55 Results for

Claims Manager Jobs in Honolulu, HI

Jobs

kAPOLEI, HI8 days ago

$70,000–$95,000

This role requires frequent interaction with clients, claimants, medical providers, attorneys, vendors, nurse case managers, vocational case managers, and internal staff. At the direction of the Claims Supervisor and/or Claims Manager, the Claims Adjuster/Examiner II / III manages all aspects of workers’ compensation indemnity, medical-only, future medical, and litigated claims from inception through resolution, within established authority and company/client guidelines.

Honolulu, HI30+ days ago

$72,516–$103,212

It is the first fully automated, driverless urban light metro system in the United States and represents the largest public infrastructure project in the history of Hawaii. Reporting directly to the Construction Claims Manager, the Construction Engineer will play a key role in managing construction claims, ensuring compliance with contracts, and supporting litigation efforts.

Honolulu, HI30+ days ago

Remote

$223,800–$313,100 Per Year

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

Honolulu, HI27 days ago

Full-time

The ideal candidate will excel at collaborating with third-party adjusters, vendors, and industry experts to ensure claims are handled efficiently and accurately while delivering exceptional service to agents and claimants. This role involves overseeing and managing complex property and casualty claims, including those related to building and structural damage, auto, and workers’ compensation.

Honolulu, Hawaii19 days ago

$22–$26 Per Hour

New!

Honolulu, HI1 day ago

$85,000–$90,000

Reporting to Claims Leadership, this role is responsible for end-to-end claim ownership—from intake and investigation through resolution—while operating within established authority levels and client guidelines. A leading Third Party Administrator is seeking an experienced Workers’ Compensation Claims Adjuster to manage a diverse caseload of Hawaii workers’ compensation claims.

New!

Honolulu, HI1 day ago

$60,000–$90,000 Per Year

The Claims Examiner will oversee claim investigations, evaluate coverage and damages, coordinate with Third-Party Administrators (TPAs), field adjusters, consultants, and vendors, and negotiate claim settlements in accordance with company guidelines and regulatory requirements. This role is responsible for managing complex Property and Casualty insurance claims including structural property damage, auto liability, casualty, and workers’ compensation-related claims.

Honolulu, HI30+ days ago

Remote

Full-time

The Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.

Honolulu, HI30+ days ago

$112,032–$179,220

This critical role manages construction claims and advises HART's leadership on their nature and status while ensuring timely resolution of disputes, including bid protests arising from procurement processes. Utilize knowledge of Hawaii's Public Procurement Code to analyze and draft responses to bid protests and assist in preparing briefs for hearings at the Department of Commerce and Consumer Affairs.

Honolulu, HI30+ days ago

Remote

Full-time

Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.

Honolulu, HI30+ days ago

Remote

Full-time

Under limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.

Honolulu, HI30+ days ago

Remote

Full-time

Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without direction and to find necessary resources. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; Detail-oriented.

Honolulu, HI30+ days ago

Remote

Full-time

Proficient with claim and coding tools and resources, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. Provides clinical and coding-related information to medical director, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management, and/or the Claims Subcontractor as needed.

Kapolei, HI30+ days ago

Full-time

How We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.

Kailua, HI30+ days ago

Full-time

Honolulu, HI30+ days ago

Full-time

Pearl City, HI30+ days ago

Full-time

Mililani, HI30+ days ago

Full-time

Kaneohe, HI30+ days ago

Full-time

Aiea, HI30+ days ago

Full-time

Ewa Beach, HI30+ days ago

Full-time

Honolulu, HI30+ days ago

$87,700–$125,300 Per Year

This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow, reduce aging accounts, and ensure compliance with payer and regulatory requirements. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.

