Claims Operations Leader — Drive Accuracy & Team Growth

Express Employment International (US); Honolulu (HI); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Paid Holidays

Paid Vacation

401k with 25% company match

Job summary

Express Employment Professionals - Cincinnati East is recruiting a Claims Manager for the Downtown Honolulu, HI area. The role oversees daily claims processing, ensures accuracy and efficiency, and leads a busy Claims Department to meet turnaround targets.

The candidate will develop staff, implement policies, and drive system enhancements. The position requires strong leadership, knowledge of claims regulations, and hands-on management.

Qualifications

• 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.

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.

Skills

Leadership

Claims management

Regulatory knowledge

Microsoft Word & Excel

Problem-solving

Education

High school diploma or GED

College degree preferred

Tools

Claims processing system

Job description

Claims Manager

📍 Downtown Honolulu, HI
💰 $60,000 - $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

✅ Paid Holidays, including a floating holiday and a birthday holiday
✅ Paid Vacation and separate paid sick leave
✅ 401k with 25% company match

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.

Apply today!

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