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.
$20 per hour
...Customer Service Specialist II to support a state-level health program. In this role, you will make a meaningful contribution by providing... ...or enrollment, utilizing your knowledge to assist with their claims. Key Responsibilities Take and process transactions by...ClaimsHourly payWeekly payFull timeWork at office- ...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
- ...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
- ...Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you... ...billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting...Claims
$20 per hour
...Customer Service Specialist II to support a state-level health program. In this role, you will make a meaningful contribution by providing... ...or enrollment, utilizing your knowledge to assist with their claims. Key Responsibilities Take and process transactions by...ClaimsHourly payWeekly payFull timeContract workWork at officeWork from home$25.25 - $31.25 per hour
...resolve any issues that may arise as it relates to disputes, or claims Act as liaison between operations and many corporate... ...and other performance-based incentives ~ Employee Assistance Program (EAP), wellness initiatives, and employee discounts Eligibility...ClaimsHourly payFor subcontractorWork at officeRemote work$127.51k - $160.91k
...NoAgency: General Services, Office of Title: Building Construction Program Manager 5 - VID 221349Occupational Category: Other Professional... ...or facilities.• Active involvement in solving issues and claims on problem projects during design and construction phases.• Review...ClaimsPermanent employmentFull timeContract workWork experience placementWork at officeRemote work- ...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
$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 (SMQT)...ClaimsHourly payPermanent employmentFull timeTemporary workImmediate startFlexible hoursRotating shiftWeekend workAfternoon shift- ...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
- ...Description:ResponsibilitiesHealth Research, Inc. is seeking a Health Program Administrator II to work in the Office of Health Equity and... ...and payment processing, including auditing of reimbursement claims to contractors. The Health Program Administrator II will be responsible...ClaimsFull timeContract workPart timeFor contractorsCasual workWork at officeLocal areaRemote workRelocationFlexible hours
$19.23 - $21.79 per hour
...procedures, adhere to agency guidelines, and promptly report any actual or potential E&O claims. Maintain required professional accreditations and participate in continuing education programs when available. Perform other duties and projects as assigned....ClaimsHourly payWork 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
$20 - $22 per hour
...long-term incentive packages, and other company-sponsored benefit programs. Primary Objective: Performs a variety of customer... ...returns, and notifying management of damaged shipments for freight claims. Operates crane forklift equipment. Maintains clean and...ClaimsTemporary workWork at office- ...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
- ...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...ClaimsHourly payWork experience placementSeasonal workLocal areaImmediate startFlexible hoursShift workAfternoon shift
$22.81 per hour
...subscribers, members and providers; keys, processes and adjusts claims in accordance with the Service Benefit plan (Federal Employee... ...problems and concerns; recommends and forwards to Sr Service Representative and/or Management for review. E3. Processes and adjusts claims...ClaimsContract workWork at officeLocal area- ...Society of Northeastern New York, a nonprofit civil legal services program, is seeking a Disability Advocacy Program Staff Attorney. The... ...Security Disability and Supplemental Security Income (SSI) claims and may be assigned cases involving eligibility for public assistance...ClaimsExtra incomeWork at officeLocal areaRemote workFlexible hours
$22.5 per hour
...evidence-based telemedicine care. Our programs are based in harm reduction, and bring... ...coordination of benefits Identify and resolve claims processing issues, including pre-... ...physicians, management, staff, and third-party representatives Contact insurance payers for...ClaimsFull timeWork at officeLocal areaRemote work- ...Worcester County Food Bank Inc is seeking a Billing & Invoicing Specialist to support Medicaid-funded Food as Medicine programs. This role involves submitting claims, tracking service delivery, and collaborating with program staff to ensure accurate billing. The ideal...ClaimsRemote workWork from home
$50k - $55k
...® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto | Property Damage PRIMARY PURPOSE OF THE ROLE: To analyze... ...duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education: Bachelor's degree from an accredited...ClaimsContract workWork at officeLocal areaFlexible hours- ...validation, while also handling lost and found inquiries, baggage claims, and airfreight shipments. Additionally, you will help maintain... ...activities to management or through the whistleblower program. Minimum Requirements High school diploma or GED equivalent...ClaimsFull timePart timeLocal areaWorldwideShift workNight shift
$46.29k
...employees and reduce workplace injuries while delivering exceptional claims services. Are you highly organized, detail-oriented, and... ...S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at . How do you know if you have a disability?...ClaimsContract workFor contractorsFor subcontractorWork at office$100k
...mobile investigations to assist in researching insurance fraud claims involving monetary, bodily injury, theft, and property damage claims... ...48 hours of surveillance completion Participate in training programs and professional development activities to enhance surveillance...ClaimsHourly payFull timeCurrently hiringFlexible hours$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...ClaimsFull timeContract workTemporary workCasual workMonday to Friday2 days per week$19.5 per hour
...as required by law. The Customer Care Representative I is responsible for successfully completing... ..., provider contracts, eligibility and claims. Analyzes problems and provides... ...benefits package, incentive and recognition programs, equity stock purchase and 401k contribution...ClaimsFull timeTemporary workWork experience placementWork at officeLocal areaImmediate start1 day per week$22.3 - $35.2 per hour
...ensuring accurate and timely processing of claims, including denials and the maximization... ...timely. Assist with training of new AR representatives. Develop and implement strategies to... ...Paid parental leave Healthy lifestyle programs Cardinal Health supports an inclusive workplace...ClaimsHourly payTemporary workWork at officeLocal areaFlexible hours$109.75k - $116k
...knowledge of Microsoft office products, and the ability to learn new programs. If approved to work remotely, must have secure internet... ...two (2) years of experience in performing utilization review, claims adjudication, medical review, fraud investigation, surveillance...ClaimsHourly payWork at officeRemote work- ...AI as a system — across every value stream from quoting through claims — will capture significant five-year transformation value.... ...Managers lead delivery workstreams on complex agentic transformation programs across the carrier value chain — from front-stage broker and...ClaimsFull timeLive inWork at officeLocal areaShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims and Program Representative. Be the first to apply!
- medical insurance claims specialist Albany, NY
- claim specialist Albany, NY
- claims assistant workers compensation Albany, NY
- claims resolution specialist Albany, NY
- claims consultant Albany, NY
- claims processor Albany, NY
- claim examiner Albany, NY
- claims specialist remote Albany, NY
- senior claims specialist Albany, NY
- insurance claims processor Albany, NY



