29 Results for

Claims Processor Jobs in Honolulu, HI

Jobs

Honolulu, HI19 days ago

$60,000–$90,000 Per Year

The Claims Examiner will oversee claim investigations, evaluate coverage and damages, coordinate with Third-Party Administrators (TPAs), field adjusters, consultants, and vendors, and negotiate claim settlements in accordance with company guidelines and regulatory requirements. This role is responsible for managing complex Property and Casualty insurance claims including structural property damage, auto liability, casualty, and workers’ compensation-related claims.

kAPOLEI, HI9 days ago

$70,000–$95,000

This role requires frequent interaction with clients, claimants, medical providers, attorneys, vendors, nurse case managers, vocational case managers, and internal staff. At the direction of the Claims Supervisor and/or Claims Manager, the Claims Adjuster/Examiner II / III manages all aspects of workers’ compensation indemnity, medical-only, future medical, and litigated claims from inception through resolution, within established authority and company/client guidelines.

New!

Kapolei, HI2 days ago

$85,000–$90,000

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. The position requires strong analytical judgment, excellent communication skills, and consistent collaboration with clients, claimants, vendors, legal counsel, and internal teams.

New!

Honolulu, HIToday

Full-time

The ideal candidate will excel at collaborating with third-party adjusters, vendors, and industry experts to ensure claims are handled efficiently and accurately while delivering exceptional service to agents and claimants. This role involves overseeing and managing complex property and casualty claims, including those related to building and structural damage, auto, and workers’ compensation.

New!

Kapolei, HI2 days ago

$85,000–$95,000

This role requires frequent interaction with clients, claimants, medical providers, attorneys, vendors, nurse case managers, vocational case managers, and internal staff. At the direction of the Claims Supervisor and/or Claims Manager, the Claims Examiner II / III manages all aspects of workers’ compensation indemnity, medical-only, future medical, and litigated claims from inception through resolution, within established authority and company/client guidelines.

New!

Honolulu, Hawaii6 days ago

$22–$26 Per Hour

Honolulu, HI30+ days ago

$112,032–$179,220

This critical role manages construction claims and advises HART's leadership on their nature and status while ensuring timely resolution of disputes, including bid protests arising from procurement processes. Utilize knowledge of Hawaii's Public Procurement Code to analyze and draft responses to bid protests and assist in preparing briefs for hearings at the Department of Commerce and Consumer Affairs.

Honolulu, HI12 days ago

$59,059.65–$82,000 Per Year

With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you! Additional Details: Employees must successfully complete all required training, including applicable licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).

HONOLULU, HI30+ days ago

$60,000–$75,000 Per Year

Provide clear, professional communication to clients and injured workers—setting expectations early and escalating complex exposures to senior adjusters appropriately. In this role you’ll manage a high-volume portfolio of medical-only claims from first report through closure — ensuring regulatory compliance, accurate reserving, timely medical management, and a professional experience for both employers and injured workers.

HONOLULU, HI28 days ago

$76,000–$98,000 Per Year

You'll be expected to manage a caseload of 90–100 active files, maintain a 1:1 or better new-to-closure ratio, and keep every diary current — all while staying ahead of statutory deadlines and delivering a strong client experience. Actively manage medical treatment plans using evidence-based guidelines (ODG), initiate IMEs when appropriate, and coordinate return-to-work and vocational strategies to reduce indemnity duration.

Kaneohe, HI30+ days ago

Full-time

How We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.

Ewa Beach, HI30+ days ago

Full-time

Kailua, HI30+ days ago

Full-time

Pearl City, HI30+ days ago

Full-time

Mililani, HI30+ days ago

Full-time

Aiea, HI30+ days ago

Full-time

Honolulu, HI30+ days ago

Full-time

Kapolei, HI30+ days ago

Full-time

Honolulu, HI7 days ago

$20–$26 Per Hour

The Pharmacy Technician will support the oversight of Medicare operations delegated to our Pharmacy Benefit Manager (PBM), proactive Medicare rejected claim outreach, the processing and/or review of Prior Authorization/Coverage Determination, appeal and grievance requests, participate in the Medicare annual plan build implementation and testing, manage the Pharmacy help desk line, assist Customer Service on drug-related concerns/issues for the AlohaCare QUEST and Advantage Plus (ACAP) Plans, and provide administrative support for formulary management and compliance related functions of the AlohaCare Pharmacy Department. Adhere to turnaround times (TAT) for PAs/CDs as required by the Centers for Medicare & Medicaid Services (CMS), Med-QUEST (Hawaii Medicaid), and National Committee for Quality Assurance (NCQA).

New!

