- Zurich NA (Honolulu, HI)
- Associate Degree Apprenticeship Program - F&I Claims - Multiple Locations (Summer 2025) 115858 **_Zurich North America's Apprentice Program_** Zurich is ... 16th through July 14th. About the program: Our innovative General Insurance Apprentice Program allows participants to simultaneously gain their **_first-time… more
- Highmark Health (Honolulu, HI)
- …errors and/or performing quality control review and final adjudication of paper/electronic claims . Determines whether to return, deny or pay claims following ... historical claim processing information. **ESSENTIAL RESPONSIBILITIES:** + Receives and processes claims to include entering/verifying claims data; determines if… more
- Adecco US, Inc. (Honolulu, HI)
- Hiring Immediately for Claims Processor Associate jobs at a local client. 1-2 years experience necessary. Weekly pay starts at $13.00-$15.00 per hour, openings ... shift. Apply now and schedule an immediate interview! + Associate 's degree required + Strong MS Office and computer...skills required + Answer customer phone calls + Process claims documents + Troubleshoot and resolve customer issues/complaints +… more
- UMB Bank (Honolulu, HI)
- **Duties & Responsibilities** The Manager, Card Fraud Claims , will oversee and manage the UMB card fraud claims process, ensuring timely and accurate resolution ... team of fraud analysts and assist in developing strategies to mitigate card fraud claims risk. This role will also assist with the oversight and management of… more
- Humana (Honolulu, HI)
- …of our caring community and help us put health first** The Senior Pharmacy Claims Professional adjudicates pharmacy claims and process pharmacy claims for ... data requires an in-depth evaluation of variable factors. The Senior Pharmacy Claims Professional oversees processes and ensures accuracy for pharmacy point of sale… more
- Humana (Honolulu, HI)
- …part of our caring community and help us put health first** The Claims Financial Recovery Coding Specialist /Medical Coding Coordinator 2 for the Financial Recovery ... Team, is responsible for analysis of overpaid claims and makes appropriate determinations based on strong knowledge of coding guidelines, claims procedures,… more
- Trustmark (Honolulu, HI)
- …the best to our colleagues, clients and communities. Responsible for overseeing a claims processing organization. Ensures claims are processed in a timely manner ... in accordance and compliant with government regulations. Develops claims adjudication policies and procedures that maximize the accuracy of claims payments.… more
- Trustmark (Honolulu, HI)
- …colleagues, clients and communities. Responsible for reviewing and processing claims including, identifying irregularities and reviewing for accuracy, and ... Critical Care. **Key Accounabilities:** + Demonstrates strong understanding and performs claims handling processes and procedures related to Wellness, Hospital and… more
- Zurich NA (Honolulu, HI)
- …prior experience required in the Clerical Support area OR + Zurich Certified Insurance Apprentice including an Associate Degree and No prior experience required ... Claims Call Center Representative 116763 Zurich is a...strong attention to detail and solid problem-solving skills + Insurance knowledge preferred Compensation for roles at Zurich varies… more
- Takeda Pharmaceuticals (Honolulu, HI)
- …in order to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director, Global Labeling Lead where you will be responsible for the ... to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure...may be eligible to participate in medical, dental, vision insurance , a 401(k) plan and company match, short-term and… more
- Walmart (Honolulu, HI)
- …Floor in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... digital tools to drive sales, improve the shopping experience, and elevate associate engagement; utilizing hand held technology to make immediate business decisions… more
- Evolent Health (Honolulu, HI)
- …or SQL, or similar analytical software to analyze clinical authorization and healthcare claims data + Using analytical tools to integrate various data sources to ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- Walmart (Honolulu, HI)
- …area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up, ... dental coverage - Financial benefits include 401(k), stock purchase and company-paid life insurance - Paid time off benefits include PTO, parental leave, family care… more
- Hawaii Pacific Health (Honolulu, HI)
- …receivable cycle. This includes: accurate and timely preparation and submission of claims and statements to third party payers and patients/guarantors; follow-up on ... accounts receivables with third party payers and patients to complete the insurance collection process; and handling third party payer and patient questions/concerns… more
- Zurich NA (Honolulu, HI)
- …of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 3 or more years of ... the Underwriting or Market Facing areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and...Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and… more
- Humana (Honolulu, HI)
- …determine who can work them and then assigning the case to the next available associate to work. You will be responsible for communicating via email and MedHok to ... focused on continuously improving consumer experiences **Preferred Qualifications** + Associate 's or Bachelor's Degree + Previous experience with MedHok, PaHub,… more
- Conviva (Honolulu, HI)
- …environment. **Required Qualifications** + Minimum of three years related experience as Claims Processor, Insurance Billing and/or Collections. + Knowledge of ... submission and processing of medical claims (HCFA 1500 forms). + Knowledge of government, commercial, policies and procedures. + Knowledge of HIPAA compliance rules… more
- Humana (Honolulu, HI)
- …put health first** Business Intelligence Engineers on the Provider Intelligence and Claims Analytics (PICA) team solve complex business problems and issues using ... of the appropriate courses of action. About Our Team The Provider Intelligence and Claims Analytics (PICA) team is a blend of experts and leaders in various fields… more
- Queen's Health System (Honolulu, HI)
- RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: * Follows-up on payment with insurance payers and patients on outstanding accounts. * Expedites larger dollar ... accounts to ensure prompt payment. Monitors to ensure all insurance balances are paid in a timely manner. *...third party payor requirements, as assigned. * Ensures accurate claims submission to optimize revenue for the Medical Center,… more
- Zurich NA (Honolulu, HI)
- …also responsible for research, development of products and related coverages for Crop insurance products. The role can work from any Zurich office or remote, ... of experience in the Product Development area AND * Insurance experience in Crop line of business * Underwriting...experience in Crop line of business * Underwriting and/or Claims experience **Preferred Qualifications** **:** + 5+ years working… more