Honolulu, HI30+ days ago

He/she will be responsible for ensuring accurate and timely payroll processing and reporting in accordance with Highgate Hotel’s policies and procedures and to lead all recruitment for all positions in a timely manner, accurate and timely completion of paperwork, the understanding and enforcement of company policies, and assisting with benefits and workmen’s compensation duties. Highgate is a leading real estate investment and hospitality management company with over $15 billion of assets under management and a global portfolio of more than 400 hotels spanning North America, Europe, the Caribbean, and Latin America.

Honolulu, Hawaii30+ days ago

Compensation Type: Yearly Highgate Hotels: Highgate is a leading real estate investment and hospitality management company with over $15 billion of assets under management and a global portfolio of more than 400 hotels spanning North America, Europe, the Caribbean, and Latin America. He/she will be responsible for ensuring accurate and timely payroll processing and reporting in accordance with Highgate Hotel’s policies and procedures and to lead all recruitment for all positions in a timely manner, accurate and timely completion of paperwork, the understanding and enforcement of company policies, and assisting with benefits and workmen’s compensation duties.

Honolulu, HI30+ days ago

Areas of focus include commercial cleaning services, facility support services, complete staffing solutions, hospitality services, trade show and convention services, security solutions, and aviation services. Today, our company is comprised of five specialized groups that deliver unparalleled custodial, staffing, and security services for customers with diverse business needs from the Eastern Seaboard to Hawaii.

Honolulu, HI20 days ago

$79,600–$101,600 Per Year

3–5 years of experience in purchasing or contract/project administration, ideally in the electric utility industry or related fields (construction, engineering, operations, maintenance). This does not guarantee a specific salary as compensation is based upon multiple factors such as education, experience, certifications, and other requirements, and may fall outside of the above-stated range.

Honolulu, HI30+ days ago

Remote

$78,400–$107,800 Per Year

The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

Kailua, HI30+ days ago

Subcontractor Management: This position will assist the project team and procurement team in managing subcontractors and suppliers, including negotiation of subcontracts, and management of subcontractor performance to the requirements of the subcontracts and client contract. In addition, during employment individuals may be required by CDM Smith or a CDM Smith client to successfully complete additional background checks, including motor vehicle record as well as drug testing.

Honolulu, HI30+ days ago

Full-time

Voluntary benefits include additional term life insurance, long term care insurance, critical illness and accidental injury insurance, pet insurance, legal plan, identity theft protection, and other voluntary benefit options. • Set up and implement job procedures and techniques to assure timely buyout, shop drawing approval and material delivery.

Honolulu, HI30+ days ago

$1–$3 Per Hour

Provides information and referral services on transitional and survivor assistance programs including VA benefits and entitlements, Social Security Administration (SSA) benefits and entitlements, Department of Labor (DOL) employment assistance, educational assistance, housing, relocation assistance, and coordination of family travel. Obtains permission from RSMs to gather and exchange necessary information about the RSMs, family members, and caregivers in accordance with Privacy Act and Health Insurance Portability and Accountability Act (HIPAA) regulations.

GA30+ days ago

Plan, organize and manage the construction project in all areas from start to successful completion including contract proposal, budget, change orders, materials procurement, billing, and collection. · Maintain professional and timely communication with the general contractor, A&E team, owner, subcontractors, various company divisions and other key participants.

Honolulu, Hawaii30+ days ago

Honolulu, HI15 days ago

Working knowledge of the concepts and principles of purchasing, contract administration, Hawaiian Electric’s Corporate Code of Conduct (if applicable), insurance programs, project management practices, cost estimating, scheduling, negotiation principles, contract law, and procurement techniques and procedures that are normally acquired through various college level courses or related experience. o Works directly, at all levels, with vendors to maintain effective vendor relationships; determines the appropriate procurement strategy to maximize the potential value to be received from all vendors.

Honolulu, Hawaii16 days ago

In addition to inventory control, this role leads all OSHA, HIOSH, and Servco compliance initiatives, certifications, and risk mitigation efforts for the warehouse in partnership with Corporate Safety, ensuring a productive, organized, and accident-free environment. The Inventory & Safety Manager is responsible for the accuracy of the Warehouse Management System (WMS) through rigorous cycle counting, discrepancy investigation, and stock optimization based on movement velocity.

