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Comprehensive Overview of CRSC Training and Case Adjudication (2007-2008)

The CRSC program aims to process and adjudicate cases for Navy and Marine Corps retirees, determining eligibility for the CRSC benefit. Key goals include compliance with OSD guidance, standardization, and responsiveness. The program is reactive, relying on applicants to build their cases. A systematic work card outlines steps from application receipt to final disposition. The average processing times indicate efficiency, but delays can lead to Congressional involvement. Quality control measures are vital to mitigate financial impacts and uphold the integrity of the CRSC benefit system.

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Comprehensive Overview of CRSC Training and Case Adjudication (2007-2008)

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  1. CRSC Program Overview CRSC Training: 2007-2008

  2. Mission To process and adjudicate cases on behalf of Navy and Marine Corps retirees to determine eligibility for the CRSC benefit CRSC Training: 2007-2008

  3. Goals • Compliance with OSD Guidance • Credibility • Standardization • Consistency • Timeliness • Responsiveness CRSC Training: 2007-2008

  4. Key Points • Reactive Program • Applicant Builds Their Case • Preliminary Criteria Must Be Met • Team Effort among Administrators, Analysts, Medical Officers • Follow the Logic and Paper Trails • Develop a Thick Skin • First In – First Out CRSC Training: 2007-2008

  5. Work Card • Generated • Final Case • File Built Application Rec’d at CRSC Branch Decisional Letter Sent • Initial Receipt • Processing • Case Docketed • Initial Data Entry • Case Officer Review • Additional Info • Required? • Information • Requested • Record Rcv’d • LA Review Required? • Legal Advisor Review • MO Review Required? • Medical Officer Review • Final • Admin • Action • Disposition • Of Case • Records NO Initial Notification of Request Sent YES • Preliminary • Criteria Screening • Extract Info from • VA BDN and • DFAS RCPS YES YES NO YES Return forCompletion Letter Sent • Application has Necessary Info? • Applicant Meets Preliminary Criteria? NO YES Decisional Information Recorded NO Initial Denial Letter Sent NO YES YES YES CRSC Application Processing CRSC Training: 2007-2008

  6. Average Time to Process • Administrative Actions 33 min/case • Analyst Actions 60 min/case • Requests for Information 5 min • Draft response to Congressional Inquiry 22 min • Respond to Applicant Inquiries 24 min • Prepare cases for BCNR Review 35 min • Respond to DFAS Inquiries 40 min • Liaise with External Agencies 12 min • Generate Weekly Status Reports/Website Update Inputs 40 min/week • Quality Assurance 25 min/task CRSC Training: 2007-2008

  7. Financial Impact CRSC is a tax-free benefit So…… • If adjudication of cases is delayed, Congress becomes involved • If applicant is denied, may request reconsideration, seek Congressional intervention, and/or apply to the BCNR • If applicant isn’t paid, will demand DON CRSC do something about it CRSC Training: 2007-2008

  8. Financial Impact • Delays in payment occur due to: - DFAS backlog - Errors in decisional document Calculation Effective Date Diagnosis description VA Codes SMC/IU status Disability Percentage • The SECNAV CORB controls 6 of the 7 delay factors and can prevent them. It requires attention to detail and quality controls. CRSC Training: 2007-2008

  9. Questions? CRSC Training: 2007-2008

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