decision Review Officer Jobs (NOW HIRING)

Abbott

Medical Review Officer (MRO)

Kansas City, KS · On-site

Current Medical Review Officer (MRO) certification (AAMRO or MROCC). * Current DOT FMCSA Certified ... Demonstrated leadership, decision-making, and stakeholder management skills. * Strong analytical ...

Abbott

Medical Review Officer (MRO)

Current Medical Review Officer (MRO) certification (AAMRO or MROCC). * Current DOT FMCSA Certified ... Demonstrated leadership, decision-making, and stakeholder management skills. * Strong analytical ...

next page

Showing results 1-20

All JobsDecision Review Officer Jobs

Decision Review Officer information

See salary details

$23.5K

$75.9K

$182.5K

How much do decision review officer jobs pay per year?

As of Aug 1, 2026, the average yearly pay for decision review officer in the United States is $75,929.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $98,500.00 per year, depending on experience, location, and employer.

What is the difference between Decision Review Officer vs Claims Examiner?

AspectDecision Review OfficerClaims Examiner
Required CredentialsTypically requires a bachelor's degree and knowledge of claims processingUsually requires a high school diploma or equivalent, with some roles needing certifications
Work EnvironmentGovernment agencies or insurance companies, reviewing claims decisionsInsurance companies, reviewing and evaluating insurance claims
Employer & IndustryPrimarily government agencies and large insurersPrivate insurance companies and third-party administrators
Comparison Search IntentUnderstanding roles in claims review and decision-makingEvaluating claims processing and review responsibilities

Decision Review Officers focus on reviewing and making decisions on claims, often within government or large insurance settings, requiring specific knowledge of claims procedures. Claims Examiners primarily evaluate insurance claims in private companies, with similar but slightly less specialized credentials. Both roles involve claims assessment but differ in scope, environment, and required qualifications.

What are Decision Review Officers?

Decision Review Officers (DROs) are professionals, often employed by the U.S. Department of Veterans Affairs (VA), who review appeals made by veterans regarding their benefits claims. They conduct de novo reviews, meaning they look at all evidence afresh and make a new determination on the claim. DROs may also hold informal conferences with claimants to discuss the appeal and gather additional information. Their goal is to ensure that veterans receive a fair and thorough review of their cases before moving forward in the appeals process.

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

To thrive as a Decision Review Officer, you need in-depth knowledge of relevant laws and regulations, strong analytical abilities, and typically a background in legal studies or public administration. Familiarity with case management systems, legal research databases, and occasionally specialized software for tracking appeals is important. Outstanding written and verbal communication, attention to detail, and impartial judgment are crucial soft skills for this role. These competencies ensure accurate, fair, and timely review of appeals or claims, directly impacting individuals' access to benefits and upholding organizational integrity.

What are some common challenges faced by Decision Review Officers when evaluating complex cases?

Decision Review Officers often encounter challenges such as interpreting ambiguous or incomplete evidence, managing high case volumes, and ensuring impartiality throughout the review process. Balancing thoroughness with efficiency is essential, as decisions directly impact claimants' benefits and well-being. Collaboration with legal experts or medical consultants is sometimes necessary to clarify technical details and ensure accurate, fair outcomes.
More about Decision Review Officer jobs
What states have the most Decision Review Officer jobs? States with the most job openings for Decision Review Officer jobs include:
What job categories do people searching Decision Review Officer jobs look for? The top searched job categories for Decision Review Officer jobs are:
Decision Review Officer jobs near you
Infographic showing various Decision Review Officer job openings in the United States as of July 2026, with employment types broken down into 89% Full Time, and 11% Temporary. Highlights an 89% In-person, and 11% Remote job distribution, with an average salary of $75,929 per year, or $36.5 per hour.

Decision Review Officer

SD Department of Veterans Affairs

Huntington, WV • On-site

$106K/yr

Other

Posted 11 days ago

Job description

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.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.Employment Type: OTHER

Apply