Claims Manager

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

Job summary

Express Employment Professionals – Hawaii is seeking a Claims Manager to lead a busy Claims Department in Honolulu. You will oversee daily operations, drive accuracy and efficiency, and develop team members while ensuring high-quality service.

The role emphasizes hands-on leadership, process improvement, and maintaining claims systems to meet established standards for accuracy and turnaround times.

Qualifications

• High school diploma or GED required.
• Experience in claims supervision, management, or related leadership preferred.
• Knowledge of medical terminology, billing, and coding preferred.

Responsibilities

• 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.
• Coordinate system updates and coding changes.
• Generate and review productivity and performance reports.

Skills

Leadership

Team management

Analytical

Time management

Attention to detail

Communication

Problem-solving

Education

High school diploma or GED

Bachelor’s degree in Business Administration/Healthcare Management or related field

Tools

Microsoft Word

Microsoft Excel

Job description

$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

• 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 developmentEstablish 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