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- ...JOB SUMMARY The Customer Service Representative is responsible for the receipt of new cases and... ...information pertinent to processing the claim. Sort, organize, and create a medical document... ...Medical Exams and Peer Review programs that assist our clients in reaching the...ClaimsTemporary workRemote workWork from home
$80k - $115k
...will work directly with property owners who sustain damage to their homes. This is a full time and year round position as insurance claim work typically has a 1 year claim service period. Responsibilities: Inspect homes for exterior damage Assist and educate...ClaimsFull time$37.5k - $41k
...Customer Service Representative Location: PITTSBURGH, PA, 15224 Salary: $37500.0 - $4100... ..., coverages, policy changes, transfers, claim submissions, and billing clarification... ...applicable licensing requirements and training programs. State Farm agents are independent...ClaimsFor contractorsWork at office- ...Year Up United is a one-year or less, intensive job training program that provides young adults with in-classroom skill development,... ...training in Banking, Customer Success, or Insurance Operations & Claims, with access to internships and job placement support through our...SuggestedInternshipMonday to Friday
$21.63 per hour
...Customer Service Representative Make a difference. As a Customer Service Representative,... ...billing, order maintenance, credit and claims Skills & Requirements ~ Strong... ...achievements with our Employee Recognition Program. ~ Reach your career goals with our...ClaimsHourly payFull timeMonday to FridayFlexible hoursShift workNight shift- ...availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Maintain a strong... ...successfully complete any applicable licensing requirements and training programs. State Farm agents are independent contractors who hire their...ClaimsFor contractorsWork at officeImmediate start
- ...system! In this role, a Technical Sales Representative's primary responsibility is to achieve... ...execute distributor-level product promotion programs.Maintenance of Project Tracking files... ...document and report all complaints and claims for service in territory and coordinate...ClaimsFor contractorsWork at office
- ...ll Do: Traeger is seeking a Field Sales Representative based in either California or Arizona to... ...the "Traeger Experience" in your doors. Claim our floor space · Marketplace Development... ...Individual professional development programs & initiatives to help you grow professionally...ClaimsLocal areaRemote workNight shiftWeekend work3 days per week
- ...the role of Insurance Customer Service Representative - State Farm Agent Team Member. Insurance... ..., coverages, policy changes, transfers, claim submissions, and billing clarification... ...applicable licensing requirements and training programs. State Farm agents are independent...ClaimsBase plus commissionFull timeFor contractorsWork at office
$13 per hour
...availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Maintain a strong... ...successfully complete any applicable licensing requirements and training programs. State Farm agents are independent contractors who hire their...ClaimsHourly payFor contractorsWork at office- ...providing access to care on behalf of our client's copay assistance programs. This individual is part of a highly concierge 'white glove'... ...management engagement. Respond to inbound phone calls and claims (as well as outbound calls) to/from patients, physicians, and pharmacies...ClaimsFull timeContract workShift work
$20 per hour
...from members and providers Help members understand benefits, claims, prior authorizations, billing, and coverage details Resolve... .... Knowledge of Microsoft Office and Excel spreadsheet program preferred. Complex analytical skills necessary to evaluate customer...ClaimsTemporary workWork at officeMonday to FridayShift workAfternoon shift$1,000 per month
...restoration company that does more than just build — they advocate . They help homeowners and business owners navigate complex insurance claims and ensure they get fully funded for property repairs after storm damage. Their service delivers peace of mind and zero out-of-...ClaimsFull timeContract workImmediate startRemote workFlexible hours- ...using sound business judgment. Responds to enrollment, billing, claims, and other administrative issues; ensures a complete solution... ...pay, we have designed a performance-based annual incentive program. All employees are eligible to earn a bonus by meeting performance...Claims
$13 per hour
...availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Maintain a strong... ...successfully complete any applicable licensing requirements and training programs. State Farm agents are independent contractors who hire their...ClaimsHourly payPart timeFor contractorsWork at officeFlexible hours- ...Organization and step into a dynamic role focused on advocacy and program integrity through compliance management. Here, you'll champion... ...outside of the traditional bedside setting to review and audit claims, support program integrity initiatives, and advocate for...ClaimsRemote jobWork from home
$43k - $47.5k
...New Business Service Representative Join our Field Service Team, the driving force behind the... ...Accounts, Student Loan Repayment Program Career Opportunities New York Life... ...quality control, training, underwriting and claims. Pay Transparency Salary Range: $4...ClaimsFull timeContract workWork at officeLocal areaMonday to FridayFlexible hoursShift work$104.8k - $149.3k
...customer satisfaction.How will you make a difference? As a Sr. Program Manager you are responsible for the end-to-end delivery of complex... ...(scope, cost, schedule, risk)Customer negotiations and claims positioningActively manage:Earned value / cost vs budgetForecasting...ClaimsContract workWork experience placementFor subcontractorWorldwide- ...Organization and step into adynamic role focused on advocacy and program integrity through compliance management. Here, you'll champion... ...outside ofthe traditional bedside setting to review and audit claims, supportprogram integrity initiatives, and advocate for beneficiaries...ClaimsFull timeTemporary workWork at officeRemote workWork from home
$100 per hour
...damage identification, homeowner education, coordinating referrals to a public adjuster, and closing the roofing contract once the claim is approved. You do not need roofing experience to apply. If you can talk to people, follow a process, stay consistent, and are willing...ClaimsContract workImmediate start$57k - $76k
...Claims - Field Claims Representative Make a difference with a career in insurance At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we're looking for extraordinary people to join our...Claims$17.5 - $20 per hour
...Customer Service Representative - State Farm Agent Team Member As a Customer Service Representative - State Farm Agent Team Member with... ...availability, eligibility, coverages, policy changes, transfers, claim submissions and billing clarification. Use a customer-...ClaimsHourly payFor contractorsWork at office$45k - $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- ...Front Office Representative Squirrel Hill Health Center (SHHC), a dynamic and growing Federally Qualified Health Center, is hiring a full... ...accounts with new insurance information and ensuring all claims have the appropriate documentation before being coded and submitted...ClaimsFull timeWork at officeFlexible hoursRotating shiftAfternoon shift
- ...Training & development ~ Paid time off Customer Service Representative Monica Conroy GEICO Local Office | South Hills, Pittsburgh,... ...with policy changes, billing questions, coverage reviews, and claims support. Build strong customer relationships through proactive...ClaimsWork at officeLocal area
- ...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...ClaimsFor contractorsWork at officeImmediate start
$38k - $45k
...Customer Service Representative Target Freight Management Inc. (TFM) is a well-established and rapidly growing third party logistics company... ...customer service team Manage incoming calls and emails Claims filing and resolution Route shipments and build Bill of...ClaimsFull timeTemporary workRemote workMonday to FridayShift work- ...matters most. We take pride in serving our community with integrity, care, and real support. Whether we’re helping someone navigate a claim or personalize a plan, we believe in doing meaningful work that makes a difference. If you're looking to grow your career, help...ClaimsWork at officeRelocation package
$21 - $23 per hour
...Description Job Description Pharmacy Benefits Specialist (Insurance Claims) Location: Pittsburgh (Robinson Township) Pay Rate: $21/... ...coverage Maintain compliance with patient assistance program guidelines Document all information and data discovery...Claims
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims and Program Representative. Be the first to apply!
- medical insurance claims specialist Pittsburgh, PA
- remote medical claims processor Pittsburgh, PA
- pharmacy claims Pittsburgh, PA
- claims associate Pittsburgh, PA
- claims attorney Pittsburgh, PA
- property claims Pittsburgh, PA
- claims processing Pittsburgh, PA
- unemployment claims Pittsburgh, PA
- veterans claims Pittsburgh, PA
- medical claims auditor Pittsburgh, PA




