Claims Manager

Express Employment Professionals - Cincinnati East; Honolulu (HI); On-site; USD 55,000 - 80,000; Full time

Benefits offered by this job

Competitive salary

Leadership development

Job summary

Express Employment Professionals - Cincinnati East in Honolulu, HI is seeking a skilled Claims Manager to lead a busy department and drive accuracy, efficiency, and high-quality outcomes. The role emphasizes hands-on leadership, staff development, and process improvement within a dynamic claims environment.

The ideal candidate will oversee daily operations, ensure adherence to standards, mentor team members, and implement policies guiding claims processing, reporting, and regulatory compliance.

Qualifications

• High school diploma or GED required.
• Experience supervising, leading, or managing a team in a claims environment preferred.
• Strong knowledge of claims administration, regulations, and processing systems.
• Excellent leadership, decision-making, and problem-solving skills.
• Strong organizational, analytical, and time-management abilities.
• Exceptional attention to detail and ability to meet deadlines.
• Professional written, verbal, and presentation skills.
• Proficiency with Microsoft Word and Excel.

Responsibilities

• Oversee daily claims processing operations and departmental workflow.
• Ensure accuracy, efficiency, and turnaround standards are met.
• Hire, train, coach, and develop Claims Department employees.
• Assign work, evaluate performance, and support employee development.
• Establish and maintain claims processing policies, procedures, and guidelines.
• Maintain and update health plans within the claims processing system.
• Coordinate system updates, edits, fee schedules, and coding changes.
• Generate and review productivity and performance reports.
• Monitor processing standards, timelines, and workflow distribution.
• Stay current on industry regulations and changes affecting claims processing.

Skills

Leadership

Claims knowledge

Regulations

Analytical thinking

Time management

Attention to detail

Presentation skills

Education

Bachelor's degree in Business Administration, Healthcare Management, or related field

Tools

Microsoft Word

Microsoft Excel

Job description

Claims Manager

Honolulu, HI
$55,000 - $80,000 Annually (Based on Experience)
Monday through Thursday, 8:00 AM - 5:00 PM, and Friday, 8:00 AM - 4:00 PM

Lead a Claims Team Where Accuracy, Efficiency, and Quality Matter

Are you an experienced claims professional with strong leadership skills and a commitment to accuracy and operational excellence?

Our client is seeking a Claims Manager to oversee the daily operations of a busy Claims Department. This role is ideal for a hands‑on leader who can develop employees, improve processes, maintain claims systems, and ensure the department meets established standards for accuracy and turnaround time.

Why You’ll Love This Opportunity

• Competitive Salary
• Leadership role with the opportunity to develop and mentor a team
• Collaborative and professional work environment

What You’ll Do

Claims Operations & Leadership

• Oversee daily claims processing operations and departmental workflow
• Ensure accuracy, efficiency, and turnaround standards are consistently met
• Hire, train, coach, and develop Claims Department employees
• Assign work, evaluate performance, and support employee development
• Establish and maintain claims processing policies, procedures, and guidelines

Claims Systems & Reporting

• Maintain and update health plans within the claims processing system
• Coordinate system updates, new edits, fee schedules, and coding changes
• Generate and review productivity and performance reports
• Monitor processing standards, timelines, and workflow distribution
• Stay current on industry regulations and changes affecting claims processing

What We’re Looking For

• High school diploma or GED required
• Previous claims supervision, management, or related leadership experience preferred
• Strong knowledge of claims administration, regulations, and processing systems
• Excellent leadership, decision-making, and problem-solving skills
• Strong organizational, analytical, and time-management abilities
• Exceptional attention to detail and ability to meet deadlines
• Professional written, verbal, and presentation skills
• Intermediate proficiency in Microsoft Word and Excel
• Knowledge of medical terminology, billing, and coding preferred
• College degree in Business Administration, Healthcare Management, or a related field preferred

Ready to Get Started?

If you’re an experienced claims professional ready to lead a team and make an impact on departmental performance, we’d love to hear from you.