Claims Auditor/trainer Job at Robert Half (Oakland)

Claims Auditor/Trainer

Unlock Your Next Career Move: Claims Auditor/Trainer Are you meticulous, complia...

Location

United States , Oakland

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High school diploma, GED or equivalent
Four or more years of medical claims payment experience in an HMO environment
Experience with CPT-4, ICD-9CM, RBRVS, ASA, and HCPCS
Understanding of Medicare Guidelines and COB
Knowledge of medical terminology
Experience in benefit determination and claims adjudication
Understanding of detail oriented and facility reimbursement methodologies
Strong organizational skills
Computer proficiency with Microsoft Office
Knowledge of claims adjudication systems (Easy Cap a plus)

Job Responsibility

Conduct audits of processed claims (paid, pending, denied) to verify accuracy in medical coding (ICD-10, CPT, HCPCS), benefit application, and compliance with California's Knox-Keene Act and Medi-Cal regulations
Develop and deliver training for Claims Examiners, including creation of educational materials on workflows, policy updates, and new technologies
Investigate complex claim issues, provider disputes, and appeals
identify root causes for systemic issues and recommend corrective actions
Track and report statistical data on MSO quality and production
Prepare regular reports for management
Maintain current knowledge of state and federal billing laws (CMS/Medicare) to ensure compliance and readiness for audits

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan
free online training

New

Sr District Manager, Branch Network

The Senior District Manager reports directly to the Director, Branch Network. Th...

Location

United States , Lake Forest

Salary:

102300.00 - 170500.00 USD / Year

W. W. Grainger

Expiration Date

Until further notice

Requirements

Bachelor's Degree required
5+ years of Customer Service leadership experience
Strong business and financial acumen
Continuous Improvement mindset and the ability to teach process control
Ability to coach, lead, motivate, develop leaders and high-performance teams and inspire results through others
Demonstrates the ability to lead initiatives, manage large scale projects and execute change leadership
Comfortable in operating in a matrix environment
Able to facilitate the alignment of cross-functional groups
Must have excellent presentation skills, strong customer focus
Able to demonstrate situational leadership and lead others not directly under his or her control

Job Responsibility

Responsible for implementing Company strategy at a district level within the branch network
Lead assigned branches in the implementation, monitoring, and measurement of core processes, safety, inventory accuracy, standard work, risk management and customer satisfaction
Lead leaders to become the customer's first choice for the products and services they need
Build strong internal and external partnerships to facilitate success
Lead Branch Leaders in their understanding, implementation, and execution of performance and operational excellence
Lead Branch Leaders in their understanding and commitment to live the Grainger values
Collaborate across Sales, KeepStock, Supply Chain, and other channels to ensure operational excellence
Work with Grainger Real Estate and Finance to ensure optimal utilization of current and future branch locations
Work with Finance to provide the necessary analysis and planning to determine future network configuration and design
Provide leadership on analyzing and managing the district by balancing cost and service

What we offer

Medical, dental, vision, and life insurance plans with coverage starting on day one of employment
6 free sessions each year with a licensed therapist
18 paid time off (PTO) days annually for full-time employees
6 company holidays per year
6% company contribution to a 401(k) Retirement Savings Plan each pay period
Employee discounts
tuition reimbursement
student loan refinancing
free access to financial counseling, education, and tools
Maternity support programs

Fulltime

New

Maths Teacher

St. Louis School Archinto is seeking a well-qualified and enthusiastic Mathemati...

Location

Italy , Milan

Salary:

Not provided

International School of Bergamo

Expiration Date

Until further notice

Requirements

A degree in Mathematics or a closely related field
A recognised teaching qualification
Experience teaching Mathematics at upper secondary level
Strong understanding of IB Diploma assessment requirements
Excellent organisational and communication skills
Legal right to live and work in Italy (EU passport or valid work permit)

Job Responsibility

Teach Mathematics within the IB Diploma Programme (Analysis & Approaches and/or Applications & Interpretation)
Plan and deliver high-quality, concept-driven lessons aligned with IB philosophy
Prepare students for Internal Assessments and IB external examinations
Monitor and track student progress, providing constructive feedback
Contribute to collaborative planning, moderation and curriculum development
Maintain high standards of academic integrity and classroom practice
Engage positively with parents and the wider school community
Contribute to the wider life of the school through meetings, events and activities
Uphold safeguarding and child protection procedures at all times

Fulltime

New

Shift Supervisor

We’re building a world of health around every individual — shaping a more connec...

Location

United States , Hamden

Salary:

18.94 - 27.94 USD / Hour

CVS Health

Expiration Date

July 08, 2026

Requirements

Deductive reasoning ability, analytical skills and computer skills
Advanced communication skills and supervision skills
Ability to work a flexible schedule, including some early morning, overnight and weekend shifts, to work overtime as needed, and to respond to urgent issues at the store when they arise

Job Responsibility

Work effectively with store management and store crews
Supervise the store's crew through assigning, directing and following up of all activities
Effectively communicate information both to and from store management and crews
Assist customers with their questions, problems and complaints
Promote CVS customer service culture. (Greet, offer help, and thank)
Handle all customer relations issues in accordance with company policy and promote a positive shopping experience for all CVS customers
Maintain customer/patient confidentiality
Price merchandise
Stock shelves
Execute the displays, sign and inventory of weekly, promotional, and seasonal merchandise

What we offer

medical insurance
dental insurance
vision coverage
paid time off
retirement savings options
wellness programs

Fulltime

New

Part-time Screen Shop Technician (Seasonal)

General Summary The Screen Repair Technician, Customer Fulfillment Center, will...

