We are looking for a dedicated Claims Associate to join our team on a long-term contract basis in Sunrise, Florida. In this role, you will handle medical claims processing, member communications, and ensure compliance with industry standards. This position offers an opportunity to utilize your expertise in medical claims and billing while providing excellent customer service.<br><br>Responsibilities:<br>• Process new claims by setting them up, completing required forms, scanning documents, and ensuring all claims are accurately processed.<br>• Communicate with healthcare providers to gather additional documentation needed for claim evaluations.<br>• Assess coverage for submitted claims, verifying details through internal systems and attaching supporting documents.<br>• Send clear and thorough correspondence to members explaining the claim adjudication process.<br>• Provide empathetic and detail-oriented customer service, actively listening to member concerns.<br>• Act as a subject matter expert on benefit coverage and product knowledge, assisting members with inquiries.<br>• Maintain strict confidentiality and follow data security and authentication protocols when handling sensitive information.<br>• Organize and prioritize tasks to meet established service standards and benchmarks.<br>• Collaborate effectively in a fast-paced environment to ensure timely claim resolutions.<br>• Ensure compliance with relevant policies, procedures, and regulations while managing member and payment information.
<p>Robert Half is working with an accounting/back-office transformation firm. They help growing companies move beyond QuickBooks and inefficient processes by redesigning their accounting operations using proprietary AI tools and hands-on expertise.</p><p>This is a high-impact, early-stage role with direct exposure to leadership and meaningful growth opportunity.</p><p><br></p><p>The Accounting Solutions role will work directly with clients to assess accounting processes, redesign workflows, and implement AI-enabled solutions. This is a client-facing advisory role focused on transformation—not traditional bookkeeping or routine close work.</p><p>Responsibilities</p><ul><li>Evaluate and diagnose client accounting processes</li><li>Redesign workflows to improve efficiency and accuracy</li><li>Support implementation of AI-enabled accounting solutions</li><li>Lead portions of client transformation projects</li><li>Test and refine internal AI tools</li><li>Communicate recommendations clearly to clients and leadership</li></ul><p>Qualifications<strong>:</strong></p><ul><li>Bachelor’s degree in Accounting</li><li>3–5 years of experience in public accounting (audit preferred) or strong corporate accounting experience</li><li>Strong understanding of GAAP, revenue recognition, accrual accounting, month-end close, internal controls, and inventory costing</li><li>Excellent communication and client-facing skills</li><li>Entrepreneurial mindset with comfort in a fast-paced, evolving environment</li><li>Interest in AI and process automation</li><li>Ability to work onsite, four days per week</li></ul><p>Preferred:</p><ul><li>CPA (active or exams passed)</li><li>Experience with mid-market accounting systems</li><li>System implementation experience</li><li>Strong Excel and analytical skills</li></ul><p><br></p>