Claims and Program Representative
US Government Jobs
Job Announcement
This position is located in the Railroad Retirement Board's Field Service. The incumbent will be responsible for providing a full-range of client services regarding benefits available under the various programs administered by the RRB.
This job announcement may be used to fill one or more vacancies.
This is a bargaining unit position. This position is represented by the Council of AFGE Locals in the Board.
$78.5k - $192.5k
...satisfy all applicable health care industry representative (HCIR) credentialing requirements to... ...in our short-term incentive programs. Note: No amount of pay is considered... ...received a fraudulent offer or communication claiming to be from AbbVie, please do not respond...ClaimsTemporary workImmediate start- ...Description Summary: Processes and monitors billing and follow up of claims submitted for payment to insurance payors, governmental payors... ...arises. KNOWLEDGE OF BUSINESS OFFICE DEPARTMENT GUIDELINES AND PROGRAMS Demonstrates knowledge of ever changing payer guidelines and...ClaimsFull timeWork experience placementWork at officeShift work
- ...Medicaid Management Information System (MMIS) program. GDIT is your place to make meaningful... ...help the providers with their Medicaid claims. HOW A CUSTOMER SERVICE... ...and correspondence from customers and representatives Enters and maintains database records...ClaimsWork at office
- ...Claims And Program Representative As a Claims and Program Representative, you will: Handle calls through the Nationwide Toll-Free Service (NTFS) which may come from any area within the network or from another network. Develop and maintain liaison with railroad...ClaimsWork at officeLocal area
$22 per hour
...Make a difference. As a Customer Service Representative, you will serve as a key contact and... ...billing, order maintenance, credit and claims **Skills & Requirements** + Strong communication... ...with our **Employee Recognition Program** . + Reach your career goals with our *...ClaimsHourly payFull timeMonday to FridayFlexible hoursShift workNight shift$20 per hour
...Customer Service Representative (Provider Support) *Schedule:* Monday-Friday, 9:15 AM-6:00 PM... ...inquiries from healthcare providers regarding claims, eligibility, online business... ...subject to specific elections, plan, or program terms. If eligible, the benefits available...ClaimsFull timeContract workTemporary workCasual workMonday to Friday2 days per week- ...Medicaid Management Information System (MMIS) program. In this role, you will provide support... ...assist providers with their Medicaid claims. Key Responsibilities Takes and... ...and correspondence from customers and representatives. Enters and maintains database...ClaimsWork at office
$109.75k - $116k
...knowledge of Microsoft office products, and the ability to learn new programs.If approved to work remotely, must have secure internet that... ...two (2) years of experience in performing utilization review, claims adjudication, medical review, fraud investigation, surveillance...ClaimsHourly payWork at officeRemote work- ...Medicaid Management Information System (MMIS) program. You will be answering inbound phone... ...help the providers with their Medicaid claims. HOW A CUSTOMER SERVICE SPECIALIST... ...and correspondence from customers and representatives Enters and maintains database...ClaimsWork at office2 days per week
$50 per hour
...two (2) years of experience in performing utilization review, claims adjudication, medical review, fraud investigation, surveillance... ...families. Strong computer skills with the ability to learn new programs. Ability to obtain Surveyor Minimum Qualifications Test (...ClaimsHourly payPermanent employmentFull timeTemporary workImmediate startFlexible hoursRotating shiftWeekend workAfternoon shift$101.18k - $120.46k
...products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned... ..., performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid...ClaimsFull timeLocal area$20 per hour
...Medicaid Management Information System (MMIS) program. In this role, you will provide support... ...assist providers with their Medicaid claims. Key Responsibilities Takes and... ...and correspondence from customers and representatives. Enters and maintains database records...ClaimsWeekly payContract workWork at officeWork from home- ...Responsibilities: Mission of the Position: The Program Manager (PM) is responsible for end‑to‑... ...Build strong customer relationships and represent Magna Powertrain with professionalism,... ...the Series Production phase, including claims management, change execution, continuous...ClaimsContract work
- ...start when a loss occurs. We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person... ...carrier, is seeking a motivated and experienced field claims professional to join our team. Responsibilities Investigate and...ClaimsLocal areaWork from home
