Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Claims and Program Representative

US Government Jobs - Other Agencies

Claims And Program Representative

As a Claims and Program Representative, you will:

  1. Handle calls through the Nationwide Toll-Free Service (NTFS) which may come from any area within the network or from another network.
  2. 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.
  3. 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).
  4. Conduct interviews to obtain information about an individual applicant's eligibility and entitlement to benefits under the retirement, survivor, disability, sickness and unemployment programs.
  5. Develop evidence necessary under the appropriate program regulations.
  6. Examine evidence and evaluates its validity and acceptability.
  7. Adjudicate claims for benefits and make entitlement decisions.
  8. Compute and award payment of benefits.
  9. Conduct investigations, including sensitive and difficult interviews, to obtain additional information requested by headquarters or the district office.
  10. 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

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Claims and Program Representative in Albuquerque, NM vacancy
  •  ...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... 
    Claims
    Work at office

    Social Security Administration

    Albuquerque, NM
    2 days ago
  • $30k - $60k

     ..., 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... 
    Claims
    Hourly pay
    For contractors

    Rigo Castillo-Sanchez State Farm Agency

    Albuquerque, NM
    2 days ago
  • $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... 
    Claims
    For contractors
    Work at office
    Local area
    Immediate start
    Flexible hours

    State Farm

    Albuquerque, NM
    20 hours ago
  • $17k - $41k

     ...Customer Service Representative (Part Time) Location: Albuquerque, NM, 87123 Salary: $17...  ..., coverages, policy changes, transfers, claim submissions, and billing clarification...  ...applicable licensing requirements and training programs. State Farm agents are independent... 
    Claims
    Part time
    For contractors
    Work at office

    Staff My Agency

    Albuquerque, NM
    3 days ago
  • $30k - $50k

     ..., 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... 
    Claims
    Hourly pay
    For contractors

    Rigo Castillo-Sanchez State Farm Agency

    Albuquerque, NM
    2 days ago
  • $52k - $65k

     ...required to enroll in the InnovAge PACE program, guiding them through the journey and...  ...in an office. The Enrollment Representative is responsible for ensuring each region...  ...systems If you receive a message claiming to represent InnovAge that does not... 
    Claims
    Temporary work
    Work experience placement
    Work at office
    Flexible hours

    InnovAge

    Albuquerque, NM
    3 days ago
  •  ...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.
    Claims
    Local area

    US Government Jobs

    Albuquerque, NM
    4 days ago
  • $41.5k - $52k

     ...Insurance Account Representative Location: Albuquerque, NM, 87110 Salary: $41,500.0 - $52...  ..., coverages, policy changes, transfers, claim submissions, and billing clarification...  ...applicable licensing requirements and training programs. State Farm agents are independent... 
    Claims
    For contractors

    StaffMyAgency LLC

    Albuquerque, NM
    5 days ago
  •  ...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
    Full time

    Dreambound

    Albuquerque, NM
    8 days ago
  • $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... 
    Claims
    Full time
    Local area
    Flexible hours
    Night shift

    Graybar

    Albuquerque, NM
    5 days ago
  • $15 - $25 per hour

     ...Account Representative Successful State Farm Agent is seeking a qualified professional to join...  ..., coverages, policy changes, transfers, claim submissions, and billing clarification....  ...licensing requirements and training programs. By accepting this position, you are... 
    Claims
    Hourly pay
    For contractors

    Rigo Castillo-Sanchez - State Farm Agent

    Albuquerque, NM
    3 days ago
  •  ...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 efficient... 
    Claims
    Hourly pay
    Part time
    Work experience placement
    Seasonal work
    Work at office
    Local area
    Immediate start
    Flexible hours
    Shift work
    Afternoon shift

    Walgreens

    Albuquerque, NM
    1 day ago
  •  ...SECURITY CLEARANCE REQUIREMENT: TS, WITH SCI ELIGIBILITY POSITION REQUIRES US CITIZENSHIP Position Title: Program Security Representative II (PSR II) Location: Kirtland AFB, Albuquerque, NM (on-site) Position Description: The Program Security Representative... 
    For contractors

    RedTrace Technologies Inc

    Kirtland Air Force Base, NM
    3 days ago
  • $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... 
    Claims
    Hourly pay
    Work at office
    Local area
    Immediate start
    Worldwide
    Shift work
    Weekend work

