FEP Benefit Processor Customer Service Representative Trainee Hawaii Medical Service AssociationFEP Benefit Processor Customer Service Representative TraineeKapolei, HIApply sound decision making to request and compile appropriate supporting documentation as required by the FEP Director's Office or the FEP Operations Center to update, correct or initiate member enrollment or demographic information, plan primacy order, servicing authorization, TPL case pursuit, and other documentation as needed. Review, assess and deliver accurate and timely responses to eligibility, benefit and basic claims status inquiries using multiple systems and resources to research information (i.e., QNXT, Documentum, 837 Database, Mainframe, ASSIST, FEPDirect, FEPBlue.org, BlueWeb.org, PC software).
HUMAN RESOURCES SPECIALIST VI (EMPLOYEE CLAIMS) - OAHU State of HawaiiHUMAN RESOURCES SPECIALIST VI (EMPLOYEE CLAIMS) - OAHUHonolulu, HI$6,914–$8,414Staff Specialist or Supervisory Experience: One (1) year of Staff Specialist or Supervisory Experience of the type and quality described below: A. Staff Specialist Experience: Human resources specialist experience performing work regularly encompassing difficult and complex situations and problems in a given human resources specialty with responsibility for furnishing advisory services to management in the overall aspects of program development and evaluation; or human resources specialist experience performing extensive and intensive work in a given area of specialization, working on the most complex and difficult assignments in the areas of program development and evaluation, development of new and revised procedures, review of working situations to be sure that departments are following guidelines for sound human resources practices, recommending legislation or studying impact of proposed legislation, and engaging in human resources research aimed towards improving the human resources system. Selective Certification - Workers Compensation Claims Management Experience: Three and one-half years (3-1/2) years of experience in the area of workers compensation, which involved investigating and monitoring questionable claims, recommending/determining the employers position, preparing and recommending settlement offers and negotiating settlements, developing the employers case and representing the employer in hearing and on contested cases.
Claims Liaison Specialist Hawaii Medical Service AssociationClaims Liaison SpecialistHonolulu, HIInvestigate and resolve escalated claims and trends, including denied or delayed claims, by coordinating with relevant departments to implement short- and long-term solutions and process improvements. Function as a central communication point between claims processing teams and internal/external partners regarding claim status, issues and resolutions.
NewWORKERS' COMPENSATION CLAIMS FACILITATOR - WAILUKU, MAUI State of HawaiiWORKERS' COMPENSATION CLAIMS FACILITATOR - WAILUKU, MAUIWailuku, HI$5,107–$6,221The work involves responding to complaints from claimants, employers, physicians, attorneys, and representatives from insurance companies; explaining workers compensation laws, rules and benefits, and the claims, hearing and appeal processes; explaining the implications that various courses of action may have on a case; securing the cooperation of parties to submit documentation required in order for the case to proceed further; identifying conflicts between award limits prescribed by laws and rules and requested awards; and whenever possible, encouraging the parties to resolve the claim. Ability to: Interpret, apply and explain workers compensation laws, rules, policies, procedures, and benefits; investigate, examine and monitor workers compensation claims; identify problems and develop alternative solutions; establish and maintain effective working relationships; communicate effectively orally and in writing; prepare clear and concise correspondence and reports; and perform basic arithmetic calculations (addition, subtraction, multiplication, division).
Workers Compensation Claims Examiner II/III TEEMA GroupWorkers Compensation Claims Examiner II/IIIKapolei, HI$85,000–$90,000The position requires strong analytical judgment, excellent communication skills, and consistent collaboration with clients, claimants, vendors, legal counsel, and internal teams. This role handles highly complex claims and plays a critical part in ensuring compliance with state regulations, timely investigations, accurate reserving, and effective claim resolution.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTEHonolulu, HIRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
Senior Claims Representative - REMOTE Ryder System IncSenior Claims Representative - REMOTEHonolulu, HIRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
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TEMP-Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers' Compensation Claims AdjusterHI$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
TEMP- Claims Adjuster Argo Group International Holdings IncTEMP- Claims AdjusterHI$37.66–$44.33 / hourCalifornia outside of Los Angeles, San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, Washington State, and New York State (including Westchester County) Pay Ranges: $41.44 - $48.79 per hour. Essential Responsibilities: Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.