Sr. Claims Specialist Job at Robert Half (Hinsdale)

Fraud Customer Support Sr Specialist

If you’re a critical thinker, detail-oriented, and seek opportunities to continu...

Location

United States , Pittsburgh; Riverside

Salary:

22.00 - 25.00 USD / Hour

Citizens Bank

Expiration Date

Until further notice

Requirements

High school degree or equivalent
General PC troubleshooting and navigation skills and proficiency in Microsoft Office
Display effective telephone etiquette while actively listening and displaying empathy and understanding
Effective written and verbal communication skills

Job Responsibility

Handle routine customer fraud inquires in a fast-paced environment using critical thinking skills
Use active listening skills during customer interactions to apply analytical reasoning
Navigate multiple bank systems independently to understand issues and assess outcomes
Document within multiple systems with written clarity the proposed solutions or next steps
Provide accurate complete claims processing, and records management using established procedures

What we offer

comprehensive medical, dental and vision coverage
retirement benefits
maternity/paternity leave
flexible work arrangements
education reimbursement
wellness programs

Fulltime

Sr. Product Specialist

The Senior Specialist of Product Shared Services (Product Optimization) leads sp...

Location

United States

Salary:

Not provided

Healthfirst

Expiration Date

Until further notice

Requirements

Excellent communication skills and strong analytical ability required
Ability to work cross-functionally across departments
Ability to adapt to constant change and competing priorities and ability to manage multiple projects simultaneously
Must be able to think strategically while managing tactical execution
Excellent organizational/project management skills
Sense of urgency necessary to meet goals, objectives and deadlines
High School Diploma or GED

Job Responsibility

Participates in product driven workgroups to provide input to product designs/enhancements and implementation plans
Works closely with cross functional teams such as Enrollment & Billing, Claims, Member Services, Compliance, Sales, Finance, Clinical/Network Management, and senior management in implementing new products, product enhancements, business implementations and, end to end process improvements
Plans, schedules, monitors, and reports on activities related to a project or assignment
Keeps all areas of the corporation informed through written and oral reports. Ensures communication to all areas impacted
Serves as the subject matter expert on product requirements to other business units
Must be able to perform additional duties as required

What we offer

Medical, dental and vision coverage
Incentive and recognition programs
Life insurance
401k contributions

Fulltime

Sr. Benefits Specialist

We are looking for a skilled Sr. Benefits Specialist to join our team in Pasaden...

Location

United States , Pasadena

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 5 years of experience in benefits administration or related roles
Proficiency in managing employee benefit plans, including health, dental, vision, and retirement programs
Strong knowledge of FMLA policies and disability benefits
Experience with ADP Workforce Now or similar HR management systems
Demonstrated ability to analyze and optimize benefits packages
Familiarity with 401(k) administration, including enrollments and reporting
Exceptional organizational and communication skills to manage employee inquiries and data
Ability to ensure compliance with regulatory requirements and company policies

Job Responsibility

Administer comprehensive benefits programs, including health, dental, vision, life, disability, and voluntary options, ensuring accuracy and compliance
Manage employee enrollment processes, handle status changes, and resolve claims efficiently
Maintain updated and accessible benefits resources across internal platforms to support employees
Oversee retirement plans such as 401(k), including enrollments, loans, withdrawals, and reporting
Provide guidance and support to employees regarding FMLA and other leave policies
Collaborate with payroll and HR teams to ensure seamless integration and execution of benefits
Analyze benefit packages and provide recommendations to optimize offerings
Verify and monitor employee benefits to ensure eligibility and accuracy
Utilize ADP Workforce Now to manage benefits administration tasks effectively
Conduct regular audits and reporting to ensure compliance with regulations and company policies

What we offer

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

Sr. EHS Specialist

Nemera is a world leader in the design, development and manufacturing of drug de...

