Manager, Claims
7 days ago
- Manage and lead a claims team by providing training, mentorship, and best practice solutions.
- Manage daily operations of the claims team, including inventory analysis, tracking and resolution of claims
- Serve as the escalation point for complex or disputed claims and drive resolution within defined SLA.
- Monitor and analyze key performance indicators (KPIs) and take corrective actions to improve efficiency, accuracy, and customer satisfaction
- Collaborate with key stakeholders to include underwriting, LOB, legal, servicing teams to ensure a consistent and integrated approach to accurate and timely claims processing.
- Maintain documentation, audit trails, and reporting in line with internal controls and external compliance requirements.
- Contribute to the development and implementation of new policies, procedures, and systems to improve claims operations.
#LI-Hybrid
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Manager, Claims
1 week ago
Honolulu, HI, United States Hawaii Medical Service Association Full timeManage and lead a claims team by providing training, mentorship, and best practice solutions. Manage daily operations of the claims team, including inventory analysis, tracking and resolution of claims Serve as the escalation point for complex or disputed claims and drive resolution within defined SLA. Monitor and analyze key performance indicators (KPIs)...
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Manager, Claims
2 weeks ago
Honolulu, HI, United States Hawaii Medical Service Association Full timeManage and lead a claims team by providing training, mentorship, and best practice solutions. Manage daily operations of the claims team, including inventory analysis, tracking and resolution of claims Serve as the escalation point for complex or disputed claims and drive resolution within defined SLA. Monitor and analyze key performance indicators (KPIs)...
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Manager, Claims
2 weeks ago
Honolulu, HI, United States Hawaii Medical Service Association Full timeManage and lead a claims team by providing training, mentorship, and best practice solutions. Manage daily operations of the claims team, including inventory analysis, tracking and resolution of claims Serve as the escalation point for complex or disputed claims and drive resolution within defined SLA. Monitor and analyze key performance indicators (KPIs)...
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Manager, Claims
2 weeks ago
Honolulu, HI, United States Hawaii Medical Service Association Full timeManage and lead a claims team by providing training, mentorship, and best practice solutions. Manage daily operations of the claims team, including inventory analysis, tracking and resolution of claims Serve as the escalation point for complex or disputed claims and drive resolution within defined SLA. Monitor and analyze key performance indicators (KPIs)...
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Manager, Claims
5 days ago
Honolulu, HI, United States Hawaii Medical Service Association Full timeManage and lead a claims team by providing training, mentorship, and best practice solutions. Manage daily operations of the claims team, including inventory analysis, tracking and resolution of claims Serve as the escalation point for complex or disputed claims and drive resolution within defined SLA. Monitor and analyze key performance indicators (KPIs)...
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Claims Specialist
2 weeks ago
Honolulu, HI, United States Island Holdings Full timeSummary: Under minimal to no supervision, reviews, investigates, evaluates, negotiates and resolves a variety of multi-line casualty claims including but not limited to disputed liability, personal injury, coverage disputes, and contract based losses, and specialty claims of a complex nature. Independently handles all aspects of assigned claim inventory in...
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Director, Claims Operations
1 week ago
Honolulu, HI, United States Hawaii Medical Service Association Full timeDesign and lead execution of strategic plans to streamline operations, reduce claim turnaround time, meet accuracy requirements and improve first-pass adjudication rates. Ensure all claims are processed in accordance with member benefits, provider contracts, regulatory requirements, and internal policies. Drive operational quality programs, ensure we are...
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Director, Claims Operations
2 weeks ago
Honolulu, HI, United States Hawaii Medical Service Association Full timeDesign and lead execution of strategic plans to streamline operations, reduce claim turnaround time, meet accuracy requirements and improve first-pass adjudication rates. Ensure all claims are processed in accordance with member benefits, provider contracts, regulatory requirements, and internal policies. Drive operational quality programs, ensure we are...
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Director, Claims Operations
2 weeks ago
Honolulu, HI, United States Hawaii Medical Service Association Full timeDesign and lead execution of strategic plans to streamline operations, reduce claim turnaround time, meet accuracy requirements and improve first-pass adjudication rates. Ensure all claims are processed in accordance with member benefits, provider contracts, regulatory requirements, and internal policies. Drive operational quality programs, ensure we are...
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Director, Claims Operations
1 week ago
Honolulu, HI, United States Hawaii Medical Service Association Full timeDesign and lead execution of strategic plans to streamline operations, reduce claim turnaround time, meet accuracy requirements and improve first-pass adjudication rates. Ensure all claims are processed in accordance with member benefits, provider contracts, regulatory requirements, and internal policies. Drive operational quality programs, ensure we are...
