33 Results for

Claims Supervisor Jobs in Honolulu, HI

Jobs

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.

kAPOLEI, HI9 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

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.

New!

Honolulu, HI5 days 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

$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, HI28 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, 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

$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, Hawaii8 days ago

$22–$26 Per Hour

Surveillance / Claims Investigator Investigators validate the facts of loss for Insurance claims through scene Investigations, claimant and witness Interviews, document retrieval and data Interpretation. Associate's degree in Criminal Justice with a minimum of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims.

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.

Kaneohe, 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.

Aiea, HI30+ days ago

Full-time

Honolulu, HI30+ days ago

Full-time

Kapolei, HI30+ days ago

Full-time

Ewa Beach, HI30+ days ago

Full-time

Mililani, HI30+ days ago

Full-time

Pearl City, HI30+ days ago

Full-time

Kailua, HI30+ days ago

Full-time

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

$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

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.

Honolulu, HI22 days ago

This position involves checking in patients, verifying insurances, making confirmations calls, providing exceptional customer service, managing patient interactions, and supporting the overall operational efficiency of our practice. Our passionate team is dedicated to transforming smiles and enhancing lives, and we're on the lookout for a talented Dental Treatment Coordinator / Front Office Receptionist to join our family.

Aiea, HI22 days ago

Honolulu, HI27 days ago

Remote

Full-time

Collaborate with multiple business partners including but not limited to Contracting Administration, Corporate Compliance, Claims Administration, and Legal to create strategies for contract templates while being proactive in preventing non-compliance. 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

The Director ensures the delivery of exceptional service to providers and government stakeholders by directing cross-functional programs that enhance provider satisfaction, strengthen network engagement, and uphold contractual and regulatory compliance. Coaching / Training / Mentoring: Actively develops the skills and capabilities of direct reports and extended team members through constructive feedback, mentoring relationships, and structured development opportunities aligned with business outcomes.

Honolulu, HI27 days ago

Remote

Full-time

Technical Skills: Proficient with key databases, including FoxPro, Claims Systems, Medical Management Systems, and Provider Data Management Systems; working knowledge of VA policies and procedures, current knowledge of claims, reimbursement methodology; healthcare or managed care experience. • Communicate clearly through both written and verbal forms of communication and follow up with various parties to ensure tasks are completed within the allotted timeline or issues are escalated appropriately.

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, Hawaii15 days ago

$22.20–$25.21 Per Hour

Our Parts Warehouse Person position provides genuine Toyota, Lexus, and Subaru parts to our dealerships and external customers by receiving, stocking, shipping, and delivering products in a timely and efficient manner. 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

$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.

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Claims Supervisor Jobs in Honolulu, HI

Jobs

Supervisor, Claims AdminTriWest Healthcare Alliance

Workers Compensation Claims Examiner II/III - HybridTEEMA

Sr Claims ReviewerTriWest Healthcare Alliance

Claims Recoup & Collect AnlystTriWest Healthcare Alliance

Claims Examiner - Property and Casualty Insurance - Base Salary to 90k/year - Honolulu, HIAllSearch Professional Staffing

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

Claims Examiner - HYBRIDDB Insurance Co., Ltd.

Medical Director - Claims ManagementHumana

Deputy Director of Construction ClaimsHonolulu Authority for Rapid Transportation

Surveillance / Claims Investigator - Part-TimeAllied Universal

Claims Escalation RepTriWest Healthcare Alliance

Claims ReviewerTriWest Healthcare Alliance

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 Honolulu, HawaiiMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Kapolei, HawaiiMileHigh Adjusters Houston Inc

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

Independent Insurance Claims Adjuster in Mililani, HawaiiMileHigh Adjusters Houston Inc

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

Independent Insurance Claims Adjuster in Kailua, HawaiiMileHigh Adjusters Houston Inc

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

Human Resource ManagerKaimana Beach Hotel- Hawaii

Manager, Revenue Cycle ManagementCardinal Health

Manager, Fraud and WasteHumana

Dental Office ReceptionistRising Tide Dental

Front Desk Dental CoordinatorRising Tide Dental

Contract QC AnalystTriWest Healthcare Alliance

Director, Provider ExperienceTriWest Healthcare Alliance

Provider Data SpecialistTriWest Healthcare Alliance

Commercial Manager - PacificCDM Smith

Parts Warehouse PersonServco Pacific Job Distro

Flex Inventory CoordinatorServco Pacific Job Distro

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