Location

United States , Vernon Hills, Illinois

Salary:

95000.00 - 135000.00 USD / Year

Nemera

Expiration Date

Until further notice

Requirements

Maintaining confidential information
Good verbal and written communication skills
Ability to engage in crucial conversations
Ability to deliver training clearly and effectively
Proficient in Microsoft Office Suite
Proficient with managing information in electronic databases
Excellent organizational skills and attention to detail
Collecting and diligently analyzing data
Communicating data clearly
Presenting information effectively

Job Responsibility

Conducting 6S (Sort, Set in Order, Shine, Standardize, Safety, Sustain) walkthroughs of production and non-production areas
Identifying and escalating EHS issues to the appropriate internal department managers or external company contacts
Assisting with department and area EHS inspections during the audit preparation process and audit events, related to Customer audits, ISO audits, and other third-party audits and assessments
Ensuring compliance with site EHS procedures and policies
Participating in daily production meetings and shift startup meetings when requested to communicate EHS information
Participating in monthly meetings with site management and global EHS team members
Maintaining knowledge of the current facility layout, locations of EHS equipment, EHS policies, and EHS procedures
Delivering EHS training as indicated on the training matrix and delivering EHS orientation training when scheduled by Human Resources
Partnering with internal or third-party training resources when needed
Completing assigned training in online LMS (Learning Management System)

Fulltime

Sr. Medical Billing Collections Specialist

A Surgery Medical Group that is connected to a large Hospital system is seeking ...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

3+ years of experience in medical revenue cycle
Strong experience with appeals, denials management, and insurance collections
Experience with EPIC reporting and running operational or billing reports
Background in physician billing and/or surgery billing
Advanced analytical and problem-solving skills
Proficiency in Microsoft Excel, including reporting and data analysis functions
Strong attention to detail, communication, and follow-up skills

Job Responsibility

Manage and resolve insurance denials and appeals in a timely and accurate manner
Perform insurance collections and follow up on outstanding claims to maximize reimbursement
Analyze revenue cycle trends and identify root causes of billing and reimbursement issues
Run, review, and interpret reports in EPIC to support operational and financial performance
Prepare recurring and ad hoc reports related to denials, appeals, collections, and billing activity
Support physician and/or surgery billing processes, ensuring accuracy and compliance with payer requirements
Use Excel to track metrics, analyze data, and create reporting tools
Collaborate with internal teams to improve workflow efficiency and revenue cycle outcomes

What we offer

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

Sr. Customer Service Representative

We are looking for a detail-oriented individual to support workers’ compensation...

Location

United States , Atlanta

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Experience handling workers’ compensation claims with a strong understanding of claim lifecycle management and resolution practices
Knowledge of Georgia workers’ compensation rules, reporting obligations, and payment requirements
Ability to investigate claims, interpret documentation, and make sound decisions based on available facts
Skill in preparing clear written reports, recommendations, and claim-related correspondence
Proficiency in claims processing, claims data review, and use of claims management or claims edit systems
Strong communication skills for working effectively with employees, supervisors, medical providers, attorneys, and regulatory contacts
High attention to detail with the ability to maintain organized records and manage multiple deadlines in a fast-paced environment

Job Responsibility

Manage workers’ compensation cases from intake through resolution, applying Georgia regulations and established claim practices throughout the process
Examine claim details, incident information, and supporting documentation to determine appropriate next steps and claim direction
Produce clear written summaries, recommendations, and status updates that capture findings and support informed decision-making
Coordinate with injured employees, leaders, physicians, rehabilitation specialists, and state workers’ compensation contacts to facilitate recovery and return-to-work planning
Oversee the timely handling of medical and wage-related payments, while maintaining accurate files and submitting required state reporting within deadlines
Complete daily administrative activities such as opening new claims, reviewing incident materials, and updating claim records
Partner with legal counsel by supplying claim information, documentation, and case support for matters involving litigation
Identify recovery opportunities, including subrogation and applicable trust fund matters, and pursue them within required timeframes
Provide additional operational support as needed, including related assignments that assist broader departmental or field activities

What we offer

medical, vision, dental, and life and disability insurance
enrollment in company 401(k) plan

Fulltime

Paint Specialist

Responsible for building and maintaining relationships with PBE customers to ens...