$18.27 - $24.73 per hour
...Medicaid Management Information System (MMIS) program. GDIT is your place to make meaningful... ...help the providers with their Medicaid claims. HOW A CUSTOMER SERVICE SPECIALIST... ...and correspondence from customers and representatives Enters and maintains database...ClaimsHourly payFull timeTemporary workPart timeWork at officeImmediate startRemote workWorldwideFlexible hours- ...consider a career in Advisory.KPMG is currently seeking a Director, Program Integrity, Health & Human Services to join our Advisory... ...rate setting, cost reporting, managed care oversight, and federal claiming, to identify and mitigate fraud, waste, and improper paymentsContribute...ClaimsH1bLocal area
$53.41k - $65.06k
...Duties Description The Program Aide will be responsible for providing a wide range of... ...Review, such as the Active Program List, Claims Expected Filer List, Claims Worksheet,... ...guidance for providers and field office representatives regarding CFRs. • Maintaining and...ClaimsPermanent employmentTemporary workWork at officeShift work$22 per hour
...Customer Service Representative As a Customer Service Representative, you will serve as a key contact and liaison for customers to ensure... ..., pricing, expediting, billing, order maintenance, credit and claims Skills & Requirements ~ Strong communication skills...ClaimsHourly payPart timeMonday to FridayShift work- ...A leading insurance claims adjusting firm in the City of Troy, New York, is seeking Independent Insurance Claims Adjusters. This role... ...handling at least 100 claims. The company provides robust training programs to help both seasoned professionals and newcomers excel in...ClaimsFlexible hours
- ...Program Manager/Training Lead Employment Type: Full Time Department: Project Management Here at CGS, we are seeking a Program... ...co-deliver VCF Substantive training for VCF staff on end-to-end claims lifecycle processes. Substantive training includes curriculum...ClaimsFull timeFlexible hours
$65k - $85k
...clients and marketing our insurance products. The role involves showcasing offerings to new customers and assisting policyholders with claims procedures. This position offers a compensation range of $65,000 to $85,000 yearly, along with a supportive network to help you...ClaimsFull time$25.65 per hour
...Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative (IAP) - Workers Compensation Training Program Are you looking for an impactful job that offers an opportunity to develop a professional career?...ClaimsFull timeTraineeshipWork at officeFlexible hours- Argo Group in Albany, NY is seeking a Senior Triage Specialist to manage FNOL, claims intake, and fast-track claims within the Commercial Claims team. You will support adjusters and review coverage and reserves while maintaining documentation. This 100% in-office role...ClaimsTraineeshipWork at office
- A leading insurance claims adjusting firm in the City of Troy, New York, is seeking Independent Insurance Claims Adjusters. This role... ...handling at least 100 claims. The company provides robust training programs to help both seasoned professionals and newcomers excel in...ClaimsFlexible hours
$18 per hour
...other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing High school... ...charge-to file processes Expert knowledge of insurance programs, claims and implications to outstanding receivables Expert knowledge...ClaimsPart timeWork at officeLocal areaShift work- ...for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and... ...At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge...Claims
- ...need us most with innovative and effective programs that truly change lives, allowing us to... ...required for Accounts Payable and grant claiming requirements. Manages incoming and... ...employees, clients and the public. May represent the agency in formal and informal groups...ClaimsDaily paidTemporary workWork at officeMonday to FridayFlexible hours
$126.11k - $155.12k
The Capital Program Manager leads the planning, design, procurement, and construction management of new transit facilities and major facility... ...updates. Facilitate and document project meetings; manage claims and dispute resolution with legal and procurement. Oversee...ClaimsContract workFor contractorsWork at office$21 - $33 per hour
...appropriate changes were made to resolve customers' problems. Contact customers in order to respond to inquiries or to notify them of claim results and any planned adjustments; refer unresolved customer complaints to designated departments for further action. Obtain and...ClaimsMinimum wageTemporary workWork at officeLocal areaRemote work- ...procedures in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of... ...to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and...ClaimsWork experience placementSeasonal workLocal areaImmediate startFlexible hoursShift workAfternoon shift
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