Honolulu, Hawaii25 days ago

The Assistant Service Manager (SFIE) assists the Service Manager in leading the daily operations of our forklift and industrial equipment service department, including scheduling, dispatching, and customer communication, to ensure customer needs and requests are addressed promptly. From Australia to California, and of course, Hawaii, Team Servco is a collective of over 2,000 like-minded individuals guided by our four Core Values of Respect, Service, Teamwork, and Innovation.

MILILANI, HI30+ days ago

Since then, we've boldly claimed our place in the casual dining industry as the place to go for Big Mouth burgers, house smoked ribs, full on fajitas, and hand shaken margaritas! With a legacy deeply rooted in service, hospitality, and giving back, we are committed to delivering the best experience to every Guest, every day.

Honolulu, Hawaii30+ days ago

$20.95–$26.53 Per Hour

Servco is looking for a Flex Inventory Coordinator to serve as a key operational link in ensuring used car inventory is serviced, cleaned, tracked and ready for vendor action. From Australia to California, and of course, Hawaii, Team Servco is a collective of over 2,000 like-minded individuals guided by our four Core Values of Respect, Service, Teamwork, and Innovation.

Honolulu, Hawaii30+ days ago

Remote

$90,000–$120,000 Per Year

As a Senior Accountant, you will lead client service teams with diverse skillsets and areas of knowledge: financial reporting, compliance, and insurance, while being supported and guided by leadership team members. Coordinate efforts with outside service providers, including actuaries, auditors, investment managers, brokers, claims adjusters, and outside counsel to proactively meet client needs.

Kailua, HI30+ days ago

In addition, during employment individuals may be required by CDM Smith or a CDM Smith client to successfully complete additional background checks, including motor vehicle record as well as drug testing. • Expert Testimony and Litigation Support: In cases of disputes or litigation, Specialist may be required to present their findings in court, provide expert testimony, and assist attorneys in building their cases.

Honolulu, HI30+ days ago

Communicate effectively with physicians and pharmacy network providers to ensure that the needs of the provider and plan member are addressed in a courteous, helpful and timely manner. This role involves a high volume of daily contacts with members, physicians, and pharmacies to address medication-related issues, promote adherence, and ensure appropriate medication utilization.

Honolulu, HI30+ days ago

Analyze and develop network retention strategies for follow up services to providers by establishing and maintaining contact and rapport with dental staff members, office managers, insurance coordinators, hygienists and dentists throughout an assigned territory by scheduling face-to-face meetings with dental offices. + Communicate and maintain effective working relationships both internally and externally (providers, dental industry, organized dentistry and dental consultants) keeping management informed on related healthcare industry issues/topics.

Honolulu, HI30+ days ago

Remote

$65,000–$88,600 Per Year

Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Honolulu, Hawaii11 days ago

$160,000–$190,000

KEY RESPONSIBILITIES:Financial Leadership & Reporting:Lead all accounting operations, including general ledger, accounts payable/receivable, payroll, fixed assets, and cash management. NOTES:This role is expected to operate as a strategic partner to the General Manager and Board, while maintaining strong ownership of day-to-day financial operations.

Aiea, HI30+ days ago

$75,000

These contract assignments support U.S. government construction efforts, including projects across the Pacific Rim, and require professionals who bring both technical mastery and operational discipline. Walking - The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, boxes, cabinets, etc.

Honolulu, HI30+ days ago

Remote

$117,600–$161,700 Per Year

To ensure Hybrid Office/Home associates’ ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. The Lead Business Intelligence Engineer should have a data-first mindset aimed at tackling complex problems and designing solutions to make customers’ lives easier while creating value for the business through strategic research and data analysis aimed at gaining organizational alignment to prioritize work across functions.