Location

United States , Mission

Salary:

Not provided

O'Reilly Auto Parts

Expiration Date

Until further notice

Requirements

Strong communication skills both verbal and written
Ability to quickly match alphanumeric sequences
Ability to provide outstanding, friendly, and professional customer service
Must be able to multitask, handling customers on the phone and in the store at the same time

Job Responsibility

Build and maintain relationships with PBE customers to ensure consistent and profitable sales growth
Responsible for color formula lookup and mixing of custom OEM colors
Provide technical assistance and use PBE sales tools to provide customers, both retail and professional, with the highest level of service
Work with Store Manager to set and accomplish PBE sales goals
Works with PBE customers, both retail & professional, to develop strong relationships
Offer color matching expertise and paint product selection advice
Identify OEM paint codes, enter formulas on the formula retrieval computer and mix and tint paint according to paint manufacturer specifications
Utilize color matching tools (ColorNet, Paint Manager, variant decks, spectrophotometers, etc…)
Maintain the mixing room, scale(s), mixing machine(s) and paint counter, providing a clean and safe environment
Manage all PBE inventory including, but not limited to, checking in and putting up stock, completing monthly cycle counts, and working with the Store Manager to add new products and remove dead inventory

What we offer

Competitive Wages & Paid Time Off
Stock Purchase Plan & 401k with Employer Contributions Starting Day One
Medical, Dental, & Vision Insurance with Optional Flexible Spending Account (FSA)
Team Member Health/Wellbeing Programs
Tuition Educational Assistance Programs
Opportunities for Career Growth

Fulltime

Sr. Director, Land Acquisition – Right of Way (ROW)

The Sr Director, Land Aquisition / Right-of-Way (ROW) - Fiber Optic Networks, is...

Location

United States , Denver

Salary:

185000.00 - 200000.00 USD / Year

Southeast Utilities of Georgia LLC

Expiration Date

Until further notice

Requirements

A bachelor’s degree in business, real estate, law, engineering, or related field is required. In lieu of a bachelor’s degree, 10+ years of progressive experience in the Right-of-Way industry may be acceptable.
A minimum of 5 years of progressive experience in site acquisition with at least 2 years in a leadership or supervisory role.
Direct and extensive experience within the telecommunications (fiber optic network deployment) industry is required.
Proven experience in complex negotiations for easements, licenses, permits, and property acquisitions with diverse stakeholders (private, commercial, municipal, utility, tribal).
Demonstrated expertise in interpreting legal documents, title research, and land agreements.
Strong understanding of project lifecycles, budget management, and operational efficiency within a fast-paced construction environment.
Excellent written and verbal communication, negotiation, and interpersonal skills with the ability to build and maintain positive relationships with diverse stakeholders.
Technical Proficiency: Proficient in Microsoft Office Suite (Word, Excel, PowerPoint) and experience with GIS/GPS systems and ROW management software.
Problem-Solving: Strong critical thinking, analytical, and problem-solving skills with the ability to make sound decisions under pressure.
Travel: Ability to travel 25% to 50% of the time, as business needs dictate, to project sites and stakeholder meetings.

Job Responsibility

Develop and implement comprehensive ROW acquisition strategies and intended outcomes for the scope, schedule, budget, and quality tailored for fiber optic network expansion and maintenance.
Serve as the primary lead for acquiring property and rights-of-way, negotiating and securing any state and local licensing, access agreements, easements, permits, and other land-use documents necessary for conduit, and fiber construction and deployment.
Lead negotiations with private landowners, commercial businesses, utilities, municipalities, and federal/state/county agencies for the purchase, lease, or use of property and rights-of-way.
Provide support in the development of the Request for Proposal (RFP)
Review and approve acquisition terms, ensuring alignment with project budgets, schedules, and legal requirements.
Oversee the preparation, execution, and recordation of all necessary legal instruments and ensure timely compensation payments, including collaboration with legal partners.
Interpret and enforce existing ROW agreements, easements, and permits, ensuring company assets are protected, and restrictions are observed by all parties.
Administrate planned and unplanned encroachments on fiber infrastructure, including negotiation of resolutions and enforcement of land use agreements.
Conduct or oversee detailed public and private record searches, title investigations, and inquiries to satisfy title requirements for fiber network projects.
Collaborate closely with legal counsel, engineering, construction, and project management teams on all ROW-related issues and interpretations.

What we offer

Medical, Dental & Vision Benefits
401(k) Program with a Company Match.
Free Wellness Resources & Marketplace Discounts
Paid Maternity & Parental Leave
Paid Basic Life Insurance & Voluntary Options

Fulltime

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Sr. Claims Specialist

Job Description

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Requirements

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