Job Opening: Claims Processor

Position: Full-time, Claims Processor
Location: Honolulu
Industry: Insurance
Schedule: Monday through Friday from 8:00 am to 4:30 pm.
Pay: $19.00 per hour
Candidates must be in-state to apply and be considered

Benefits:

• Pay Cards, Direct Deposit & Weekly Pay
• Medical/Dental/Vision/Prescription (Note: Requires 20+ hours per week to qualify).
• Free Online Skill Classes, EAP, Discounts & many more  

We are looking for a detail-oriented Claims Processor in Honolulu to handle dental claims with accuracy and efficiency. In this role, you will review and process claims, ensure compliance with policies, and resolve discrepancies. If you have excellent analytical skills and a commitment to customer service, we encourage you to apply.

Job Duties:

 Key Responsibilities

• Electronically images hardcopy claims batch as OCR, Non-OCR and x-ray attachments. Batch image paper attachments, POAs and adjustments, and back-end imaging of claims documentation. Inputs rejected and RFI claims notices.
• Performs all aspects of claims data entry, including verification of required documentations.
• Processes Levels 1, 2 and 3 claims consisting of single, COB-S, Dual, Pre-authorizations and out of state type claims. Reviews all levels of suspended electronic claims including opening and sorting of ECS mails. Processes requests to pay pre-authorizations.

Other Duties and Responsibilities:

• Assists the Claims department in adhering to established document policies and procedures.
• Provides back-up support and assistance in Customer Service and other departments as necessary.
• Accomplishes special projects as assigned.
• Determines and follows through with a plan to meet annual goals set up with the supervisor.
• Takes responsibility for relationship with others in the department and company.
• Works as a team player and assists wherever there is a need.
• Maintains a customer advocate attitude, understanding the importance that timely and accurate claims processing has on customer satisfaction.
• Other miscellaneous duties and responsibilities as assigned.

Job Requirements:

• High School Diploma or its equivalent required.
• Minimum two years of clerical experience, customer service or sales, or any combination of education and experience which would provide the necessary knowledge, skills and abilities to meet the minimum qualifications to perform the essential functions of this position.
• Working knowledge of PC applications (i.e. word processing and spreadsheets) highly desirable
• Requires demonstrated customer service skills and sales ability
• Ability to maintain focus and attention to detail
• Ability to handle multiple tasks with some distractions
• Ability to communicate orally and in writing with all levels of staff, customers and vendors
• Ability to handle all information in a confidential manner and in compliance with federal and state laws/regulations (i.e., HIPAA, PHI)

Equal Opportunity Employer