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
US Government Jobs - Other Agencies$175.3k - $322.9k
...global insurers deliver better customer experience while enabling claim professionals to adjudicate claims more effectively and... ...account teams to integrate ClaimBeacon into broader transformation programs where appropriate.Support expansion: Drive renewals, upsell/cross...ClaimsLocal area- ...CVS Health is hiring a Program Integrity Auditor to review medical and behavioral health provider records, ensuring correct coding and... ...regulator referrals as needed. The role requires 3-5 years of claims data review, CPT/HCPCS/ICD-10 coding expertise, and an active CPC...Claims
$24k - $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...ClaimsFull timeFor contractorsWork at office- ...client services regarding benefits available under the various programs administered by the RRB. This job announcement may be used... ...one or more vacancies. This is a bargaining unit position. This position is represented by the Council of AFGE Locals in the Board....ClaimsLocal area
$40k - $75k
...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 contractorsWork at office$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- ...the outdoor through its sustainability program. Diversity is one of Salomon’s five values... ...and responsibilities described below represent the expectations of a senior level Ecomm... ...existing orders, process consumer warranty claims and spare parts requests to ensure...ClaimsWork at officeWork from home
- ...looking for a Technical Service and Care Representative to work out of our Salt Lake City, UT... ...processing of product returns and warranty claims. The successful candidate will be a... ...phone, email, or fax Use company sales programs and tools (Net Suite, Excel, MS Word,...ClaimsWork at office
$25 per hour
...a difference. As a Customer Service Representative, you will serve as a key contact and liaison... ...billing, order maintenance, credit and claims What you bring to the table: ~... ...achievements with our Employee Recognition Program . ~ Reach your career goals with our...ClaimsHourly payFull timeMonday to FridayFlexible hoursShift workNight shift$38k - $75k
...Insurance Account Representative - State Farm Agent Team Member Successful State Farm Agent... ..., coverages, policy changes, transfers, claim submissions, and billing clarification.... ...applicable licensing requirements and training programs. State Farm agents are independent...ClaimsFor contractorsWork at officeLocal area$500 per month
...currently seeking a Product Support Sales Representative that will assist in understanding... ...work orders for proper administration of claims to manufacturer and ensure all warranty... ...Dental insurance ~ Employee assistance program ~ Flexible spending account ~ Health...ClaimsFull timeMonday to FridayFlexible hoursShift work- ...knowledge of company return policies, exchange processes, and warranty claims to assist customers. Demonstrate a strong understanding of... ...email support; including proficiency in computer systems and programs such as Microsoft Office and CRM systems Maintain reliable...ClaimsWork at officeLocal areaImmediate startWorldwide
- ...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
$16 - $18 per hour
...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$85.7k
...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$18 per hour
...Provide support for account access, benefits, programs, incentives, find care, health screening... ..., wellness, and medical billing and claims preferred Experience supporting a health... ...27.00 The anticipated base salary range represents the Company's good-faith estimate of the...ClaimsFull timeWork at officeLocal areaRemote workMonday to FridayShift workWeekend work- ...Solutions, Inc. (GRS) is seeking an enthusiastic, motivated, detail orientated, and talented individual for the position of Program Security Representative I. Job Description: Summary: The Program Security Representative’s primary function is to provide multi-...Full timeFor contractorsWork at office
$18 per hour
...Pharmacy Support Call Center Representative As the only global provider of commercial solutions... ...business is providing patient support programs on the behalf of our customers. With the... ...preferred) Experience in medical claim processing is a plus Bi-lingual (English...ClaimsHourly payFull timeContract workRemote workWork from homeShift work$64.79k - $94.51k
...Humanscale Account Development Representative Humanscale offers our Account Development Representatives... ...~ Pet Insurance ~ Employee Discount Programs ~401k with Employer matching (Pre-Tax... ..., unsolicited emails, or messages claiming to be from our recruiters or hiring...ClaimsBase plus commissionTemporary workWork experience placement$57k - $76k
...We offer career opportunities where you can contribute and grow. Build your future with us Our Field Claims department is currently seeking field claims representatives to service the territory surrounding Salt Lake City, Utah. The candidate is required to reside within...Claims$73.04k - $82.85k
...Sales Development Representative Brex is the intelligent finance platform that enables companies... .../marketing as well as our overall programs Requirements Experience in a... ...email with a brex.com domain. Any outreach claiming to be from Brex via other sources should...ClaimsHourly payWork at officeImmediate startRemote workWork from home3 days per week$23 - $25 per hour
...customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications...ClaimsHourly payFor contractorsWork at officeFlexible hours- ...research and heir location firm that helps individuals discover and claim inheritances from estates where beneficiaries could not... ...secure a signed contingent fee agreement allowing our firm to represent them in recovering their inheritance. This is an extremely fast...ClaimsBase plus commissionRemote work
$70k - $75k
...and virtual meetings.Educate providers and staff on disease states and identify potential patients.Qualify leads and follow up on claims-based alerts.Maintain accurate records in the CRM system.Communicate disease state education, access information, PEF (Patient Enrollment...ClaimsLocal areaFlexible hours$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$160k - $200k
...Description We are seeking an experienced Program Manager to lead the execution of large,... ...Serve as the senior day-to-day representative to the client. Build trusted executive-level... ...risk. Support contract negotiations and claims management. Work with leadership on achieving...ClaimsContract workFor subcontractorWork at officeLocal areaRemote workFlexible 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$23.86 - $42.22 per hour
...Program Specialist FT / PT Status - Full-Time Salary - $23.86 - $42.22 Hourly Wage Remote Work / In-Office - Hybrid Recruiter... ...contract monitoring, collection and review of reporting, and claims approvals. Provide contract and technical support to the...ClaimsHourly payFull timeContract workTemporary workWork at officeLocal areaRemote work$46.99k - $122.4k
...community at a time. Position Summary The Program Integrity Auditor is responsible for the... ..., recoupment of funds or rebilling of claims, and referral to state regulators for... ...46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full...ClaimsHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours- ...and Supplemental InsurancePosition SummaryThe Technical Sales Representative role creates awareness, education and demand for LATICRETE products... ...ensure customer satisfaction.Thoroughly investigate product claims in field, document and work with LATICRETE Technical Services...ClaimsFor contractorsWork experience placementWork at officeLocal area
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