Claims Processor
$72.5k - $85kHawaii Dental Service (HDS)
If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Dental Wellness Advisor Regular Full-Time Professional Honolulu, HI, US 4 days ago Requisition ID: 1231 Salary Range: $72,500.00 To $85,000.00 Annually
POSITION SUMMARY
The Dental Wellness Advisor (DWA) leads the development and administration of HDS’s external member wellness program. This role is responsible for designing and implementing the SMILEWell program to align oral health with overall wellness, promote preventive care, and deliver value-added resources that improve members’ health outcomes. The Dental Wellness Advisor oversees strategic program design, educational campaigns, partner offers, and incentive-based initiatives that encourage preventive benefit utilization while ensuring compliance with all regulatory requirements and industry best practices. Working across departments, the Dental Wellness Advisor collaborates with Sales, Marketing, Professional Relations, and the Dental Director to establish benchmarks, drive customer engagement, and deliver employer group wellness strategies that elevate HDS’s role as a leader in oral health advocacy. The position also represents HDS in the community, nurturing partnerships with healthcare organizations, wellness providers, and public health agencies to advance oral health awareness and adoption. This role provides oversight on strategies that support the success of wellness programs and organizational objectives. Additional responsibilities include managing SMILEPerks and SMILEChampion initiatives, CAHPS survey, coordinating wellness events, producing wellness communications, conducting oral health research, and contributing to advocacy efforts during legislative sessions. The Dental Wellness Advisor serves as a trusted advisor and program ambassador, delivering impactful presentations, creating motivational content, and inspiring HDS members and employees to prioritize oral health as an essential part of total-body wellnessESSENTIAL DUTIES AND RESPONSIBILITIES
Dental Wellness Programming Designs the SMILEWell program to promote understanding and adoption of preventive care, and health and risk management activities for internal and external customers. SMILEWell will include, but not limited to, Healthentic reporting, benefits utilization, and evidence-based guidance, oral and total-body health communications and collateral, preventive care information and campaigns, and complementary health-based product offers and services. Drives the SMILEWell program’s strategy to meet commercial and public health goals set forth by HDS, and ensure the program is aligned with HDS strategic (commercial and mission-based) objectives, initiatives, values and vision. Collaborates with Marketing & Communications Specialist to develop wellness materials and videos, and implementation strategies based on the program’s target audience (employer groups, members), customer experience data, and industry trends. Develops and establishes working relationships with customers, in conjunction with HDS Sales Team, to promote and sustain a work environment that encourages a good oral health lifestyle. Identifies, develops and provides: personalized information, methodologies, tools and program resources to customers to promote oral health and wellness, based on their organization’s needs. Internal subject matter expert (SME) of HDS’s Healthentic reporting product; assesses report integration into the wellness program’s components, and works with Healthentic to determine programmatic and utilization strategies that reduce long–term costs for customer and HDS. Develops measurement system with Underwriting and/or Healthentic Analytics and Cohort Tracking (ACT) to routinely evaluate efficacy of the program’s strategies that: improve program performance, utilization metrics, and perceived value for the customer; and encourage ongoing use of the program components, member plan benefits, and other established goals and desired health outcomes. Reports SMILEWell program’s progress and challenges and makes recommendations for program improvements to best affect desired outcomes; executes approved recommendations. Coordinates and facilitates all dental wellness related activities for commercial customer groups in conjunction with Sales. Activities include but are not limited to oral health webinars or seminars, screenings, lunch and learn sessions, dentist presentations, etc. Delivers effective and engaging dental wellness presentations and is able to connect with audiences across various industries. Leads and coordinates the HDS SMILEChampion program for HDS participating dentists, recruiting, training, and maintaining a pool of presentation-ready dentists who can deliver professional and relatable oral health information to empower HDS members to prioritize their oral health and ultimately drive positive health outcomes. This program also builds member trust and value of our dentist network. Manages HDS SMILEPerks, the deals and discounts program for HDS