    Ashley Furniture

    Albuquerque, NM
    4 days ago
  • $60.93 per hour

     ...Job Description The Disaster Program Delivery Specialist supports FEMA’s Disaster Program by collecting, coordinating, and reviewing applicant data, facilitating communications, assisting in claims processing, participating in FEMA meetings, conducting claims evaluations... 
    Claims
    H1b
    Flexible hours

    CDM Smith

    Albuquerque, NM
    2 days ago
  • $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... 
    Claims
    Hourly pay
    Seasonal work
    Work at office
    Remote work
    Flexible hours
    Shift work
    Afternoon shift

    Ascensus

    Albuquerque, NM
    2 days ago
  •  ...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... 
    Claims
    Remote job
    Full time
    Temporary work
    Casual work
    Work at office
    Shift work

    MCI

    Albuquerque, NM
    3 days ago
  •  ...to join our team as a Customer Service Representative. This is a low-pressure position focused...  ..., coverages, policy changes, transfers, claim submissions, and billing clarification...  ...applicable licensing requirements and training programs. State Farm agents are independent... 
    Claims
    For contractors

    Michelle Rudolph - State Farm Agency

    Albuquerque, NM
    17 days ago
  •  ...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... 
    Claims
    Flexible hours

    Carlos Salazar - State Farm Agent

    Albuquerque, NM
    2 days ago
  •  ...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... 
    Claims
    Contract work
    For subcontractor
    Work at office
    Remote work

    Wingbrace

    Albuquerque, NM
    5 days ago
  •  ...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... 
    Claims
    Contract work

    Freedom Warranty

    Albuquerque, NM
    14 days ago
  •  ...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... 
    Claims
    Hourly pay
    For contractors

    Rigo Castillo-Sanchez - State Farm Agent

    Albuquerque, NM
    4 days ago
  • $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... 
    Claims
    Full time
    Work at office
    Local area
    Remote work

    Workit Health

    Albuquerque, NM
    5 days ago
  • $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... 
    Claims
    Full time
    Part time
    Work at office
    Local area
    Flexible hours
    Shift work

    Allied Universal

    Albuquerque, NM
    7 days ago
  • $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... 
    Claims
    Contract work
    Work at office
    Local area
    Flexible hours

    Sedgwick

    Albuquerque, NM
    3 days ago
  • $23 per hour

     ...Tuition Reimbursement Quarterly Incentive Bonus Referral Incentive Program Company Paid Life Insurance; and Short/Long-Term Disability...  ...by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.... 
    Claims
    Full time
    Temporary work
    Local area
    Remote work
    Relocation package
    Shift work

    CareMed Specialty Pharmacy

    Albuquerque, NM
    2 days ago
  •  ...Workplace. #LI-TS1 #remote Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...  ...modeling techniques, and predictive analytics methodologies. Strong programming skills in Python, R, or similar analytical languages.... 
    Claims
    Remote work

    Sedgwick

    Albuquerque, NM
    2 days ago
  • $73.02k - $98.79k

     ...Citizenship Required: Yes Job Description: The Activity Security Representative (ASR) II's primary function is to provide multi-disciplined...  ...Sensitive Compartmented Information (SCI) and Special Access Program (SAP) activities. Performance shall include: Classification... 
    Full time
    Temporary work
    For contractors
    Immediate start
    Remote work
    Worldwide
    Flexible hours

    General Dynamics Information Technology

    Albuquerque, NM
    18 hours ago
  •  ...English & Spanish) for upcoming work. This remote Contact Center Representative (CSR) position will be in support of a government agency,...  ...responses which must be read verbatim to provide basic, general, and claims-specific information. Performing outbound calls to verify... 
    Claims
    Local area
    Remote work
    Home office

    Systems Integration Inc

    Albuquerque, NM
    2 days ago
  • $64.23k - $83.95k

     ...Citizenship Required: Yes Job Description: ACTIVITY SECURITY REPRESENTATIVE (Level 1) TS/SCI (Level 1 roles do NOT require SAP)...  ...Sensitive Compartmented Information (SCI) and Special Access Program (SAP) activities. HOW an Activity Security Representative (... 
    Full time
    Temporary work
    For contractors
    Immediate start
    Remote work
    Worldwide
    Flexible hours

    General Dynamics Information Technology

    Albuquerque, NM
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Claims and Program Representative. Be the first to apply!