Claim Processor/Customer Service
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
- ...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
- ...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
- ...reimbursement from third‑party carriers, government programs and Health Maintenance Organizations in the areas of claims submission and/or account follow‑up. Requires... ...or claims. Communicate via phone with various representatives, both internally and externally is necessary....ClaimsLocal areaRemote workFlexible hours
$25k
...inquiries, and provide ongoing support while representing our company on the road. Position... ...Investigate and help resolve product claims and complaints, recommending corrective... ...Additional Life & AD&D) ~ Employee Assistance Program ~401(k) with generous company match...ClaimsTemporary workWork at office- ...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
$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$55k
...Outside Sales Representative As an Outside Sales Representative, you will develop new prospects... ...and effectively, and report potential claims. Keep management informed of local... ...Carry out sales and merchandise programs as directed, and recommend new items for...ClaimsFull timeLocal areaFlexible hoursNight shift- Description Bolton & Menk is seeking a Construction Project Representative through our DOD SkillBridge Program. SkillBridge is a Department of Defense (DOD) program that helps service members gain civilian work experience. As a Top Workplace, this is a fantastic chance...Contract workTemporary workFor contractorsWork experience placementFor subcontractorLive inRelocationFlexible hours
$50k - $80k
...client accounts and update information in the database. Assist clients with policy changes and inquiries. Process insurance claims and follow up with clients on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications...ClaimsFor contractorsWork at officeFlexible hours- ...every day. The Role We are seeking a Technical Service Representative to join our team and help drive our continued success. This... ...concerning products and complaints. Administer RMA claims in the warranty program including customer contact, data entry, disposition of claims...ClaimsFull timeWork at office
$50k - $80k
...client accounts and update information in the database. Assist clients with policy changes and inquiries. Process insurance claims and follow up with clients on claim status. Coordinate with underwriters to ensure timely policy issuance. QUALIFICATIONS:...ClaimsFor contractorsWork at officeFlexible hours- DOD SkillBridge Program - Construction Project Representative The DOD SkillBridge Program is a Department of Defense initiative that helps service members gain civilian work experience. Bolton & Menk, with 75 years of experience, offers a 3‑month immersive experience working...Contract workTemporary workFor contractorsWork experience placementFor subcontractorLive inRelocationFlexible hours
- ...Client Representative, Plan Administrator (Group Benefits) The Client Representative, Plan Administrator (Group Benefits) located in Milwaukee... ...Execute effective resolutions on service needs, including claims, billing, eligibility, licensing, commissions, web access,...ClaimsWork at office
$55k - $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. Qualifications...ClaimsFor contractorsWork at officeFlexible hours- A leading claims adjusting firm in the United States is seeking Licensed Claims Adjusters ready to embark on a rewarding career. Enjoy... ...lives of clients affected by disasters. Comprehensive training programs are available to ensure your success in the field. Contact us...Claims
$70k - $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. QUALIFICATIONS:...ClaimsFor contractorsWork at officeFlexible hours- ...sales. We will give you access to the best on the job training available to build your capabilities through our Sales Development Program. Come join the best and learn from the best! The sky is not the limit on your career growth opportunity.Key Responsibilities:Work on...Full timeLive inLocal area
$120k - $250k
...remodeling for over two decades, is immediately hiring Outside Sales Representatives. In this role, you will be the face of our brand, using... ...networking, perform exterior inspections, assist homeowner in claim process or retail quote. Enter data using our mobile canvass...ClaimsFull timeWork at officeLocal areaImmediate startDay shiftAfternoon shift- ...Account Representative Immediate need for a talented Account Representative. This is a six-month contract opportunity with long-term potential... ...Execute effective resolutions on service needs, including claims, billing, eligibility, licensing, commissions, web access,...ClaimsContract workImmediate start
$35.36k - $54.08k
...appropriate changes were made to resolve customers' problems. Contact customers in order to respond to inquiries or to notify them of claim results and any planned adjustments; refer unresolved customer complaints to designated departments for further action. Obtain...ClaimsMinimum wageFull timeTemporary workWork at officeLocal areaRemote workMonday to Friday$35.36k - $54.08k
...appropriate changes were made to resolve customers' problems. Contact customers in order to respond to inquiries or to notify them of claim results and any planned adjustments; refer unresolved customer complaints to designated departments for further action. Obtain...ClaimsMinimum wageFull timeTemporary workWork at officeLocal areaRemote workMonday to Friday- ...experiences by building trust and developing strong customer relationships Responds to customer inquiries regarding coverages, billing, claims, or products by following established agency processes and procedures Drives customer satisfaction by following best practices:...ClaimsHourly payWork at office
$26 - $35 per hour
...in Waukesha, Wisconsin is looking to hire a Customer Support Representative to join their team! This position is direct hire, onsite and requires... ...a schedule that works for everyone. Process warranty claims and any applicable credit memos. Proactively contacts customers...Claims$400 per month
...boundaries with innovative AI solutions that simplify and enhance the claims and repair journey. Through purposeful innovation and the... ...Ensure timely, accurate data is submitted to support our audit programs, reporting, and automotive market valuation Work independently...ClaimsHourly payExtra incomeCasual workImmediate startFlexible hoursWeekday work$400 per month
...boundaries with innovative AI solutions that simplify and enhance the claims and repair journey. Through purposeful innovation and the... ...Ensure timely, accurate data is submitted to support our audit programs, reporting, and automotive market valuationWork independently...ClaimsHourly payExtra incomeCasual workImmediate startFlexible hoursWeekday work- ...0pm Job Responsibilities The Care-Plus Member Service Representative is responsible for the accurate and timely explanation of insurance... ...account management and registration of new member accounts, claims, EOBs, pre-authorizations to resolving discrepancies for...ClaimsTemporary workWork at officeImmediate startMonday to Thursday
- ...Specialist provides assistance with the administration of benefit programs including but not limited to health insurance and disability... ...track leave of absence/disability programs to ensure employee claims are processed and paid timely. Administer benefit enrollment system...ClaimsPermanent employmentTemporary workWork at officeLocal area
- ...advanced statistical and machine learning models that improve claims outcomes, operational efficiency, and risk management. Serve... ..., and predictive analytics methodologies. ~ Strong programming skills in Python, R, or similar analytical languages. ~ Extensive...ClaimsRemote work
- ...their Milwaukee team. This role will oversee a nationwide roofing program spanning reroofs, overlays, repairs, coatings, storm response,... ...registration, tracking, and enforcement Support insurance claims related to hail, wind, and other storm events Coordinate with adjusters...ClaimsFull timeFor contractorsWork at office
- ...processing of payments. Customer Service Representatives will work in a company office or home... ..., complex denials and charge disputes, claim resubmissions, eligibility issues, and... ...recommends payment options and/or assistance programs in accordance with client guidelines...ClaimsWork experience placementWork at officeRemote workWork from homeHome office
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