Claims Manager

Express Employment Professionals – Hawaii; Honolulu (HI); On-site; USD 70,000 - 80,000; Full time

Job summary

Express Employment Professionals – Hawaii seeks a Claims Manager to lead a busy Claims Department, champion accuracy, efficiency, and timely processing, and develop staff.

The role oversees daily operations, sets policies, and ensures regulatory compliance, with a focus on mentoring, reporting, system updates, and performance standards. A bachelor's degree in Business Administration or Healthcare Management is preferred.

Qualifications

• Leadership experience in a claims environment.
• Strong knowledge of claims administration, regulations, and processing systems.
• Ability to develop employees and improve processes.

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, and coding changes.
• Generate and review productivity and performance reports.

Skills

Leadership

Claims knowledge

Attention to detail

Time management

Analytical skills

MS Word & Excel

Education

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

Tools

Claims processing system

MS Word

Excel

Job description

$70,000 - $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

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.