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
life and disability insurance
401(k) plan

New

Retail Market Operations Trainee

Our mission at Circle K is to make our customers' lives a little easier every da...

Location

United States of America , Lisle

Salary:

18.00 - 26.00 USD / Hour

Circle K

Expiration Date

Until further notice

Requirements

Degree in business management or related field
Quantitative aptitude or experience managing budgets
Leadership and decision-making ability
Excellent time management and organizational skills
Exceptional interpersonal skills
Excellent written and verbal communication
Analytical mindset and problem-solving skill
Retail experience is highly desirable
Valid driver’s license

Job Responsibility

Recruiting, training and disciplining store managers
Ensuring operational efficiency in each store
Ensuring that marketing efforts are consistent across each store
Setting regional goals such as sales estimates and revenue projections
Ensuring that the stores under their supervision adhere to company and industry regulations
Ensuring that all stores meet safety and cleanliness standards
Managing a regional budget and ensuring that each store operates within the budget
Monitoring each store's P&L reports
Addressing operational problems that arise
Liaising between regional branches and company headquarters

What we offer

Competitive Pay
Bonus Program
Company Car
Cell Phone/Plan
Tuition Forgiveness/Reimbursement
Accelerated career path (Market Manager in as little as nine months)
Company sponsored healthcare, dental care, vision and a 401-K retirement plan

Fulltime

New

Surveillance Investigator

Allied Universal® is hiring a Surveillance Investigator. The Surveillance Invest...

Location

United States , Kerrville

Salary:

Not provided

Allied Universal®

Expiration Date

Until further notice

Requirements

High school diploma or equivalent
Post offer, must be able to successfully complete the Allied Universal Investigations' training/orientation course
Minimum of one (1) year of verifiable work experience, preferably involving investigations or other protective service-related field
Flexibility to work varied and irregular hours/days including weekends and holidays
Ability to type reports in Microsoft Word format with minimal grammatical and punctuation errors
Proficient in utilizing laptop computers, video cameras and cell phones
Capable of maintaining focus and multitasking effectively in a dynamic environment
Demonstrated ability to manage stressful situations with composure and professionalism
Ability to work in a very independent environment

Job Responsibility

Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability
Utilize various surveillance techniques and equipment to monitor subjects covertly
Document and report observations, activities, and any relevant information in a clear and concise manner
Collaborate with other investigators and law enforcement agencies as needed to gather information and coordinate efforts
Maintain confidentiality and adhere to legal and ethical standards in conducting surveillance operations

What we offer

Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance
Seven paid holidays annually, sick days available where required by law
Vacation time offered at an initial accrual rate of 3.08 hours biweekly
Auto and travel allowances

Fulltime

New

Staff Accountant

Our growing client is seeking a detail-oriented Staff Accountant to join their g...

Location

United States , Elmer

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Associate or Bachelor's degree in Accounting or Finance
3-5 years of public accounting experience
CPA strongly preferred
Financial Reporting & Tax Preparation exposure
UltraTax preferred
Advanced Microsoft Excel & Word
Excellent communication skills

Job Responsibility

Prepare journal entries, general ledger reconciliations and account analysis
Assist with daily accounting functions
Reconcile and monitor collection accounts
Ensure compliance with applicable standards (GAAP)
Reconcile bank statements and financial accounts
Monitor the record keeping system
Prepare daily credit card transactions
Assist with audits and provide supporting documentation needed

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Fulltime

New

Pharmacy Technician

At CVS Health, we are focused on transforming health care for our customers and ...

Location

United States , Bethlehem

Salary:

16.50 - 25.00 USD / Hour

CVS Health

Expiration Date

July 07, 2026

Requirements

Must comply with any state board of pharmacy requirements or laws governing the practice of pharmacy, which includes but is not limited to, age, education, and licensure/certification
If the state board of pharmacy does not address or mandate a minimum age requirement, must be at least 16 years of age
If the state board of pharmacy does not address or mandate a minimum educational requirement, must have a high school diploma or equivalent, or be actively enrolled in high school or high school equivalency program
State-level licensure and national certification requirements vary by state

Job Responsibility

Living our purpose by following all company SOPs at each workstation to help our Pharmacists manage and improve patient health
Following pharmacy workflow procedures at each pharmacy workstation (i.e., production, pick-up, drive-thru, and drop-off) for safe and accurate prescription fulfillment
Contributing to positive patient experiences by showing empathy and genuine care: creating heartfelt and personalized moments while serving patients at pick-up, drive-thru, and over the phone
keeping patients healthy by offering immunizations and other services at the register and over the phone
and demonstrating compassionate care by solving or escalating patient problems
Completing basic inventory activities, as permitted by law, and as directed by the pharmacy leadership team, such as accurately putting away medication deliveries and completing cycle counts, returns-to-stocks, waiting bin inventories, etc.
Contributing to a high-performing team, embracing a growth mindset, and being receptive to feedback
actively seeking opportunities to expand clinical and technical knowledge needed to better assist patients
Remaining flexible for both scheduling and business needs, while contributing to a safe, inclusive, and engaging team dynamic
voluntarily traveling to stores in the market to work shifts as needed by the business

What we offer

dental
vision
wellness resources
employee discounts
access to certain voluntary benefits
other programs

Parttime

New

Surveillance Investigator

Allied Universal® is hiring a Surveillance Investigator. The Surveillance Invest...

