Healthcare Claims Processor I
Pacific Administrators
Pacific Administrators in Honolulu, HI seeks a Claims Processor I to work under the Claims Department Supervisor. Responsibilities include processing medical, hospital, vision, chiropractic and ancillary claims, ensuring accurate coordination of benefits and third-party liability claims, and assisting the department with inquiries and duties. The role requires at least 2 years of experience or equivalent, strong typing (45 WPM) and 10-key by touch, and proficiency in Word/Excel. #J-18808-Ljbffr Pacific Administrators
$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- ...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
$60k - $75k
...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation | Jurisdiction: MI, TX, IN, IL, OH | Licensing: Required - Remote Are you looking for an opportunity...SuggestedFull timeContract workLocal areaRemote workFlexible hours$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...SuggestedHourly payFull timeCasual workWork at officeRemote workMonday to FridayFlexible hours$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- Job DescriptionAccurately calculate and analyze a variety of employer group rates using the historical utilization of the account. Extract and analyze historical data of the account to ensure accuracy and good logic. Analyze the overall composition of the group to ensure...Contract workWork experience placementWork at office
- Position Function:Provide 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 ...Work experience placementWork at office
$3,333 - $4,221 per month
Recruitment Number DLIR-2027-024 - Position is full-time and located in Wailuku, Island of Maui. THIS JOB POSTING WILL REMAIN OPEN UNTIL 15 APPLICATIONS ARE RECEIVED. Salary: $3,333 - $4,221 per month (SR-09, Step C to I). Hiring rates will be based on availability of...Permanent employmentFull timePart timeWork at office$3,333 - $4,221 per month
State of Hawai'i in Maui is seeking an entry-level Unemployment Insurance Assistant to join the Department of Labor and Industrial Relations. The position is full-time and located in Wailuku, Island of Maui, and offers on-site work with training in unemployment insurance...Full timeWork at office- State of Hawai‘i is seeking an entry level Unemployment Insurance Assistant in Maui. The role includes in-house training on unemployment insurance laws and procedures and performing less complex work under supervision. Emphasis is on accuracy in handling routine tasks and...Full time
$60k - $75k
DB Insurance USA is seeking a Personal Lines Underwriter in Honolulu, HI. The role focuses on homeowners, dwelling fire, automobile, and umbrella lines, with responsibility for underwriting, risk assessment, and agency collaboration. The position offers a hybrid work arrangement...Work at officeRemote workMonday to Friday$27.5 - $30.5 per hour
...of uniquely talented professionals as we transform residential real estate. To read more visit: . What We Offer: Comprehensive healthcare plans for you and your family. Plus, a discretionary 401(k) match of 50% of the first 4% of pay contributed. Access to several...Temporary work$3,333 - $4,221 per month
State of Hawaiʻi, located in Maui, seeks an entry level Unemployment Insurance Assistant. The position offers training in unemployment insurance laws and programs and involves handling less complex work under supervision. The role requires a high school diploma or equivalent...Work at office- DB Insurance USA is seeking a Personal Lines Underwriter in Honolulu, HI with hybrid work after 90 days (3 days in office, 2 days remote). The role requires 1+ years in Homeowners, Dwelling Fire, Automobile, and Umbrella, and a Bachelor’s degree or equivalent experience...Work at officeRemote work
$60k - $75k
DB Insurance USA is seeking a Personal Lines Underwriter in Honolulu, HI. This hybrid role starts with in-office work and transitions to a 3/2 in-office/remote schedule after 90 days, with a salary in the $60,000-$75,000 range. You will underwrite homeowners, dwelling fire...Work at officeRemote work- First Hawaiian Bank is seeking an analytical and detail oriented Credit Underwriter I to join the Credit department. You will assess credit requests, analyze financial statements, and underwrite commercial lending opportunities with a focus on low-complexity credits. This...Monday to Friday
- DB Insurance USA is seeking a Commercial Line Underwriter to manage a portfolio of commercial policies and collaborate with agents and internal teams. The role welcomes experienced professionals or individuals transitioning into underwriting, with exposure to CMP, Commercial...Work at officeRemote work
$62k - $72.5k
Join the First Hawaiian Bank ‘ohana, where our culture flourishes with purpose. We prioritize the 3 C’s - Caring, Character and Collaboration - ensuring a workplace that is not only rewarding, but deeply fulfilling. Consistently recognized as one of the 'Best Places to ...Full timeWork experience placementMonday to Friday$47.02k - $70.5k
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. MAIN COMMERCIAL BANKING CENTER Full-time ICP Support Honolulu, HI, US 30+ days ago Requisition ID: 4305 Salary Range...Full timeWork experience placementWork at office- DB Insurance Co., Ltd. seeks a Personal Lines Underwriter to join our Honolulu team in a hybrid role, working 3 days in the office and 2 days remote after 90 days. You will underwrite homeowners, dwelling fire, auto, and umbrella policies, cultivating strong agency partnerships...Work at officeRemote work
- ...monitoring for HRSN authorization and eligibility changes.HRSN Claims Processing Payment OperationsReview and process HRSN claims or... ...RequirementsBachelor's degree and four years of related experience in healthcare operations, Medicaid managed care, utilization management,...Contract workWork at office
$62.4k - $93.6k
...Sr Representative Claims - CH08BE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs,...Temporary workWork at officeRemote workMonday to Friday3 days per week$75k - $85k
Claims Examiner - Workers Compensation | Jurisdiction & Licensing: HI (Hybrid - Must Reside in Hawaii)Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? * Apply...Work at officeRemote workWork from homeFlexible hours- Progressive is committed to helping employees advance in their careers. A senior claims specialist will investigate high-risk injury claims, coordinate with police, medical professionals, and claimants to determine coverage, liability and total claim value. The role is...Work at office
- Progressive Insurance is seeking a Senior Claims Specialist to investigate complex injury claims, including those involving attorneys and litigation features. You will determine coverage, liability, and the total value of the claim with guidance from a supportive team....Work at office
- Humana, Inc. is seeking a Claims Process and Policy Professional 1 to handle TRICARE claims and policy inquiries from beneficiaries, providers, and partners. You will research for accuracy, resolve issues, and expand knowledge to become a SME in TRICARE rules and reimbursement...Remote job
- JOHN MULLEN & CO INC in Hawaii is seeking a detail-oriented Claims Processor to handle daily TDI claims, contact insured, employee, and physician within statutory timelines, and determine eligibility for benefits. The role requires accurate benefit processing under Hawaii...Full timeMonday to FridayFlexible hours
- 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 eligibility for TDI benefits, calculation...Full timeWork at officeMonday to FridayFlexible hours
- Sedgwick is hiring a Claim Examiner for product liability with multi-state responsibilities. This hybrid role supports remote work with some in-office requirements and involves analyzing complex claims, litigation coordination, and settlements across clients in multiple...Remote jobWork at office
$53.2k
.... C&F enjoys a financial strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry. Our most valuable asset is our people: more than 20...Remote jobWork at office
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