Pathways Recent Graduate Railroad Retirement Claims Examiner
Successful Recent Graduate Railroad Retirement Claims Examiner applicants are placed in a dynamic, one-year development program with the potential for a civil service career at the RRB following the completion of the program. The Recent Graduate Railroad Retirement Claims Examiner program is open to individuals who have recently graduated from qualifying educational institutions or programs. Additional eligibility and program requirements can be found on the USAJobs.gov job announcement and interested candidates must apply through the USAJobs.gov website at this link:
Specific responsibilities of a Pathways Recent Graduate Railroad Retirement Claims Examiner include:
Retirement Benefits Section
- Evaluate applications for retirement railroad retirement annuities.
- Make a wide variety of determinations on eligibility and entitlement requirements.
- Process initial and routine adjustments to railroad retirement annuity payments and denials.
- Process initial and routine adjustments to social security benefits certified to the Board for payment.
- Initiate development or follow-up action if more information is needed to process an application.
- Prepare correspondence to explain aspects of cases to field offices, annuitants, attorneys, etc.
Survivor Benefits Section
- Evaluate applications for survivor railroad retirement annuities.
- Make a wide variety of determinations on eligibility and entitlement requirements.
- Process initial and routine adjustments to railroad retirement annuity payments and denials.
- Process initial and routine adjustments to social security benefits certified to the Board for payment.
- Initiate development or follow-up action if more information is needed to process an application.
- Prepare correspondence to explain aspects of cases to field offices, annuitants, attorneys, etc.
Medicare Section
- Review claimant's statements and other material submitted, and evidence on imaging systems or claim folders, and evaluate and determine validity and approve or deny enrollment.
- Investigate complaints from enrollees to resolve issues involving benefits and services under the Medicare Program.
- Respond to inquiries using a variety of form letters and originally composed letters.
- Pay premium refunds through the Medicare Payment System (MPS).
- Initiate investigations in cases involving suspicion of fraud, over utilization, and/or irregularity of billing procedures such as claims for Medicare coverage for services performed after report of death.
- Enroll beneficiaries, assign pseudo numbers, explain options, initiate direct billing, deny enrollment, determine and prepare arrearages and penalties, refund premiums and take necessary actions to maintain Medicare records.
The Selecting Official will determine which section the selected candidates will be placed in.