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- ...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
$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$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
$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- ...Insurance Customer Service Representative Successful State Farm Agent is seeking a qualified... ..., coverages, policy changes, transfers, claim submissions, and billing clarification... ...applicable licensing requirements and training programs. State Farm agents are independent...ClaimsBase plus commissionFor contractorsWork 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
$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- ...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
- ...Technical Sales Representative At LATICRETE International, we aim to be the leading construction... ...distributor-level product promotion programs. Maintenance of Project Tracking... ...document and report all complaints and claims for service in territory and coordinate...ClaimsFor contractorsWork at officeRelocationFlexible 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
$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- ...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
$22 - $25 per hour
...customer's consent on a resolution. Provide accurate complete claims processing, and records management using established procedures... ...flexible work arrangements, education reimbursement, wellness programs and more. Note, Citizens' paid time off policy exceeds the...ClaimsHourly payWork at officeLocal areaFlexible hours$66.55k - $80k
...Pittsburgh, PA area and be responsible for representing Quest Diagnostics to our clients in a... ...proud to offer best-in-class benefits and programs to support employees and their families... ...level healthcare medical billing/claims experience ~ Experience working with Microsoft...ClaimsFull timePart timeWork at officeFlexible hoursNight shift1 day per week- ...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
- ...Job Title Responsibilities and Qualifications: Receive inbound calls; calls may involve claims status, eligibility, and benefit information; proficient computer skills required. Will take both Member and Provider calls. Will be trained on the Avaya system. Bilingual...ClaimsImmediate startWork from homeShift work
- ...practice. This role ensures accurate account management, timely claim processing, and exceptional patient service regarding... ...Full-time regular Job Classification: Staff. Medical Billing Representative Job Family: Finance & Procurement Job Sub-Family: Medical...ClaimsFull timeWork at officeRemote workRelocationVisa sponsorshipFree visaMonday to Friday
$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$32k - $65k
...Customer Relations Representative - State Farm Agent Team Member Full Time in North Versailles... ..., coverages, policy changes, transfers, claim submissions and billing clarification. Use... ...licensing requirements and training programs required for the position sought. State...ClaimsFull timeFor contractorsRelocation package- ...Fast Track Sales Program The Fast Track Sales Program at TQL is designed for high-potential individuals who want to move faster and earn more than the traditional entry-level path. You'll build a career with an industry leader that offers an award-winning culture, high...Relocation
$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- ...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
- ...quality standards will be eligible to transition into additional programs and expanded responsibilities. Responsibilities What You’... ...with: Benefits, enrollment, and plan education Coverage, claims, billing, and payments Provider networks, referrals, and pre...ClaimsFull timeWork experience placementImmediate startRemote workWork from homeFlexible hoursAfternoon shift
- ...Set up vendors and customers for electronic payments and invoicing. Maintain records of open files, including PACA and truck claims, with proper documentation. Ensure sales staff follow accurate accounting procedures and record-keeping. Use the Transportation...ClaimsWork at officeLocal area
$1,000 per month
...services. The Client Services Specialist is responsible for gathering critical case details, assessing the viability of potential claims, and determining with guidance from the Intake Manager and Intake Attorney whether to proceed with onboarding the client. This...ClaimsWork experience placementCasual workWork at office$120k - $150k
...customer satisfaction. How will you make a difference? As a Program Manager you are responsible for the end-to-end delivery of... ...proposals (scope, cost, schedule, risk) Customer negotiations and claims positioning Actively manage: Earned value / cost vs...ClaimsContract workWork experience placementFor subcontractorWorldwideRelocation 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 workRemote workRelocation package- ...Account Representative, Senior The Account Representative, Senior is responsible for all fiscal functions necessary to ensure the prompt... ...patients. Account Representatives, Senior are responsible to: ensure claims are submitted accurately and timely; communicate with...ClaimsWork experience placementWork at office
$17.02 - $21.26 per hour
...long-term incentive packages, and other company-sponsored benefit programs. Primary Objective Performs a variety of customer service... ..., and notifying management of damaged shipments for freight claims. Operates crane forklift equipment. Maintains clean and organized...ClaimsTemporary workWork at office
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
- medical claims auditor Pittsburgh, PA
- claims associate Pittsburgh, PA
- claims attorney Pittsburgh, PA
- claims specialist remote
- claims assistant workers compensation
- dental claims analyst
- claims examiner ii
- insurance claims representative