Location

United States , Austin

Salary:

Not provided

Allied Universal®

Expiration Date

Until further notice

Requirements

High school diploma or equivalent
Post offer, must be able to successfully complete the Allied Universal Investigations' training/orientation course
Minimum of one (1) year of verifiable work experience, preferably involving investigations or other protective service-related field
Flexibility to work varied and irregular hours/days including weekends and holidays
Ability to type reports in Microsoft Word format with minimal grammatical and punctuation errors
Proficient in utilizing laptop computers, video cameras and cell phones
Capable of maintaining focus and multitasking effectively in a dynamic environment
Demonstrated ability to manage stressful situations with composure and professionalism
Ability to work in a very independent environment
Must possess a valid driver's license with at least one year of driving experience

Job Responsibility

Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability
Utilize various surveillance techniques and equipment to monitor subjects covertly
Document and report observations, activities, and any relevant information in a clear and concise manner
Collaborate with other investigators and law enforcement agencies as needed to gather information and coordinate efforts
Maintain confidentiality and adhere to legal and ethical standards in conducting surveillance operations

What we offer

Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance
Seven paid holidays annually, sick days available where required by law
Vacation time offered at an initial accrual rate of 3.08 hours biweekly
Auto and travel allowances

Fulltime

New

Director, Services Lead Ap-Europe-Eemea — Corporate Solutions

Our Purpose Mastercard powers economies and empowers people in 200+ countries an...

Location

United Kingdom , London

Salary:

Not provided

Mastercard

Expiration Date

Until further notice

Requirements

Education: Bachelor’s degree required
advanced degree preferred. Proven track record leading strategy, launching scalable products/services, and delivering commercial outcomes across complex, multi-market environments. Demonstrated P&L ownership and success against ambitious growth targets. Deep understanding of the payments industry and Commercial New Payment Flows
ability to leverage payments technology and innovation to solve client problems
strong financial and business acumen. People leadership experience
consultative problem-solving
executive-level communication and negotiation skills
comfort operating in highly matrixed, cross-functional settings. Abide by Mastercard’s security policies and practices
Ensure the confidentiality and integrity of the information being accessed
Report any suspected information security violation or breach
Complete all periodic mandatory security trainings in accordance with Mastercard’s guidelines.

Job Responsibility

Expand existing Services to CNPF (e.g., SSO, Loyalty, Deploy) by calibrating value propositions and GTM
identify and pilot with anchor clients to prove impact at pace and at scale. Build a segment-led service roadmap for Corporate Solutions, delivering 2–3 new flagship offerings over time, in partnership with product, studios, and analytics. Scale portfolio optimization—codify best practices, embed governance, and share playbooks across regions and segments. Build and execute the services GTM strategy for Corporate Solutions, including segmentation, value proposition, packaging, pricing, and channel motions (1:1 and scalable 1-to-many) aligned to CNPF priorities. Own the CNPF services sales pipeline by region (APEEMEA) across all relevant CNPF assets
forecast accurately and maintain healthy coverage ratios. Coordinate post-sale execution with the Services Delivery team to ensure time-to-value, quality outcomes, and referenceable success. Embed AI as a competitive advantage in services—partner with acquired SaaS businesses and internal platforms to identify high-impact use cases and launch at least one AI-enhanced service tied to measurable client outcomes. Establish a single source of truth for Corporate Solutions services revenues and pipeline
run a monthly performance cadence with clear KPIs, root-cause analysis, and corrective actions. Maximize commercial leverage by improving access to existing funds (e.g., CBA, markets) and strategically creating new funding mechanisms for scaled experiments and rollout. Facilitate best practice sharing across the regional teams. Elevate strategic interaction with key customers, fintechs, ecosystem partners, and C-suite stakeholders
build partnerships that accelerate adoption and growth. Provide internal and external thought leadership on CNPF services trends within Corporate Solutions
represent the business in forums, client councils, and industry events. Lead services GTM for B2B payables/receivables, virtual cards, procurement, expense and related enterprise workflows. Partner with CS Product, Data & Services, and account teams to craft solution bundles (e.g., Deploy + SSO + Analytics) that drive CFO/Procurement value. Ensure compliance/readiness across risk, controls, and regulatory requirements common in enterprise finance functions
maintain strong governance for cross-border and large-ticket flows.

Fulltime

New

Senior Accounting Manager

A large, well-established organization in Hudson County, NJ is seeking a Senior ...

Location

United States , Hoboken

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Bachelor's degree in Accounting or Finance
CPA preferred
5+ years of progressive accounting experience
Proven experience managing and developing teams
Strong background in AP, AR, and financial reporting
Hands-on experience with ASC 842 (lease accounting)
Excellent communication and presentation skills with the ability to interact with senior leadership
Strong analytical skills with a focus on process improvement and optimization

Job Responsibility

Oversee and manage Accounts Payable (AP) and Accounts Receivable (AR) teams, ensuring accuracy and efficiency
Lead month-end close process, including journal entries, reconciliations, and variance analysis
Drive financial reporting and support senior leadership with actionable insights
Optimize cash flow management, including forecasting cash and monitoring liquidity
Oversee and track capital expenditures (CapEx)
Develop and implement KPIs to improve operational and financial performance
Prepare and analyze AR aging reports and recommend collection strategies
Manage lease accounting in compliance with ASC 842
Ensure strong internal controls and support audit processes
Partner cross-functionally and present financial insights to executive leadership

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

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 13, 2026

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Location:United States , Oakland

Category:Insurance

Contract Type:Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:March 13, 2026

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