Entry-Level Claims Specialist
Found in: beBee jobs US - 2 weeks ago
Work for a local insurance company, voted one of Hawaii's Best Places to Work
As the Workers' Comp Claims Specialist, you will manage workers' compensation claims for medical only, lost time, and disfigurement. A current Hawaii worker's comp adjuster's license and basic understanding of workers' compensation laws, rules, and regulations is highly preferred. Candidates for this role must also be able to work independently, and collectively as a team with a heavy focus on customer service.
Parking stipend available.
Hours
Full-time, Monday to Friday, 7:30am-4:30pm
Location
Honolulu, Oahu
Pay
$35,000 to $42,000 a year
Responsibilities
- Review Employer's First Report of Injury (WC- 1) for accuracy and completion.
- Manage medical only, lost time and disfigurement claims. Assignments are based upon the assessment and determination of the Claims Manager.
- Complete 24-hour three-point contact to claimant, employer and physician. Secure formal statements from injured workers as deemed appropriate.
- Calculate average weekly wages and compensation rate. Issue timely indemnity benefits in compliance with Hawaii Revised Statutes (H.R.S.) 386.
- Identify any potential third party (subrogation).
- Process medical bills in compliance with Hawaii State Medical Fee Schedule and Claim Best Practices.
- Develop and implement claim strategies to facilitate case resolution. This may also include limited Triage and or TCM collaboration.
- Document and work within all Claims related systems to include but not limited to Guidewire, Image right, My Matrix (Express Scripts) and IQ Review (AMC Bills).
- Complete Reinsurance Reporting of financial exposures meeting the criteria ($250,000.00 and/or catastrophic).
- Establishes reserves based upon Probable Ultimate Cost.
- Attend hearings before the Director as deemed appropriate by Claim Management.
- Attend claim reviews on dedicated accounts as needed.
- Maintain current diary.
- Other duties as assigned.
Qualifications
- Current Hawaii Workers' Comp Adjuster's License preferred, but not required.
- Basic understanding of workers' compensation laws, rules, and regulations preferred. Medical and legal terminology a plus.
- Excellent customer service skills.
- Detail-oriented with high level of accuracy.
- Ability to maintain confidential information.
- Ability to work independently and collectively as a team.
- Excellent verbal and written communication skills.
- Proficiency in Microsoft Office applications preferred.
- Self-directed and flexible.
- Offer of employment contingent upon passing a state/federal background check and pre-employment drug test.
- Covid-19 vaccination required by client for this position. This is not an ALTRES Staffing requirement.
-
Accounts Receivable Specialist
Found in: beBee jobs US - 2 weeks ago
Honolulu, Hawaii, United States realjobshawaii Full timeAccounts Receivable Specialist (Medical Billing Are you a detail-oriented person and have previous accounts receivable experience? A local healthcare company is looking for someone to manage medical billing which includes processing denials for multiple clients/financial classes, running aging reports, handling periodic audits and ensuring all claims are...
-
Cash Poster Specialist
Found in: beBee jobs US - 1 week ago
Honolulu, Hawaii, United States Xtend Healthcare, LLC Full timeAbout Xtend HealthcareXtend Healthcare is a revenue cycle management company focused exclusively on the healthcare industry. The company's services range from full revenue cycle outsourcing, A/R legacy cleanup and extended business office to coding and consulting engagements. As part of Navient (Nasdaq: NAVI), Xtend taps the strength and scale of a...
-
Insurance Specialist II
Found in: beBee jobs US - 2 weeks ago
Honolulu, Hawaii, United States Xtend Healthcare, LLC Full timeXtend Healthcare is a revenue cycle management company focused exclusively on the healthcare industry. The company's services range from full revenue cycle outsourcing, A/R legacy cleanup and extended business office to coding and consulting engagements. As part of Navient (Nasdaq: NAVI), Xtend taps the strength and scale of a large-scale business processing...
-
hr specialist
Found in: beBee jobs US - 1 week ago
Honolulu, Hawaii, United States Department Of The Air Force Full timeSummary THIS IS A NATIONAL GUARD TITLE 5 EXCEPTED SERVICE POSITION.This National Guard position is for a HR SPECIALIST (TITLE 5), Position Description Number T5095000 and is part of the HI JFHQ AIR, National Guard. Duties SUMMARY OF DUTIES: The purpose of this position is to provide technical, procedural, and evaluative assistance in the area of employee...
-
Resident Support Specialist
Found in: beBee jobs US - 2 weeks ago
Honolulu, Hawaii, United States realjobshawaii Full timeFull-time, entry level position with benefits. Two positions available. One position is overnight hours, 5 days/week from 10pm-6am.The other position is a combination of morning (6am-2pm) and swing shifts (2p-10pm). The Resident Support Specialist overall responsibility is to maintain the safety, security, and accountability of Fernhurst Residence comprising...
-
Media Education Specialist
Found in: beBee jobs US - 1 week ago
Honolulu, Hawaii, United States realjobshawaii Full timeOlelo Community Media is Oahu's nonprofit Public, Education, and Government (PEG) access provider, created to empower community voices. The specific and primary purpose of Olelo is to promote the creation, production, and cable casting of programs by, for, and to Hawai'i. Such programs will be aimed at preserving, developing, and enhancing the diversity of...
-
Media Training Specialist
Found in: beBee jobs US - 2 weeks ago
Honolulu, Hawaii, United States realjobshawaii Full timeOlelo Community Media is Oahu's nonprofit Public, Education, and Government (PEG) access provider, created to empower community voices. The specific and primary purpose of Olelo is to promote the creation, production, and cable casting of programs by, for, and to Hawai'i. Such programs will be aimed at preserving, developing, and enhancing the diversity of...