members. Recruit and maintain SMILEPerks partners and ensure successful implementation and promotion of deals and discounts. Develops and tracks dental wellness goals and objectives with the Director of Marketing. Manages partnership with Teledentistry, sharing about this service with HDS members who are more anxious about seeing a dentist in person. Travel is required for this position. Must have a personal vehicle and valid driver’s license to travel and deliver presentations or implement wellness tactics and support events in conjunction with the Marketing & Communications team and Sales department. Interisland travel will also be required upon approval by the Director of Marketing & Communications. Marketing Research, Insights, and Advocacy Build and nurture partnerships with healthcare organizations, wellness providers, and community groups to elevate oral health as a critical component of oral wellness. Advocate for oral wellness and provide support for legislative sessions. Identify and share key wellness trends, analyze member behavior patterns, and monitor healthcare and wellness industry developments relevant to oral health. Deliver actionable insights that inform marketing strategies, engagement efforts, and the development of targeted campaigns that resonate with HDS members and stakeholders. Stay abreast of the evolving healthcare landscape, with a particular focus on dental and wellness sectors, including policy shifts, emerging technologies, and changing consumer expectations. Collaborate with the Engagement Specialist to provide updates, reports, and recommendations that help the Marketing & Communications team stay ahead of market dynamics and proactively adapt messaging, programming, and outreach strategies. Advise internal stakeholders on the selection, interpretation, and application of data, ensuring that wellness initiatives, and engagement campaigns are built on solid, evidence-based foundations that drive meaningful results. Other miscellaneous duties and responsibilities as assigned.MINIMUM QUALIFICATIONS AND EXPERIENCE
To perform this job successfully, the individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, physical demands, and/or ability required to perform the essential duties of this job. Education Bachelor's degree in Public Health, Environmental Health Sciences, Community Health, Epidemiology, Health Education, General Education, Business or Marketing, or an equivalent combination of education, experience, and training preferred. All other Bachelor’s and/or Professional degrees will be considered as well. Experience Experience in project, organizational, or team management preferred. Experience with presentations, education and teaching, persuasive writing, and/or leveraging and aligning multiple stakeholder inputs (i.e. individuals, departments, partners, and customers) preferred, and/or any combination thereof. Experience in events management and logistics preferred. Experience with the development and integration of educational and/or awareness programs, presentations, or campaigns consisting of various components including but not limited to communications, promotional materials, information, research, distribution, incentivization, third-party services and features, and distribution preferred. Conceptual understanding of public health, changing behaviors, and/or worksite wellness administration preferred, but not required. Conceptual understanding of health insurance, medical, or oral health related fields preferred, but not required. Mental and Communication Demands Duties require the use of initiative, good judgment, problem-solving, and work under minimum direction. Requires working under occasional deadlines or pressure; dealing with difficult people or situations involving complex issues, and establishing and maintaining cooperative and productive work relationships. Requires communicating clearly and fluently both orally and in writing; making announcements; giving directions or instructions to others; and seeking information from a variety of sources. Required to learn new information Ability to read printed materials and computer screens Note : The above information in this description has been designed to indicate the general nature and level of work performed by an employee in this classification. It is not to be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications of employees assigned to this job. Hawaii Dental Service has the right to add to, revise, or delete information in this description. Reasonable accommodation will be made to enable qualified individuals with disabilities to perform the essential functions of this position. #J-18808-Ljbffr Hawaii Dental Service (HDS)Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Claims Processor in Honolulu, HI vacancy
- ...s Best Places to Work for 2026 and is Hawaii`s Largest Locally Owned & Operated Third-Party Administrator. About the Role The Claims Processor I will work under the Claims Department Supervisor to process all medical, hospital, vision, chiropractic and ancillary claims...SuggestedContract workWork experience placementMonday to FridayFlexible hours
