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Veterans' Benefits: Lack of Timeliness, Poor Communication Cause Customer Dissatisfaction

HEHS-94-179 Published: Sep 20, 1994. Publicly Released: Sep 20, 1994.
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Highlights

Pursuant to a congressional request, GAO reviewed the quality of the Department of Veterans Affairs' (VA) claims processing services, focusing on the: (1) timeliness of VA claim processing operations; (2) communication between VA and benefit applicants; (3) extent to which applicants have to resubmit documents to support their claims; and (4) extent to which VA denies claims and other veterans service organizations are involved in the claims process.

Recommendations

Recommendations for Executive Action

Agency Affected Recommendation Status
Department of Veterans Affairs The Secretary of Veterans Affairs should direct the Under Secretary for Benefits to set long-term goals to meet customer expectations for processing times and prepare a plan describing the incremental steps necessary to meet them.
Closed – Implemented
In its fiscal year 1998 Government Performance and Results Act Strategic Plan, VA established long-term goals that will meet or exceed customer expectations for claims processing timeliness. These goals are based on a VA business process reengineering plan that describes the steps necessary to achieve VA's processing timeliness goals by 2002.
Department of Veterans Affairs The Secretary of Veterans Affairs should direct the Under Secretary for Benefits to provide applicants realistic estimates about how long it will take to complete their claims.
Closed – Implemented
VA regional offices have developed expectation letters that are used to acknowledge receipt of the claim, provide an estimate of how long it will take to complete the claim, and explain what additional action may be necessary. The estimate of how long it will take is based on the previous month's completion data for similar claims.
Department of Veterans Affairs The Secretary of Veterans Affairs should direct the Under Secretary for Benefits to develop data on applicants whose claims are denied so VA can ensure that that segment of its customers gets the best service possible.
Closed – Implemented
VA developed an annual customer survey for compensation and pension benefits that included information on all types of claimants, including those whose claims were denied. According to VA, data collection using the survey was completed for all VA regional offices during the fall and winter of 1996 and that analysis and reporting of the survey results were completed by June 1997. However, further analyses of the survey results did not provide VA with the expected level of specificity. Since that time, VA has closed this job and decided not to track the recommendation.

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Topics

Claims processingClaims settlementCustomer serviceEligibility determinationsFederal records managementInteragency relationsMilitary benefits claimsSurveysVeteransVeterans benefits