-
Client Care Specialist
Found in: beBee jobs US - 1 week ago
Honolulu, Hawaii, United States ALTRES Staffing Full timeClient Care Specialist #CORPORATE_INDEEDWe have an immediate opening for a Client Care Specialist. In this crucial role, you will maintain an open communication stream with clients and help resolve customer concerns and questions.Applicants for this role should have two years of practical client service and/or human resources experience or a degree in...
-
Transportation Operations Specialist
Found in: beBee jobs US - 5 days ago
Honolulu, Hawaii, United States General Services Administration Full timeSummary This position is A Developmental Transportation Operations Specialist (Motor) using a basic foundation of transportation knowledge to independently perform routine administrative and analytical work of the organization.Location of position: General Services Administration (GSA), Federal Acquisition Service (FAS), Office of Fleet Management (QMD) in...
-
Visualization Specialist
Found in: beBee jobs US - 1 week ago
Honolulu, Hawaii, United States SAIC Career Site Full timeDescription SAIC is seeking a Visualization Specialist in Honolulu, HI to support the United States Army Pacific Command (USARPAC) Task Order (TO) to support data visualization techniques to help explain complex issues and inform potential improvements. Employ technical findings into graphical, written, visual, and verbal narrative products on existing data...
-
Sales Recruitment Specialist
Found in: beBee jobs US - 1 week ago
Honolulu, Hawaii, United States ALTRES Staffing Full timeSales Recruitment Specialist #CORPORATE_INDEEDThe Sales Recruitment Specialist is responsible for proactively sourcing viable candidates for all open positions within the medical division at a local employment administration company. You will join a team that invests in relationships, strives for customer service excellence and consistently reaches higher to...
-
Ground Truth Data Specialists
Found in: beBee jobs US - 1 week ago
Honolulu, Hawaii, United States SAIC Career Site Full timeDescription We are seeking Ground Truth Data Specialists at all levels of experience (Junior thru Senior and SME) to support the United States Army Pacific Command (USARPAC) Task Order (TO). We are currently assembling our team of experienced professionals with a broad range of intelligence, operations, planning, data, training, and logistics solutions on...
-
Accounting Technician
Found in: beBee jobs US - 1 week ago
Honolulu, Hawaii, United States Department Of The Navy Full timeSummary This position is assigned to the Support Services Office; Fleet & Family Readiness Division, Navy Region Hawaii; CNIC; Non appropriated Fund (NAF) Regional Accounting Office; Joint Base Pearl Harbor Hickam, HI. The primary purpose of this position is to perform a full range of accounting technician duties related to non-appropriated fund (NAF)...
-
Accountant
Found in: beBee jobs US - 3 days ago
Honolulu, Hawaii, United States realjobshawaii Full timeAccountant A local non-profit is seeking an experienced accountant to join their team and be responsible for the day-to-day duties of the finance department. Duties include reconciling bank statements, managing financial transactions, and creating journal entries.The ideal candidate will have their associate's degree and 3 years of accounting...
-
Medical Billing Manager
Found in: beBee jobs US - 1 week ago
Honolulu, Hawaii, United States realjobshawaii Full timeAbout usProject Vision Hawai'i provides services (health screenings, vaccines, hearing and vision screening, diabetic retinopathy exams, vision exams, street medicine, as well as case management, CIS, housing, SNAP, and health insurance application assistance) in communities with significant access-to-care challenges related to income, lack of insurance,...
-
Accounting Professionals
Found in: beBee jobs US - 2 weeks ago
Honolulu, Hawaii, United States ALTRES Staffing Full timeAccounting Professionals (AccGen4)Calling all accounting professionals ALTRES Staffing is currently recruiting accounting professionals for over 20 different positions islandwide. Whether you're looking for a new job opportunity, better benefits, or a higher income, we can helpAccounting ClerksAccounting SpecialistsBookkeekeepersPayroll...
-
Information Technology Specialist
Found in: beBee jobs US - 1 week ago
Honolulu, Hawaii, United States realjobshawaii Full timeJob Title: Information Technology SpecialistJob Reports To:: Executive Director _X__ Exempt ___ Non-Exempt Major Responsibilities/ActivitiesHas a clear understanding of the concept and values of ALOHA and is able to uplift, uphold and exercise these values within the workplace, and communities we serve. Develops and inspires a culture of aloha, positivity,...
-
Specialty Pharmacy Patient Care Assistant
Found in: beBee jobs US - 1 week ago
Honolulu, Hawaii, United States ALTRES Staffing Full timeSpecialty Pharmacy Patient Care Assistant A local pharmacy is looking for a Patient Care Assistant to help process Specialty Pharmacy orders. In this role, you will assist with all facets of patient care from initiation of therapy, assessing drug and supply usage, picking and packing orders, and maintaining supply stock levels.This is a great opportunity for...
-
Air Traffic Control Instructor at HCF
Found in: beBee jobs US - 2 weeks ago
Honolulu, Hawaii, United States SAIC Career Site Full timeDescription "ATTN FERS RETIREES: Earnings received as an ATC Instructor, ATC Training Instructional Supervisor, or Contractor Site Supervisor working on this program are EXEMPT from the Supplemental Annuity earnings limits for FERS retirees between the ages of 56 and 62."We are looking for an experienced, Part time, Air Traffic Control Instructor to join...
-
Benefits Generalist
Found in: beBee jobs US - 1 week ago
Honolulu, Hawaii, United States ALTRES Staffing Full timeBenefits Generalist Seeking a Benefits Generalist for a full-time opening with a company that has been family owned and operated for over 80 yearsIn this role, you will be responsible for administering employee benefits programs, collaborating with benefit providers, coordinating open enrollments, and maintaining benefits-related data and records.The ideal...