- Kelly Services (Honolulu, HI)
- **NOW HIRING: Temp-to-Hire Claims Specialist - Dental Agency (Honolulu, HI)** **Now Hiring: Claims Specialist ** **Location:** Honolulu, Hawaii **Pay ... **Position Summary** Join a reputable dental agency in Honolulu as a Claims Specialist ! Under the supervision of the Claims Supervisor, you'll perform… more
- Amentum (Honolulu, HI)
- …approximately 80 countries across all 7 continents. **Defense Base Act (DBA) Claims Specialist :** Responsible for reporting Foreign (DBA), and Maritime ... activities/projects as assigned including the preparation and distribution of computer reports. ** Claims Specialist Requirements:** + 3-5 years of experience as… more
- Carrington (Honolulu, HI)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... identified during the Quality Review Process, communicating findings to Loss Specialist for remediation. Ensure Loss Specialist provides corrections as… more
- CVS Health (Honolulu, HI)
- …handle customer service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Sedgwick (Honolulu, HI)
- …Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims ... and RESPONSIBILITIES** + Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and sufficient information… more
- Cardinal Health (Honolulu, HI)
- …- 4:30 PM EST (or based on business need)** **_What Accounts Receivable Specialist contributes to Cardinal Health_** Account Receivable Specialist is responsible ... for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following...and submitting claims to payers, correcting rejected claims , following up on unpaid and denied claims… more
- Travelers Insurance Company (Honolulu, HI)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims by completing essential… more
- Zurich NA (Honolulu, HI)
- Sr Supplier Medical Process Specialist 128416 Zurich North America is seeking am experienced Sr. Supplier Medical Process Specialist to join our team in one of ... to work/life balance, and outstanding culture. As a Sr. Supplier Medical Process Specialist , you will manage supplier performance and work product in area(s) of… more
- CDM Smith (Honolulu, HI)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- Cardinal Health (Honolulu, HI)
- …as required, necessary, or appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance claims ; properly ... account receivables performance and client satisfaction. + Resolves complex insurance claims , including appeals and denials, to ensure timely and accurate… more
- Magellan Health Services (Honolulu, HI)
- …(RAPIDS) sites. + Serves as ID Card/Common Access Card (CAC) customer service specialist trained and certified by the Defense Manpower Data Center (DMDC). + Delivers ... in one of the following disciplines: Military Pay, Military Personnel, Travel Claims or Navy Transportation. Substitutions for HR background can be from similar… more
- Queen's Health System (Honolulu, HI)
- …health plans and other third party payor requirements. * Ensures accurate claims submission to optimize revenue for the Medical Center. II. TYPICAL PHYSICAL ... desirable. B. EXPERIENCE: * One (1) year experience in medical insurance claims processing or billing. An Associate's or Bachelor's degree in business… more
- Naval Education and Training Command (Pearl Harbor, HI)
- Summary You will serve as a MILITARY SUPPORT SPECIALIST in the SURFCOMSYSTRNCMD DET MIDDLE PACIFIC. Responsibilities You will provide technical and advisory ... experience requirement? Is there a basic education requirement for this position? Any claims you make in your resume regarding education or degrees MUST be supported… more
- Carrington (Honolulu, HI)
- …Bankruptcy Ledger Experience Required to be Considered!** The Bankruptcy Ledger Specialist will be responsible for completing and monitoring ledgers through the ... high degree of accuracy, for all Bankruptcy processes including Acquisitions, Proof of Claims , Notice of Final Cures, Motions for Relief, Agreed Orders, Notices of… more
- Queen's Health System (Honolulu, HI)
- …JOB SUMMARY/RESPONSIBILITIES: * Responsible for analysis of denied reimbursement claims , including conducting payment audits, creating reports and implementing ... process changes, to minimize and/or prevent denials. * Follows up on insurance claims with outstanding balances; leads meetings with payors to resolve payment and… more
- Queen's Health System (Honolulu, HI)
- …plans and other third party payor requirements, as assigned. * Ensures accurate claims submission to optimize revenue for the Medical Center, as assigned. * Responds ... to patient and insurance inquiries promptly and courteously. II. TYPICAL PHYSICAL DEMANDS: * Essential: standing, sitting, walking, seeing, hearing, speaking, finger dexterity, repetitive arm/hand motions and gripping of an object. * Operates various office… more
- CDM Smith (Kapolei, HI)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical ... in evaluating and analyzing financial data related to disaster-related claims , including property damage, business interruption, and other loss categories. The … more
- Always Best Care Senior Services (Honolulu, HI)
- …and individuals in need. We are seeking an experienced Home Health Administrative Specialist to join our team. The ideal candidate will have a strong understanding ... services. * Assist with the preparation, submission, and tracking of Medicare claims and documentation. * Ensure accurate and timely completion of OASIS… more