Claims and Program Representative
US Government Jobs - Other Agencies
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 employers, labor organizations, Congressional offices, Social Security Administration (SSA) offices, other Federal, State and local government agencies, private organizations, hospitals, nursing homes, etc., to promote understanding of the agency programs and services, encourage cooperation and provide training and foster positive public relations.
- Provide a full range of client services both within and outside the district office location regarding benefits available under the various programs administered by the Railroad Retirement Board (RRB).
- Conduct interviews to obtain information about an individual applicant's eligibility and entitlement to benefits under the retirement, survivor, disability, sickness and unemployment programs.
- Develop evidence necessary under the appropriate program regulations.
- Examine evidence and evaluates its validity and acceptability.
- Adjudicate claims for benefits and make entitlement decisions.
- Compute and award payment of benefits.
- Conduct investigations, including sensitive and difficult interviews, to obtain additional information requested by headquarters or the district office.
- Answer questions and provide guidance on other programs such as Medicare, taxation of benefits, and Social Security entitlement.
Cut-Off Dates to receive applications will be used for this announcement. First Cut-Off Date: August 5, 2026 Closing Date: August 26, 2026 Starting Salary: Albany, NY $52,059-$82,787 Albuquerque, NM $51,007-$ 81,114 Baltimore, MD $57,736-$91,815 Billings, MT $50,460-$80,243 Boston, MA $57,150-$90,882 Buffalo, NY $52,766-$83,911 Charlotte, NC $51,585-$82,033 Des Moines, IA $50,869-$80,895 Detroit, MI $55,685-$88,510 Duluth, MN $50,460-$80,243 Harrisburg, PA $51,481-$81,686 Kansas City, MO $51,283-$81,553 Louisville, KY $50,460-$80,243 Milwaukee, WI $52,770-$83,918 Pittsburgh, PA $52,171-$82,965 Richmond, VA $52,710-$83,822 Salt Lake City, UT $50,460-$80,243 Seattle, WA $56,715-$90,190 Wichita, KS $50,460-$80,243
- ...Customer Service Representative Customer Service Representatives work in a call center environment... ...and regulations and Medicare Insurance Programs; obtaining information in order to... ...to access and update information about claims or potential eligibility. As a Customer...ClaimsWork at office
$15 per hour
...information, including but not limited to, assisting with employee claims, coordinating benefits, determining health claim status,... ...School Diploma or GED. Must be successfully enrolled in a degree program. Bilingual Preferred (Spanish/English) Enrolled 6 credits...ClaimsWork at office$50k - $75k
...customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate... ...of Honor, National Quality Award, Bronze Tablet, and New Agent Program Qualifier Additional languages spoken: Spanish Seeking...ClaimsFor contractorsWork at officeLocal areaImmediate startFlexible hours$38k - $52k
...team for the role of Insurance Account Representative - State Farm Agent Team Member. We seek... ..., coverages, policy changes, transfers, claim submissions, and billing clarification.... ...applicable licensing requirements and training programs. State Farm agents are independent...ClaimsHourly payFor contractors- ...Job Title Supervisory Veterans Service Representative (AVSCM) Duties The incumbent:... ...division workflow/productivity. Directs program activities for the delivery of VA benefit... ...to make final decisions in the types of claims considered most difficult or critical which...ClaimsFull timeWork at officeRelocation packageMonday to Friday
$18.5 per hour
...Customer Service Representative We're building a world of health around every individual... ...customers by helping with their benefits and claims to improve their health and well-being.... ..., retirement savings options, wellness programs, and other resources, based on...ClaimsHourly payFull timeWork at officeLocal areaRemote workRelocation package$15 per hour
...information, including but not limited to, assisting with employee claims, coordinating benefits, determining health claim status,... ...School Diploma or GED. Must be successfully enrolled in a degree program. Bilingual Preferred (Spanish/English) Enrolled 6 credits Have...ClaimsWork at officeFlexible hours- ...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
$38k - $52k
...team for the role of Insurance Account Representative - State Farm Agent Team Member. We seek... ..., coverages, policy changes, transfers, claim submissions, and billing clarification.... ...applicable licensing requirements and training programs. State Farm agents are independent...ClaimsHourly payFor contractors$38k - $52k
..., coverages, policy changes, transfers, claim submissions, and billing clarification.... ...experience (outside sales or inside sales representative, retail sales associate, or... ...applicable licensing requirements and training programs. State Farm agents are independent contractors...ClaimsHourly payFor contractorsWork at office$112.14k
...Senior Outside Sales Representative As a Senior Outside Sales Representative, you will develop... ...and effectively, and report potential claims Keep management informed of local... ...conditions Carry out sales and merchandise programs as directed, and recommend new items...ClaimsFull timeLocal areaFlexible hoursNight shift- ...seeking highly motivated outside sales representatives with automotive experience to join our... ...benefits of adopting Freedom Warranty programs for their customers. You will be expected... ...there every step of the way—from quote to claim. Company Description Freedom...ClaimsContract work
