ESIS WC Claims Professional
6 days ago
In this role, you will investigate and settle claims promptly, equitably, and within established best practices guidelines. You will work under the direction of the Claims Team Leader and collaborate with claimants, customers, insureds, brokers, attorneys, and other stakeholders.
Key responsibilities include:
- Receiving assignments and reviewing claim and policy information
- Contacting and interviewing insureds, claimants, witnesses, physicians, attorneys, police officers, etc.
- Evaluating facts supplied by investigation to determine extent of liability of the insured
- Preparing reports on investigation, settlements, denials of claims, individual evaluation of involved parties, etc.
You will also be responsible for setting reserves within authority limits, recommending reserve changes to Team Leader, and reviewing progress and status of claims.
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Healthcare Claims Analyst Professional
3 weeks ago
Honolulu, Hawaii, United States AlohaCare Full timeJoin Our Team as a Healthcare Claims AnalystAre you passionate about working in the healthcare industry and improving patient care? Do you have experience in claims processing and analysis?About AlohaCareAlohaCare is a local, non-profit health plan serving the Medicaid and Medicare dual eligible population. We provide comprehensive managed care to qualifying...
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Claims Director
1 month ago
Honolulu, Hawaii, United States Trustmark Full timeTransform Lives and Drive Business Growth with TrustmarkAs a Claims Director at Trustmark, you will oversee a claims processing organization, ensuring timely and compliant claims resolution. You will develop and implement claims adjudication policies, evaluate cost-effectiveness, and drive strategic direction for the entire claims function. Your expertise...
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Claims Handler
6 days ago
Honolulu, Hawaii, United States Muraoka Insurance Group, Llc Full timeJob Summary: Muraoka Insurance Group, Llc is seeking a Claims Handler to join our team. In this role, you will be responsible for handling all incoming claim calls from customers, ensuring that they receive timely and efficient service. You will work closely with customers to understand their needs, resolve issues, and provide solutions to their concerns....
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Claims Leadership Director
1 week ago
Honolulu, Hawaii, United States Trustmark Full timeAt Trustmark, we're committed to helping people increase wellbeing through better health and greater financial security. As a Claims Leadership Director, you'll play a critical role in driving this mission forward.About the RoleThis leadership position oversees a claims processing organization, ensuring that claims are processed efficiently and in compliance...
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Administrative Support Professional
6 days ago
Honolulu, Hawaii, United States Helping Hands Hawaii Full timeJob Title: Administrative Support ProfessionalAbout the Role:The Administrative Support Professional is responsible for performing various record-keeping and communication activities to ensure the office runs efficiently. This includes assisting in maintaining the company's accounting records and providing exceptional customer...
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Client Support Professional
3 weeks ago
Honolulu, Hawaii, United States TEKsystems Full timeAbout the RoleThis is a client-facing position that requires exceptional customer service skills and interpersonal communication skills. The ideal candidate will be able to manage difficult situations, respond promptly to client needs, and solicit feedback to improve service.The role involves responding to requests for service and assistance from clients,...
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Clinical Pharmacist Professional
1 month ago
Honolulu, Hawaii, United States Lifelancer Full timeAbout Clinical Pharmacists at Lifelancer. Job Title: Clinical Pharmacist Professional. Job Location: Remote, HI, USA Job Type: Full-time Job Seniority Level: This is a clinical professional position on our Medical Management/Health Services team.Job Summary:We are seeking an experienced Clinical Pharmacist to join our team in Honolulu, HI. As a Clinical...
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Pharmaceutical Professional Opportunities
1 month ago
Honolulu, Hawaii, United States Lifelancer Full timeJob OpportunityWe are seeking an experienced Pharmaceutical Professional to join our team at Lifelancer in the life sciences, pharma and IT domains.About the RoleThis is a remote position based in Hawaii. The ideal candidate will have a strong background in pharmacy and be able to work effectively as part of a small team.Key ResponsibilitiesProcess prior...
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Practice Management Professional
1 week ago
Honolulu, Hawaii, United States Aligned Dental Partners Full timeJob ResponsibilitiesSupport daily clinical and non-clinical operations by enforcing office policies and protocolsOversee the delivery of quality patient careWork to achieve a healthy accounts receivable statusProcess insurance claimsStreamline operational procedures and implement solutions to increase office productivity and efficiencyMaintain all hygiene...