Honolulu, HI30+ days ago

Remote

$223,800–$313,100 Per Year

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

Honolulu, HI30+ days ago

Remote

$223,800–$313,100 Per Year

Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation.

Honolulu, HI30+ days ago

Remote

$223,800–$313,100 Per Year

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management. The Medical Director’s work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

Honolulu, HI30+ days ago

Remote

$117,600–$161,700 Per Year

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. + Works with the Test Lead to develop plans of action for testing new technology products, including identifying areas to be tested and designing targeted test strategies.

Honolulu, HI30 days ago

Remote

Full-time

Technical Skills: The ability to solve problems independently while working in a fast paced, energetic environment; strong communication skills, (oral and writing skills); a proven ability as a facilitator/instructor; self-motivated, able to work in a team and independently. Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.

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Claims Manager Jobs in Honolulu, HI

Jobs

Workers Compensation Claims Examiner II/III - HybridTEEMA

Construction Engineer (Construction Claims Specialist)Honolulu Authority for Rapid Transportation

Medical Director - Claims ManagementHumana

Claims Examiner - HYBRIDDB Insurance Co., Ltd.

Surveillance / Claims Investigator - Part-TimeAllied Universal

Claims Supervisor - Workers CompensationCala Sourcing Solutions LLC

Claims Examiner - Property and Casualty Insurance - Base Salary to 90k/year - Honolulu, HIAllsearch Recruiting

Supervisor, Claims AdminTriWest Healthcare Alliance

Deputy Director of Construction ClaimsHonolulu Authority for Rapid Transportation

Sr Claims ReviewerTriWest Healthcare Alliance

Claims Recoup & Collect AnlystTriWest Healthcare Alliance

Claims Escalation RepTriWest Healthcare Alliance

Claims ReviewerTriWest Healthcare Alliance

Independent Insurance Claims Adjuster in Kapolei, HawaiiMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Kailua, HawaiiMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Honolulu, HawaiiMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Pearl City, HawaiiMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Mililani, HawaiiMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Kaneohe, HawaiiMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Aiea, HawaiiMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Ewa Beach, HawaiiMileHigh Adjusters Houston Inc

Manager, Revenue Cycle ManagementCardinal Health

Human Resource Manager in Honolulu, Hawaii | Careers at Kaimana Beach Hotel- HawaiiKaimana Beach Hotel- Hawaii

Human Resource ManagerKaimana Beach Hotel- Hawaii

Warehouse Manager 55K-65K depending on experienceUnitedService Companies

Contract Manager - PurchasingBishop

Manager, Fraud and WasteHumana

Commercial Manager - PacificCDM Smith

Senior Project ManagerSwinerton Builders

Program Analyst (Non-Medical Case Manager) NMCMCommander, Navy Installations

Sheet Metal Division ManagerConstruction Execs

Cost Control ManagerFlatiron Construction Corp

Purchasing Contract ManagerHawaiian Electric Industries

Manager, Inventory and SafetyServco Pacific Job Distro

Assistant Service Manager (SFIE)Servco Pacific Job Distro

Restaurant ManagerChili's Hawaii

Flex Inventory CoordinatorServco Pacific Job Distro

Senior Accountant - Captive and Insurance ManagementAon Corporation

FEMA Disaster Management AccountantCDM Smith

Pharmacy Coordinator SeniorHighmark Health

Dental Network Service RepresentativeHighmark Health

Encounter Data Management ProfessionalHumana

ControllerOutrigger Canoe Club

Site Safety and Health Officer - InternationalEPC Service, Inc.

Lead Business Intelligence EngineerCenterWell

Medical Director - Southeast RegionHumana

Medical Director - Northeast RegionHumana

Medical Director - FloridaHumana

Medicaid State Technology LeadHumana

Provider Relations RepTriWest Healthcare Alliance

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