$16.5 per hour
...knowledge of company return policies, exchange processes, and warranty claims to assist customers. Demonstrate a strong understanding of... ...email support; including proficient in computer systems and programs such as Microsoft office and CRM systems ~ Maintain reliable...ClaimsHourly payWork at officeLocal areaImmediate startWorldwideShift workWeekend work$17.2 per hour
...Customer Service Representative - Billing II (Bilingual - English/Spanish) As a Billing Customer... ...be able to fully attend our training program. Successful candidates are expected to attend... ...concerns. ~ Knowledge of healthcare claims billing/finance and eligibility...ClaimsHourly payFull timePart timeWork at officeMonday to FridayFlexible hoursShift work$19 per hour
...Call Center Representative Ascensus is the leading independent technology and service platform... ...accounts and State Sponsored Retirement Program accounts. Associates will handle... ...regarding benefits and plan provisions, review claims information and update account owner...ClaimsHourly paySeasonal workWork at officeRemote workFlexible hoursShift workAfternoon shift$55k - $76k
...Claims - Field Claims Representative Make a difference with a career in insurance At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we're looking for extraordinary people to join our...Claims- ...Bilingual Call Center Representatives MCI is one of the fastest-growing tech-enabled business... ...systems to manage accounts, process claims, and update records. Follow scripts... ...Secure your future with retirement savings programs, where available. Disability...ClaimsRemote jobFull timeTemporary workCasual workWork at officeShift work
$60.93 per hour
...world. Job Description ~ The Disaster Program Delivery Specialist: • Collects,... ...program delivery process. • Supports the claims process by reviewing and validating damage... ...This pay range is a good faith estimate representative of all experience levels for the geographic...ClaimsWork experience placementH1bImmediate startFlexible hours- ...where you must work independently with limited direction, multi-task, and have strong organization skills? If so, this Field Claims Representative opportunity could be a great fit for you! Who We Are: With Farm Bureau Financial Services, our client/members can feel...ClaimsFull timeWork at officeWork visaNight shift
- ...Intake Representative Are you passionate about detail-oriented work that keeps processes running smoothly and accurately? Do you enjoy... ...record system and other platforms to validate eligibility, confirm claim and provider information, compare documentation across sources...ClaimsContract workWork experience placementWork at officeRemote workWork from home
- ...Program Manager For Digital Engineering Team The Wingbrace Development organization is charged with identifying, developing and applying... ...battlespace, innovating inside our AFFINITY Labs™, or claiming first place at the annual hot‑wings competition, we bring curiosity...ClaimsContract workFor subcontractorWork at officeRemote work
- ...Training & development Role Description As an Customer Relations Representative - State Farm Agent Team Member for Carlos Salazar - State Farm... ..., eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Promote successful and...ClaimsFlexible hours
$35.5k
...Customer Relations Representative - State Farm Agent Team Member As an Customer Relations Representative - State Farm Agent Team Member... ...availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification Promote successful...ClaimsFor contractorsFlexible hours- ...availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer-... ...successfully complete any applicable licensing requirements and training programs. State Farm agents are independent contractors who hire their...ClaimsHourly payFor contractors
$23 per hour
...Incentive Bonus ~ Paid Volunteer Day ~ Referral Incentive Program ~ Company Paid Life Insurance; and Short/Long-Term... ...by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests....ClaimsFull timeTemporary workRemote workRelocation package- ...their winning team for the role of Account Representative. We seek an energetic professional... ..., coverages, policy changes, transfers, claim submissions, and billing clarification.... ...applicable licensing requirements and training programs. By accepting this position, you are...ClaimsHourly payFor contractors
- ...works - or doesn't. When it works, patients aren't blindsided. Claims are clean. Revenue flows. The practice can focus on care. When... ...claims from point of service Third-party payers, government programs, and managed care plans The Patient Financial Advocate to support...ClaimsFull timeWork at office
$22 per hour
...The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims... ...Claims Adjudication Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy...ClaimsFull timeTemporary workWork experience placementRemote workRelocation packageFlexible hoursShift work$17 per hour
...weekly shift that serves as your reliable base schedule. This assignment requires a six (6) month commitment. Earn More, Claim-A-Shift Program: In addition to your fixed shift, you may pick-up extra shifts through our scheduling platform, allowing you to increase earnings...ClaimsFull timePart timeWork at officeLocal areaFlexible hoursShift work- ...Medicaid Billing Specialist! Behind every successful Medicaid claim is someone who cares about accuracy, problem-solving, and making... ...Specialist at Adelante, you'll play an important role in ensuring our programs receive the funding needed to provide life-changing services...ClaimsWork from home
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