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Clinical Pharmacist
4 weeks ago
Honolulu, Hawaii, United States Lifelancer Full timeJob Title: Clinical Pharmacist - Pharmaceutical Professional.Job Summary:We are seeking a skilled clinical pharmacist to join our team at Lifelancer, a talent-hiring platform in Life Sciences, Pharma and IT. As a clinical pharmacist, you will be responsible for processing prior authorization and medical necessity requests for our members. The ideal candidate...
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Insurance Account Executive
6 days ago
Honolulu, Hawaii, United States Muraoka Insurance Group, Llc Full timeJob Title: Insurance Account ExecutiveWe are seeking a motivated and customer-focused Insurance Account Executive to join our team at Muraoka Insurance Group, Llc.The successful candidate will be responsible for providing exceptional customer service, handling incoming claims calls, and fostering strong relationships with clients to maintain high levels of...
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Dental Operations Director
4 weeks ago
Honolulu, Hawaii, United States Aligned Dental Partners Full timeJob OverviewWe are seeking an experienced dental professional to lead our daily clinical and non-clinical operations at our thriving private family dental practice in Honolulu.ResponsibilitiesSpearhead the delivery of quality patient care by enforcing office policies and protocols.Optimize accounts receivable to achieve a healthy status.Present treatment...
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Telehealth Therapist
2 weeks ago
Honolulu, Hawaii, United States Rula Health Full timeAbout Rula HealthRula Health is a cutting-edge behavioral health solution that partners with licensed clinicians to deliver high-quality care to individuals, couples, and families. Our comprehensive platform streamlines administrative tasks, allowing providers to focus on what they do best: helping clients thrive.We are expanding our network of licensed...
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Compensation Specialist
7 days ago
Honolulu, Hawaii, United States National Benefit Services, LLC Full timeWe are seeking a highly motivated Compensation Specialist - Benefits Coordination to join our team at National Benefit Services, LLC.About the Role:The ideal candidate will be responsible for answering participant phone calls, responding to emails, and reviewing reimbursement claims. The successful applicant must have strong typing and 10-key skills,...
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Customer Collections Specialist
4 weeks ago
Honolulu, Hawaii, United States Helping Hands Hawaii Full timeJob SummaryWe are seeking a highly organized and detail-oriented Customer Collections Specialist to join our team at Helping Hands Hawaii.About the RoleThis position is responsible for managing and collecting overdue funds from customers. As a Customer Collections Specialist, you will be accountable for maximizing cash receipts, maintaining accurate records,...
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Insurance Service Representative
6 days ago
Honolulu, Hawaii, United States Muraoka Insurance Group, Llc Full timeJob Title: Insurance Service RepresentativeAt Muraoka Insurance Group, Llc, we are seeking a highly motivated and customer-focused individual to join our team as an Insurance Service Representative. This is a full-time opportunity for a dynamic professional who can provide exceptional service to our clients and support the growth of our business.We offer an...
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Customer Experience Associate
6 days ago
Honolulu, Hawaii, United States Muraoka Insurance Group, Llc Full timeRole Overview: As a Customer Experience Associate at Muraoka Insurance Group, Llc, you will play a critical role in delivering exceptional customer service and support to our clients. We are looking for a professional who can effectively communicate with customers, respond to their needs, and provide solutions to their concerns. The ideal candidate will...
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Hawaii Therapist Opportunities
1 week ago
Honolulu, Hawaii, United States Rula Health Full timeAbout Rula HealthRula Health is a comprehensive behavioral health solution that empowers licensed clinicians to deliver high-quality care to individuals, couples, and families. By streamlining administrative tasks, we allow our providers to focus on what matters most: helping clients achieve their goals.We are expanding our network of licensed therapists in...
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State Farm Team Member
2 weeks ago
Honolulu, Hawaii, United States Ryan Miyashita - State Farm Agent Full timeWe are looking for a highly skilled Customer Service Representative to join our dynamic team at Ryan Miyashita - State Farm Agent. This is an excellent opportunity for individuals interested in building their career in customer service.About the RoleThis position involves establishing strong relationships with customers and providing top-notch service.Key...
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Customer Service Representative
1 week ago
Honolulu, Hawaii, United States Zenith American Full timeThe Zenith American Solutions team is seeking an experienced Customer Care Advocate to join our national operations. As a valued member of our customer service team, you will provide exceptional support to participants, beneficiaries, union locals, and providers regarding eligibility, benefits, and claims status.Estimated Annual Salary: $45,000 - $55,000We...