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
$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- ...insurance companies regarding incorrect registration information, claims processing, contract reimbursement amounts and coding issues.... ...to train all levels of the organization on systems, programs, procedures, and processes. Ensure escalated billing issues...ClaimsFull timeContract workTemporary workWork at officeMonday to Friday
- ...Call Center Representative MCI is one of the fastest-growing tech-enabled business services... ...applicable Follow the processes of the Client program and perform all tasks in a courteous and... ...document and process customer claims in appropriate systems Follow all required...ClaimsFull timeTemporary workPart timeWork experience placementCasual workWork at officeRemote workShift work
- ...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 - $60k
...follow up to ensure process completion. Assist clients with claims, billing, and other daily inquiries. Order and prepare renewal... ...experience ~ Health, vision, dental, and Employee Assistance Program ~ Paid time off to include holidays, PTO, sick leave, and...Claims$40k - $70k
...Sales Representative Location: Charlotte, NC, 28204 Salary: $40000.0 - $70000.0/year Experience... ..., coverages, policy changes, transfers, claim submissions, and billing clarification... ...licensing requirements and training programs. State Farm agents are independent...ClaimsBase plus commissionFor contractorsWork at office$45k - $65k
...applicable licensing requirements and training programs. State Farm agents are independent... ..., coverages, policy changes, transfers, claim submissions, and billing clarification.... ...team for the role of Customer Relations Representative - State Farm Agent Team Member. We seek...ClaimsBase plus commissionFor contractorsFlexible hours- ...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
$82k - $118k
...field force including safety management and claims to enhance service for agents, insureds,... ..., and other organizational events to represent large accounts as needed. Provide... ...match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs...ClaimsTemporary workRemote work$50k - $75k
...successfully complete any applicable licensing requirements and training programs. State Farm agents are independent contractors who hire their... ..., eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Maintain a strong work...ClaimsHourly payFor contractorsFlexible hours$18 per hour
...Now hiring Bilingual Customer Service Representative Location: Charlotte, NC Pay Rate... ...Merchandise Authorizations (RMAs) and warranty claims Maintain accurate customer records... ...every Friday ~ Employee discount programs " Enjoyed working here....ClaimsHourly payWeekly payTemporary workFor contractorsWork at officeLocal areaImmediate startMonday to FridayFlexible hoursShift work- ...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
$18.26 per hour
...Smart Tools: Access to our exclusive technology to view and claim additional shifts to earn more. Career Growth: Get paid training... ...Perks: Enjoy discounts on top brands and services through our Perks Program. Allied Universal is an Equal Opportunity Employer. All...ClaimsFull timeLocal areaShift work$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$17.2 per hour
...Customer Care Representative II Start date: October 5th As a Billing Customer Service Representative... ...be able to fully attend our training program. Successful candidates must have the... ...care concerns. Knowledge of healthcare claims billing/finance and eligibility processes...ClaimsHourly payFull timePart timeWork at officeMonday to FridayFlexible hoursShift work$53.05k
...Outside Sales Representative As an Outside Sales Representative, you will be selling our... ...and effectively, and report potential claims Keep management informed of local competition... ...Carry out sales and merchandise programs as directed, and recommend new items for...ClaimsFull timeLocal areaFlexible hoursNight shift- ...identify new products or substitute products as necessary. File claims with outside transportation companies as necessary.... ...holidays plus 2 paid floating holidays ~ Employee Assistance Program – to help you reduce the stress of everyday living ~ Medical,...ClaimsTemporary workWork at office
$80 - $90 per hour
...and AI adoption.Establish and manage Human-in-the-Loop (HITL) programs, including review workflows, exception handling, quality controls... ...work.If you receive a suspicious message, email, or phone call claiming to be from PTR Global do not respond or click on any links....ClaimsFull time$50k - $100k
...Manage 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 office$50k - $80k
...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. Strong...ClaimsFor contractorsWork at office- .... We are seeking an experienced and detail-oriented Insurance Representative to join our administrative team and help ensure efficient and... ...insurance coverage, obtaining prior authorizations, assisting with claim submissions, contacting insurance companies regarding unpaid...ClaimsWork at office
- ....Job DescriptionProSidian seeks an IT MMIS Systems Integration Program Manager/ Product Owner (PCENT01) to support requirements for a... ...Department’s transition from primarily a fee-for-service payer of claims towards a program and policy driver for health outcomes...ClaimsFor contractorsWork at office
- ...Career Path: The Branch Customer Service Representative can be the start of a long-term career... ...Service, etc.) Automotive Services Claims Underwriting and more A Day in the... ...volunteer day annually ~ Tuition assistance program, professional certification...ClaimsHourly payFull timeWork experience placementWork at office
- ...Description Description: Job Title: Accounts Receivable (AR) Representative Location: Charlotte, Hybrid, requiring 2 to 3 days in the... ...be responsible for timely and accurate insurance follow-up and claims denial management in accordance with company policies and procedures...ClaimsFull timeWork at office
$90k - $100k
...Sales Development Representative At Jack Henry, we deliver technology solutions that are digitally... ...by offering outstanding benefit programs to ensure the physical, mental & financial... ...of any kind, pursuing any discrimination claim, or cooperating in related...ClaimsWork at officeLocal area$87k - $109k
...proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure... ..., Denver, CO or Charlotte, NC) Position Summary The Government Programs Operations Specialist (MPPP) provides operational and administrative...ClaimsLocal areaFlexible hours$60k - $79.8k
...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: Charlotte, NC. The candidate is required to reside within the...Claims- ...A leading claims adjusting firm in Charlotte, North Carolina, is looking for Independent Insurance Claims Adjusters to support storm... ...your first step towards a fulfilling career with our training programs, allowing for personal and professional growth while making a positive...Claims
$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- ...8 am to 5 pm) Primary Job Responsibilities: Performs daily billing activities to ensure successful processing and payment of claims. Ensures claim information is complete and accurate for charge entry and data enters key demographic information necessary for insurance...ClaimsFull timeWork at officeMonday to Friday
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