Location

United States , Livonia

Salary:

16.50 USD / Hour

ACE Hardware

Expiration Date

Until further notice

Requirements

High School or GED equivalent
Ability to read and interpret documents such as safety rules, manufacture assembly directions, operating and maintenance instructions and procedure manuals
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals
Ability to compute rate, ratio, and percentage and to draw and interpret bar graphs
Ability to work independently
Ability to work flexible hours
Effective communication skills (verbal and written)
Ability to foster teamwork and collaboration and motivate others both internal and external to perform enthusiastically
Standing, walking, bending, lifting (up to 50lbs) regularly, and lifting (up to 100lbs) occasionally with assistance, and climbing

Job Responsibility

Repair customer’s screens by completing all the necessary tasks: Measures the frame of the screen and determine the amount of screen needed to repair the screen
Cuts screen off the roll to fit inside of the frame
Rolls spline and press it into the frame
Replace the plastic/aluminum corners as well as bent or damaged frame parts
Place repaired screen in appropriate location
Perform other related duties and special projects as they are assigned
Follows safety measures and maintains a clean worksite upon completion of daily tasks
Reports on all customer satisfaction issues to management
Must be able to communicate effectively and professionally with co-workers and customers
A continuous pattern of regular and prompt attendance is required along with the ability to work a flexible schedule including weekends and holidays

Parttime

New

Staff Accountant

A hospitality and restaurant company is seeking a hands-on Accountant to support...

Location

United States , Montverde

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

3+ years of accounting experience
Experience in hospitality, restaurant, or real estate highly preferred
Strong hands-on experience with accounts payable, accounts receivable, inventory, billing, and month-end close required
Experience with QuickBooks, Jonas, Sage or MIP experience is a plus is a plus
Bachelor’s degree in Accounting, Finance, or related field preferred
Strong attention to detail, organizational skills, and ability to work in a fast-paced environment
Ability to work fully onsite in a collaborative office setting

Job Responsibility

Review and support accounts payable functions to ensure invoices are processed accurately and timely
Review and support accounts receivable activities, including cash applications, collections follow-up, and account reconciliation
Maintain and monitor inventory records, reconciliations, and related reporting
Assist with and review billing processes to ensure accuracy, completeness, and timely invoicing
Participate in the month-end close process, including journal entries, account reconciliations, accruals, and supporting schedules
Prepare and maintain general ledger account reconciliations and investigate discrepancies
Support the preparation of internal financial reports and other accounting analyses as needed
Work closely with operations and management to ensure accurate accounting for business activity and inventory movement
Help maintain organized financial records and support improvements to accounting processes and controls
Utilize accounting systems and spreadsheets to manage financial data

What we offer

Medical, vision, dental, and life and disability insurance
Company 401(k) plan

Fulltime

New

MFL Spanish Teacher

King's College School, Cascais, part of the prestigious Inspired Education Group...

Location

Portugal , Cascais

Salary:

Not provided

International School of Bergamo

Expiration Date

Until further notice

Requirements

A recognised teaching qualification and a degree in Spanish Language, Hispanic Studies, or a closely related field
Strong experience teaching Spanish as a foreign language, preferably within an international school or Cambridge curriculum context
Excellent subject knowledge and a passion for inspiring students to appreciate Spanish language and culture
Outstanding organisational, communication, and classroom-management skills
A reflective, innovative mindset with a commitment to continuous professional development
Ability to speak other languages such as Portuguese or French is a strong advantage

Job Responsibility

Deliver well-planned and inspiring Spanish lessons aligned with the Cambridge curriculum and whole-school academic expectations
Foster language acquisition, intercultural understanding, and effective communication skills through high-quality teaching and learning
Assess, monitor, and report on student progress with accuracy and consistency, maintaining high academic standards
Contribute to curriculum development and the ongoing improvement of schemes of work, resources, and assessment practices
Support and collaborate with Modern Foreign Languages Department colleagues, promoting strong pedagogy and continual professional growth
Ensure inclusive teaching strategies that support students of all abilities, including those with diverse learning needs
Enhance the MFL co-curricular programme through clubs, cultural events, competitions, and enrichment opportunities
Contribute to the pastoral care of students and promote wellbeing, resilience, and a passion for language learning

Fulltime

New

Account Manager, Commercial

Location

United States , Nashville

Salary:

62300.00 - 103900.00 USD / Year

W. W. Grainger

Expiration Date

Until further notice

Requirements

High School Diploma/GED
3+ years direct outside sales experience
Sales forecasting opportunity management and customer planning
Travel required to each customer within aligned market at least once per month, or more frequently where needed
Process discipline, ability to align planning goals with a pipeline development process to grow market revenue
Ability to utilize sales process to uncover customer objections/concerns, and determine appropriate solutions

Job Responsibility

Understand customer goals and remain alert and responsive to changing customer needs
Demonstrate knowledge of market data and access to resources to quickly respond to new developments in the customer's business
Oversee support of managed inventory tasks to guide greater understanding of the customers, increase contacts within the customer group and increase sales results
Understand Grainger's Value Proposition by providing solutions to grow profitable sales
Develop account penetration strategies to include regular business reviews for essential customers to maximize sales

What we offer

Medical, dental, vision, and life insurance plans with coverage starting on day one of employment and 6 free sessions each year with a licensed therapist
18 paid time off (PTO) days annually for full-time employees and 6 company holidays per year
6% company contribution to a 401(k) Retirement Savings Plan each pay period, no employee contribution required
Employee discounts, tuition reimbursement, student loan refinancing and free access to financial counseling, education, and tools
Maternity support programs, nursing benefits, and up to 14 weeks paid leave for birth parents and up to 4 weeks paid leave for non-birth parents

Fulltime

Claims Auditor/trainer

Robert Half

Location:
United States , Oakland

Category:
Insurance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
March 18, 2026

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Job Description:

Job Responsibility:

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