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
$17 - $20 per hour
...customer needs * Make outbound calls to members about their claims * Investigate requests and problems, with some assistance from... ...to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this...ClaimsContract workTemporary work- ...develop customized solutions for clients, leveraging available programs to deliver services that exceed client expectations. Cultivate... ...earning potential. There are 30,000 insurance brokers in the US that claim to offer great sales careers, but in reality, very few sales...Claims
$43k
...TEksystems is seeking customer service representatives to join our clients team. This role is... ..., tax consequences, state regulations, claims, etc * Provides information regarding... ...Savings Plan Employee Stock Purchase Program One Apollo Stock Ownership Program...ClaimsPermanent employmentFull timeTemporary workRelocation packageFlexible hours- ...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.ClaimsLocal area
- ...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...ClaimsFor contractorsFlexible hours
- ...great customer experiences? We are seeking a Customer Service Representative to join a growing team supporting members and policyholders... ...answer questions related to insurance coverage, benefits, billing, claims, and account activity while providing exceptional service and...ClaimsContract work
$19 per hour
...Handling inbound calls from providers checking eligibility and/or claim status for members. Call center environment taking inbound... ...and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this...ClaimsContract workTemporary work$19 per hour
...Handling inbound calls from providers checking eligibility and/or claim status for members. Call center environment taking inbound and... ...subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary...ClaimsContract workTemporary work$45k - $50k
...Position Description The Volunteer Program Manager is a full-timeposition with benefits, including IPERS, responsible for leading... ...reporting program statistics Processing mileage reimbursement claims and ensuring program compliance, including maintaining current...ClaimsFull time- ...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...ClaimsFull time
$21 - $29 per hour
...supports membership by providing information on membership types, programs and benefits to current and prospective members, processing... ...are filled. Oversees assigned area of responsibility by handling claims and returns, zoning the area, arranging and organizing...ClaimsHourly payMinimum wageFull timeTemporary workPart timeWork at office$40k - $60k
...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:...ClaimsFor contractorsWork at officeFlexible hours- ...Description We are seeking a Licensed Senior Customer Service Representative to join our client's team in a remote capacity. This role is... ...assisting with life and health insurance products, processing claims and payment-related requests, and providing accurate...ClaimsFull timeContract workTemporary workPart timeWork at officeLocal areaRemote work
- ...: Processing of all disbursements for the Companies you are assigned through the invoice workflow system or interface files (claims, premium refunds, commissions). Coding of invoices and payment requests in Accounts Payable system. Assist with printing of checks...ClaimsWork at office
- Overview We are seeking a dependable and organized Program Manager (PM) to support daily operations at our center. This role helps staff... ...registration packets Obtain insurance authorizations and assist with claim denials Ensure all client paperwork is complete and accurate...ClaimsWork at office
- ...the insurance industry that is looking for a Customer Service Representative to join their busy and supportive team! In this contract role... ...Assist with questions related to policy benefits, billing, claims, payments, and coverage details. Accurately update customer...ClaimsContract work
- ...regarding benefits available under the various programs administered by the RRB. This is a bargaining unit position. This position is represented by the Council of AFGE Locals in the... ...benefits and guiding them through the claims‑taking process, including reviewing evidence...ClaimsLocal area
- ...Apply today to become a Member Services Representative in Urbandale, Iowa! Looking for a dynamic role where your customer service skills... ...coverage changes Route members to the appropriate carriers for claims or additional information Gather missing details and...Claims
- ...Description Salary: The Weitz Company is hiring an Insurance Program Manager who will manage the successful procurement and day-to-... ...insurance review, insurance procurement, and supporting claims team with insurance related information and guidance Manage...ClaimsContract workTemporary workFor contractorsFor subcontractorWork at office
- ...the legal plan. Determines accurate coverage. Provides claims explanations. Handles minor customer complaints. Actively... ...appropriate resources. Serves as a positive role model by representing the ARAG at its Best. Other duties as assigned. Qualifications...ClaimsWork at officeMonday to FridayShift work
$23.6 per hour
...accuracy before invoicing Consult with customers on recommended repairs and obtain approvals for Extended Service Policy (ESP) claims. Handle service payments and cash management with precision and integrity. Balance multiple priorities in a high-energy environment...ClaimsHourly payFull timeFlexible hoursNight shift$14 per hour
...history, transactions, and previous actions. Update customer information and maintain accurate account records. Complete and submit claim forms to appropriate locations. Create and manage family membership plans. Schedule services for customers at participating...ClaimsFull timeWork at officeRemote workShift workNight shift- ...IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand... ...At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge...Claims
- ...Equivalent. ~1+ years in life and annuity experience. Preferred Analytical skills Previous Life and Annuity death claims experience Oral and written communication skills Knowledge of the insurance industry or insurance products/procedures through...ClaimsContract workH1b
- ...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
- ...part of the Holmes Murphy umbrella, specializes in third‑party claims management solutions. We are hiring a Workers’ Compensation Claims... ...multiple jurisdictions. Quick learner of various software programs. Technical Competencies Strong grasp of claims principles, practices...Claims
- .... Visit us at We help P&C carriers reinvent Underwriting and Claims through process redesign, operating model transformation, data-... ...of 5 years of experience in process engineering, data/analysis, program management, and /or leading complex business / technology...ClaimsFull timeLive inWork at officeLocal area
- ...support enrollment needs. You’ll also provide ongoing enrollment, claims, and service support, while staying engaged through team... ...package with additional bonus opportunities, exciting incentive programs, and a generous stock bonus plan. You’ll enjoy a flexible, modern...ClaimsWork from homeVisa sponsorshipFlexible hours
$57.5k - $98.9k
...expertise makes a meaningful impact as a Workers’ Compensation Claims Specialist on the Creative Risk Solutions team. Essential Responsibilities... .... Quick learning and adaptability to various software programs. Technical Competencies Strong grasp of claims principles,...ClaimsWork experience placement- ...Commercial Claims Representative Do you have past commercial claims experience and a strong customer service mindset? Are you a go-getter... ...that an onsite wellness facility with fitness classes and programs, a daycare center, a cafeteria, and for many positions, even...ClaimsFull timeWork at office
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