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 makes 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 provides 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
$20 per hour
...Overview The Provider Relations Representative will be responsible for assisting our provider... ...resolution and navigate various systems and programs efficiently to provide the caller with... ...provider and member inquiries, including claim and billing research requests. Provide...ClaimsHourly payWork at office$60k - $70k
...teamwork. Our office offers ongoing sales challenges and recognition programs that reward effort, activity, and performance. New hires can... ...with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with...ClaimsFor contractorsWork at officeLocal area- ...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
$24.5 per hour
...Customer Service Representative Make a difference. As a Customer Service Representative, you will... ...billing, order maintenance, credit and claims What you bring to the table: Strong... ...achievements with our Employee Recognition Program. Reach your career goals with our Educational...ClaimsHourly payFull timeMonday to FridayFlexible hoursShift workNight shift- ...Job Description Job Description Our representatives meet remotely with individuals who have... ..., as well as help with any necessary claims or adjustments Provide attentive customer... ...offered Comprehensive paid training program Weekly performance-based pay and...ClaimsRemote jobWeekly payWork at officeWork from homeFlexible hours
$17 - $28.46 per hour
..., and payments as assigned. Performs claim setup, processing, and tracking as assigned... ...: $17.00 - $28.46 This pay range represents the base hourly rate or base annual full... ...bonus, commission or short-term incentive program in addition to the base pay range listed...ClaimsHourly payFull timeTemporary workWork experience placementWork at office- ...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
$17 - $19 per hour
...procedures in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of... ...those 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- ...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 payPart timeWork experience placementSeasonal workLocal areaImmediate startFlexible hoursShift workAfternoon shift
$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...ClaimsH1bFlexible 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$41k - $75k
...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- A leading claims adjustment firm in Buffalo is seeking Independent Insurance Claims Adjusters to support individuals and businesses recovering... ...adjuster or new to the field, comprehensive training programs will equip you with the essential skills to excel. Join us to make...ClaimsFlexible hours
$38k - $54k
...Customer Service Representative - State Farm Agent Team Member As a Customer Service Representative - State Farm Agent Team Member for... ...availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification Promote successful...ClaimsHourly payFor contractorsWork at officeFlexible hours$40k
...Job Description As a Nielsen Field Membership Representative, you'll be the face of our company, recruiting households to participate... ...email with a nielsen.com domain. Be cautious of any outreach claiming to be from Nielsen via other messaging platforms or personal...ClaimsWork experience placementWork from homeNight shiftAfternoon shift$20 - $25 per hour
...families every day. The Customer Service Representative I plays a vital role in supporting... ...managing customer complaints and damage claims. Cross-train to support other team members... ...dental insurance, retirement plan, wellness program, paid time away from work, and paid...ClaimsHourly payWork at officeLocal area$19 per hour
...announce an excellent opportunity for full-time Customer Service Representatives starting on September 8th , 2026. Training:... ...called on to research complex issues pertaining to benefits, claims, plans, and eligibility across multiple databases which requires...ClaimsHourly payFull timeWork at officeRemote workMonday to FridayShift work$23 per hour
...Tuition Reimbursement Quarterly Incentive Bonus Referral Incentive Program Company Paid Life Insurance; and Short/Long-Term Disability Why... ...by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests....ClaimsFull timeTemporary workLocal areaRemote workRelocation package$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 workLocal areaRemote workRelocation package$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$23 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 placementRelocation packageFlexible hoursShift work- ...Organization (MCO) billing activities for designated agency programs. This position oversees claim submission, reimbursement tracking, denial management... ...closely with Finance, Program, and external payer representatives, this position helps maximize reimbursement...Claims
$50k - $75k
...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 officeMonday to FridayFlexible hours$18.5 per hour
...customer service Perform billing clerical tasks, including processing claims and posting payments. Provide education and support on sliding... ...health savings accounts with employer contribution, wellbeing programs, continuing education opportunities, generous paid time off,...ClaimsHourly payLocal areaFlexible hours$21 - $26 per hour
...billing service provider including charge entry, payment posting, claims submission and follow up, coding and auditing.* Assist with... ...of growth and innovation. With our great mentoring and training programs, you’ll be exposed to diversity of work, the ability to tackle...ClaimsHourly paySummer workWork at officeImmediate startMonday to ThursdayNight shift- ...Driver Urban Valet Dry Cleaners and our sister company, Renewal Claim Solutions of Upstate New York, have been providing excellence in... ...match ~ Paid Time Off ~ Employee Discounts ~ Hands on Training ~ Professional Development Assistance ~ Referral Program...ClaimsWork at office
$62.5k - $77.5k
...Paid time off Tuition reimbursement & company-paid training programs FREE AAA membership & travel / product discounts Paid Volunteer... ...options to sales teams. Assist clients in filing insurance claims and provide guidance throughout the claims process. Liaise with...ClaimsTemporary workWork experience placementWork at officeFlexible hoursWeekend workAfternoon shift$40k - $65k
...service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer-focused, needs-based review process to educate customers about insurance...ClaimsHourly payFor contractors- ...Safety Manager to coordinate and supervise the facility's safety programs and initiatives. You will lead inspections, incident... ...required records. The role also includes communicating with management, HR, and claims administrators to ensure a safe #J-18808-Ljbffr...Claims
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