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Recipient Rights Jobs in Chicago, IL (NOW HIRING)

Senior Claims Examiner

Chicago, IL · On-site

$80K - $110K/yr

With minimal supervision, drafts coverage letters, including reservation of rights and denial ... level recipient of Cigna's Healthy Workforce Designation for having a best-in-class health and ...

With minimal supervision, drafts complex coverage letters, including reservation of rights and ... Recipient of 2024 Cigna's Well-Being Award for having a best-in-class health and wellness program

iOS Engineer II

Chicago, IL · On-site

$177K/yr

All rights reserved. Trademarks and logos are the property of their respective owners. CST: 2029030 ... Never provide sensitive, personal information to someone unless you're confident who the recipient ...

iOS Engineer II

Chicago, IL · On-site

$177K/yr

All rights reserved. Trademarks and logos are the property of their respective owners. CST: 2029030 ... Never provide sensitive, personal information to someone unless you're confident who the recipient ...

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Recipient Rights information

What are some common challenges faced by Recipient Rights Officers in ensuring compliance within healthcare organizations?

Recipient Rights Officers often encounter challenges such as balancing advocacy for individuals with mental health needs while ensuring organizational policies are followed. Addressing complaints impartially can be complex, especially when navigating sensitive issues or potential conflicts between staff and recipients. Officers must also stay current with evolving regulations and provide regular training to staff, which requires strong communication and organizational skills. Collaboration with clinical teams, administrators, and external agencies is essential to effectively resolve rights-related issues and maintain a culture of respect and compliance.

What are the key skills and qualifications needed to thrive as a Recipient Rights Officer, and why are they important?

To thrive as a Recipient Rights Officer, you generally need a background in human services, social work, or a related field, along with knowledge of mental health laws and recipient rights regulations. Familiarity with case management systems, state databases, and auditing or investigative tools is typical, and some states require specific certifications or training. Strong interpersonal skills, critical thinking, and the ability to handle sensitive situations with discretion and impartiality are crucial soft skills. These competencies ensure the effective protection of clients' rights, compliance with legal standards, and the fair resolution of complaints in mental health or human services settings.

What are Recipient Rights?

Recipient Rights refer to the legal protections and guarantees for individuals receiving mental health services or other forms of care, ensuring they are treated with dignity, respect, and fairness. These rights safeguard recipients from abuse, neglect, exploitation, and discrimination while accessing services. The role of a Recipient Rights Officer is to educate recipients and staff about these rights, investigate complaints, and help resolve issues to ensure compliance with state and federal laws. Recipient Rights are critical in maintaining a safe and supportive environment for all individuals receiving care.

What is the difference between Recipient Rights vs Recipient Rights Investigator?

AspectRecipient RightsRecipient Rights Investigator
CertificationsTypically requires certification in Recipient Rights or related compliance trainingRequires similar certifications, often with additional investigative training
Work EnvironmentWorks within organizations to ensure compliance with rights policiesConducts investigations into rights violations within organizations
Employer & IndustryUsed by healthcare, social services, and mental health agenciesEmployed in similar settings, focusing on rights violations investigations

Recipient Rights professionals focus on ensuring individuals' rights are protected and compliance is maintained, while Recipient Rights Investigators specifically handle the investigation of rights violations. Both roles require similar certifications and work within the same industry environments, but their core functions differ: one emphasizes prevention and policy adherence, the other emphasizes investigation and resolution.

What cities near Chicago, IL are hiring for Recipient Rights jobs? Cities near Chicago, IL with the most Recipient Rights job openings:

Senior Claims Examiner

Hiscox

Chicago, IL • On-site

$80K - $110K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 10 days ago


Job description

Job Type:

Permanent

Build a brilliant future with Hiscox

Bring your Passion and Enthusiasm to our Team! We are a fun, innovative and growing Claims team where you'll get the opportunity to learn multiple insurance products and interact with business leaders across the organization.

Please note this position is hybrid and requires working in office a minimum of two (2) days per week. Position can be based in the following locations:

  • Atlanta, GA

  • Boston, MA

  • Chicago, IL

  • Manhattan, NY

  • Scottsdale, AZ

  • West Hartford, CT

The Role:

The Senior Claims Examiner adjudicates assigned claims within given authority and provides operational support to the claims team. This person also:

  • Adjusts and resolves moderate to complex claims that includes all phases of litigation

  • Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities

  • With minimal supervision, drafts coverage letters, including reservation of rights and denial letters

  • Reviews and analyses claim documentation and legal filings to set timely and accurate a reserves and notify the manager if upward segmentation is needed

  • Identifies emerging exposures and claims trends

  • Drives litigation best practices to manage deployment and utilization of defense counsel

  • Identifies suspected fraudulent claims and tracks with special investigations unit

  • Participates in Claims Projectsas needed

The Team:

The US Claims team at Hiscox is a growing group of professionals working together to provide superior customer service and claims handling expertise. The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our insured and broker partners. With strong growth across the US business, the Claims team is focused on delivering profitability while reinforcing Hiscox's strong brand built on a long history of outstanding claims handling.

Requirements:

  • 3-5 years of claims handling experience in the area of commercial general liability with an insurance carrier

  • Advanced knowledge of claims analysis and adjusting practices In depth knowledge of standards for claims documentation and legal filings

  • Proven ability to actively and effectively negotiate settlement of moderate to complex claims

  • Experience in mentoring and training other claims examiners

  • Advanced analytical skills Strong verbal and written communication skills Active insurance adjuster's license

  • B.A./B.S degree from an accredited College or University preferred

What Hiscox USA Offers:

  • 401(k) with competitive company matching

  • Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care)

  • Company paid group term life, short- term disability and long-term disability coverage

  • 24 Paid time off days plus 2 Hiscox days,10 paid holidays plus 1 paid floating holiday, and ability to purchase up to 5 PTO days

  • Paid parental leave

  • 4-week paid sabbatical after every 5 years of service

  • Financial Adoption Assistance and Medical Travel Reimbursement Programs

  • Annual reimbursement up to $600 for health club membership or fees associated with any fitness program

  • Company paid subscription to Headspace to support employees' mental health and wellbeing

  • 2024 Gold level recipient of Cigna's Healthy Workforce Designation for having a best-in-class health and wellness program

  • Dynamic, creative and values-driven culture

  • Modern and open office spaces, complimentary drinks

  • Spirit of volunteerism, social responsibility and community involvement, including matching charitable donations for qualifying non-profits via our sister non-profit company, the Hiscox USA Foundation

About Hiscox USA:

Hiscox USA was established in 2006 to focus primarily on the needs of small and middle market commercial clients, via both the broker and direct distribution channels and is today the fastest-growing business unit within the Hiscox Group.

Today, Hiscox USA has a talent force of over 400 employees operating out of several major cities - New York, Atlanta, Chicago, Scottsdale, and West Hartford. Hiscox USA offers a broad portfolio of commercial products, including technology, cyber & data risk, multiple professional liability lines, media, entertainment, management liability, crime, kidnap & ransom, commercial property and terrorism.

Salary Range: $80,000-$110,000

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

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