Honolulu, HI1 day ago

Coordinates benefits with other insurance carriers and processes simple claim adjudication, as well supports Claims Processing with data entry and claims up to Level 2. Responds to all inquiries and resolves issues in an efficient and timely manner, as established by Team Goals and Objectives. Under the supervision of the Customer Service Manager, responds to customer inquires and resolves customer issues, and provides information about eligibility, benefits, and claims information during incoming/outbound calls or walk-ins and within written or electronic correspondence.

Honolulu, Hawaii8 days ago

$19.42–$24.36 Per Hour

From Australia to California, and of course, Hawaii, Team Servco is a collective of over 2,000 like-minded individuals guided by our four Core Values of Respect, Service, Teamwork, and Innovation. This position will play a key role in processing warranty claims and provide our dealerships assistance with dealer claims processing.

Honolulu, Hawaii24 days ago

$24.10–$30.66 Per Hour

From Australia to California, and of course, Hawaii, Team Servco is a collective of over 2,000 like-minded individuals guided by our four Core Values of Respect, Service, Teamwork, and Innovation. This role supports dealers with claims procedures and serves as a liaison between dealers and our manufacturers to ensure accurate, timely submission of required documentation and evidence.

Honolulu, HI30+ days ago

This position involves checking in patients, verifying insurances, making confirmations calls, providing exceptional customer service, managing patient interactions, and supporting the overall operational efficiency of our practice. Our passionate team is dedicated to transforming smiles and enhancing lives, and we're on the lookout for a talented Dental Treatment Coordinator / Front Office Receptionist to join our family.

Aiea, HI30+ days ago

Pearl City, HI30+ days ago

Whether you’re a new graduate looking to kickstart your career or an experienced provider seeking a slower, more flexible pace, this role is for you! Enjoy a low-stress setting, seeing just 1-3 Veterans per day.

Honolulu, HI30+ days ago

Who We’re Looking For: Whether you’re a new graduate looking to kickstart your career or an experienced provider seeking a slower, more flexible pace, this role is for you! We offer competitive guaranteed pay, a supportive environment, and the flexibility you’ve been looking for.

Waipahu, HI27 days ago

By strengthening connections between patients, care teams, and support systems, we make it possible for people living with behavioral health challenges to achieve stability and long-term success. If you want your work to directly improve lives, strengthen healthcare systems, and bring hope to people and families facing behavioral health challenges, Advantage is the place to make an impact.

Honolulu, Hawaii30+ days ago

Remote

$90,000–$120,000 Per Year

As a Senior Accountant, you will lead client service teams with diverse skillsets and areas of knowledge: financial reporting, compliance, and insurance, while being supported and guided by leadership team members. Coordinate efforts with outside service providers, including actuaries, auditors, investment managers, brokers, claims adjusters, and outside counsel to proactively meet client needs.

Honolulu, HI30+ days ago

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Claims Processor Jobs in Honolulu, HI

Claims Examiner - Property and Casualty Insurance - Base Salary to 90k/year - Honolulu, HI AllSearch Professional Staffing

Workers Compensation Claims Examiner II/III - Hybrid TEEMA

Workers Compensation Claims Examiner II/III TEEMA Group

Claims Examiner - HYBRID DB Insurance Co., Ltd.

Workers Compensation Claims Examiner III TeemaGroup

Surveillance / Claims Investigator - Part-Time Allied Universal

Deputy Director of Construction Claims Honolulu Authority for Rapid Transportation

Claims Appraiser - Auto Estimatics State Farm

Associate Workers' Compensation Claims Adjuster ProService Hawaii

Workers' Compensation Claims Adjuster ProService Hawaii

Independent Insurance Claims Adjuster in Kaneohe, Hawaii MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Ewa Beach, Hawaii MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Kailua, Hawaii MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Pearl City, Hawaii MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Mililani, Hawaii MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Aiea, Hawaii MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Honolulu, Hawaii MileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Kapolei, Hawaii MileHigh Adjusters Houston Inc

Pharmacy Technician AlohaCare

Customer Service Representative HAWAII DENTAL SERVICE

Warranty Associate Servco Pacific Job Distro

Warranty Specialist Servco Pacific Job Distro

Dental Office Receptionist Rising Tide Dental

Front Desk Dental Coordinator Rising Tide Dental

Licensed Clinical Psychologist - Part Time - Pearl City, HI - Hybrid Position Commonwealth Medical Services

Nurse Practitioner - Honolulu, HI - Full Time Commonwealth Medical Services

Pharmacy Technician Advantage Healthcare Services

Senior Accountant - Captive and Insurance Management Aon Corporation

Clinical Audiologist - Honolulu, HI - FULL TIME Commonwealth Medical Services

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