About this opportunity
Hawaii-Western Management Group Inc lists this Claims Manager opportunity in honolulu, Hawaii. Review the employer’s description below for duties, qualifications and application requirements.
Job description
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Claims Manager
Full Time Honolulu, HI, US
20 days ago Requisition ID: 1004
Salary Range: $55,000.00 To $80,000.00 Annually
Summary
Oversees the operation of the Claims Department and ensures the department meets targets with respect to turnaround time, accuracy, and other benchmarks.
Supervises department employees including hiring, training, coaching, and developing employees; assigning work; and evaluating performance.
Establishes department policies and procedures including processing guidelines to ensure efficiency, accuracy, and consistency in accordance with Senior Management intent, Federal and State mandates, insurance industry standards, and plan documents.
Maintains and updates health plans in the claims system.
Updates the claims system after new edit releases and other updates.
Generates system reports and oversees the preparation of daily, weekly, monthly, and other productivity reports to monitor claim processing standards and timelines and assist in workflow distribution.
Keeps current with industry changes and how they affect claims processing.
Qualifications
Required
High school diploma or GED
Excellent organizational, analytical, and time management skills
Strong attention to detail
Strong decision-making, leadership, presentation, problem-solving, and oral and written communication skills
Able to consistently meet deadlines
Effectively present information in one-on-one and small group situations to customers, clients, Senior Management, and other employees of the Company
Intermediate-level proficiency in Microsoft Word and Excel
Preferred
College degree in Business Administration, Healthcare Management or related field; five years of experience in claims supervision or management or related experience; or equivalent combination of education and experience
Proficient in medical terminology, medical billing, and medical coding
Thorough knowledge of claims administration, regulations, and processing systems
Starting Salary Range: $55,000 - $80,000. Full salary range is broader and depends on experience.
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Worksite address
honolulu, HI, 96814, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.