$19.39 per hour
...reviewing, evaluating online entry, correcting errors and/or performing quality control review and final adjudication of paper/electronic claims. Determines whether to return, deny or pay claims following organizational policies and procedures. Reviews processed claims and...SuggestedFor contractorsLocal areaRemote work$121.3k - $182.1k
...for quality, collaboration, and growth across the practice. Your Key Responsibilities Provide support to resolve outstanding claims on the project. Prepare and present various reports, minutes, and records regarding contract documents and contractor change request...SuggestedFull timeContract workTemporary workPart timeFor contractorsCasual workWork at officeLocal areaFlexible hours- Position FunctionProvide exceptional service to grow the Bank's business.Advocate our mission and be committed to creating value for our customers, employees, community and shareholders.Performs all duties and interacts with internal and external customers in a manner ...SuggestedWork experience placementWork at office
$60k - $75k
Job Title ~ Personal Line Underwriter (Honolulu, HI) - HYBRID Location ~1440 Kapiolani Blvd. Ste 950. Honolulu, HI 96814 Salary ~$60,000-$75,000/annually Position Type ~ Full-time ~ Exempt / Salary ~ Monday – Friday ~8 am – 5 pm; 1-hour lunch...SuggestedFull timeWork at officeLocal areaRemote workMonday to Friday- ..., production validation, defect resolution, and post-implementation monitoring for HRSN authorization and eligibility changes.HRSN Claims Processing Payment OperationsReview and process HRSN claims or claim-related work items requiring manual intervention, research, correction...Contract workWork at office
$68k - $133k
...dealing with sensitive and/or at-risk accounts. Will perform multiple Reinsurance functions such as recovery and IBNR reporting, large claims tracking, reinsurance audits, and reinsurance. As a Group Underwriter III position will be responsible for serving as a resource to...Contract workWork experience placementWork at office$50k - $100k
Job Title ~ Commercial Line Underwriter Location ~1440 Kapiolani Blvd. Ste 950. Honolulu, HI 96814 Salary ~$50,000 - $100,000/year Position Type ~ Full-time ~ Non-exempt (Hourly) or Exempt (Salaried) ~ Monday – Friday ~8:00 am – 5:00 pm ~ Hybrid...Hourly payFull timeCasual workWork at officeRemote workMonday to FridayFlexible hours- ...learn how you could help make great things possible not only in your community, but around the world. In the role of Construction Claims Manager/Consultant, we'll count on you to: Sit full-time at our client's office supporting the local transit initiatives.Manage the...Full timeFor contractorsWork at officeLocal area
$60.8k - $76k
Why WWT?** World Wide Technology (WWT) strives to make a new world happen. WWT's work benefits clients and partners as much as it does its people and community across the globe. Founded in 1990, WWT brings together strategy, deep technical expertise and world-class ...Full timeContract workRemote workFlexible hoursShift work$53.2k
...service, thoughtful risk solutions, and the confidence to navigate complex business challenges.Crum & Forster is seeking an experienced claims professional to join our dynamic team as an Auto Material Damage Specialist. In this role, you will manage an assigned inventory of...Work at officeRemote work- ...Description Job Description Description: Job Summary: Daily tasks and responsibilities include the timely processing of new TDI claims as assigned, including contacting insured, employee, and physician within required statutory timelines. Making determination of...Full timeWork at officeMonday to FridayFlexible hours
$70k - $80k
...Claims Manager Honolulu, HI $70,000 - $80,000 Annually (Based on Experience) Monday through Thursday, 8:00 AM - 5:00 PM, and Friday, 8:00 AM - 4:00 PM Lead a Claims Team Where Accuracy, Efficiency, and Quality Matter Are you an experienced claims professional...Full timeMonday to Thursday- ...exclusive travel and entertainment discounts. Flexible work arrangements, including working from home 1 day a week. Responsibilities The Claims Manager is the front-line management position responsible for the direct supervision of the Claims staff at all Examiner levels....Full timeContract workWork at officeLocal areaRemote workWork from homeFlexible hours1 day per week
$55k - $65k
Schedule: Full-Time Salary Range: USD $55000.00 - $65000.00 Job Category: Sales - Comparion Description We are looking for a Sales Agent to join our team in our Hawaii office. Success in this role will require a strong local network and in-person relationship building...Full timeWork at officeLocal areaWorldwide- ...adjusting experience is required for career-entry applicants. Are you interested in building a career as an Independent Insurance Claims Adjuster? With continued storm activity and catastrophic weather events across the country, experienced and properly trained adjusters...
- Supervisory Contract SpecialistServes as a Supervisory Contract Specialist in the Contracting Department of the Hale Koa Hotel. The first cut-off date will be on 02 November 2026. Additional lists will be pulled after this first cut-off date at the request of the hiring...Contract work
- Armed Forces Recreation Center ChiefServes as Chief of an Armed Forces Recreation Center, Army NAF Contracting Office, with responsibility for planning, managing, and executing a comprehensive acquisition program and performs contracting functions and contract administration...Contract workWork at office
- Sedgwick is seeking a Claims Adjuster - Workers' Compensation to analyze mid- to high-level claims and determine benefits due, with a focus on timely adjudication and subrogation where appropriate. This remote role supports jurisdictions MI, TX, IN, IL, and OH. You will...Remote jobFlexible hours
- ...of Hawaii invites applications for a Human Resources Specialist position in the Department of Human Resources Development, Employee Claims Division. The role involves handling complex workers' compensation cases on behalf of the employer and supporting investigations,...
- Duties You will provide assistance to technical specialists of the requesting program/project office in the preparation/development of contractually acceptable specifications, work statements, and quality assurance criteria. You will analyze the effects of industrial developments...Contract workFor contractorsSeasonal workWork at officeLocal areaImmediate startRemote workRelocation
- About The PositionThis is a Direct Hire Authority (DHA) solicitation utilizing the DHA for Certain Personnel of the DOD Workforce to recruit and appoint qualified candidates to positions in the competitive service. This announcement will fill a few vacancies for the U....Contract work
- ...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...Contract workFor contractorsWork at officeRemote workRelocationMonday to FridayShift work
$18.5 - $42.35 per hour
...person, one family and one community at a time. Position Summary Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering...Remote jobHourly payFull timeWork experience placementLocal area- ...Sedgwick is seeking a Claims Adjuster specializing in Workers' Compensation to join our remote team. You will analyze claims, determine benefits due, and coordinate with claimants and clients to ensure timely adjudication in line with service standards.Qualifications...Remote workFlexible hours
- ...Honolulu area . About the Role As a Field Adjuster, you’ll be responsible for handling moderate-complexity, first-party property claims that require on-site inspections and hands-on expertise. You’ll investigate losses, assess damage, prepare estimates, evaluate coverage...Full timeTemporary workFor contractorsWork at officeLocal areaNight shift
$20 per hour
This is not a remote role. Applicants must be able to report to work on time as scheduled. Position: Call Center Representative Location: Honolulu, HI Pay: This position has a fixed rate of $20/hour Experience 1–2 years of customer service experience or comparable experience...Full timeContract workMonday to Friday- Join Us! The Honolulu Authority for Rapid Transportation (HART) is the public transit authority responsible for planning and constructing Skyline, Honolulu's rail transit system. It is the first fully automated, driverless urban light metro system in the United States...Contract workRemote workRelocationMonday to FridayFlexible hoursShift work
- Join Stratford Davis | Frequently Asked Career QuestionsQ: What is the role?You'll join us as a Remote Life Insurance Agent, serving as a trusted advisor who helps families navigate life insurance, IULs, and guaranteed annuities over digital channels.Q: Do I have to commute...Work at officeRemote workWork from homeHome office
$25 - $30 per hour
3 days ago Be among the first 25 applicants This range is provided by Acro Service Corp. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $25.00/hr - $30.00/hr Direct message the job poster from Acro Service...Contract workWork experience placementCasual workWork at officeMonday to FridayFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Processor. Be the first to apply!
Related searches
- claims assistant Honolulu, HI
- claim examiner Honolulu, HI
- remote medical claims processor Honolulu, HI
- medical insurance claims specialist Honolulu, HI
- claims analyst Honolulu, HI
- claims processor Honolulu, HI
- claims consultant Honolulu, HI
- claim specialist Honolulu, HI
- insurance claims processor Honolulu, HI
- claims attorney Honolulu, HI





