Claims Operations Leader – Healthcare Benefits

Hawaii-Western Management Group Inc; Honolulu (HI); On-site; USD 55,000 - 80,000; Full time

Job summary

Hawaii-Western Management Group Inc in Honolulu seeks a Claims Manager to lead the Claims Department, ensuring targets for turnaround time, accuracy, and performance. This full-time role requires strong leadership and process discipline.

You will supervise staff, set policies, update health plans in the claims system, and generate reports to monitor productivity. Familiarity with industry regulations and strong communication skills are essential.

Qualifications

• High school diploma or GED required.
• Excellent organizational, analytical, and time management skills.
• Strong attention to detail and decision-making.
• Strong leadership, presentation, problem-solving, and communication skills.
• Proficiency in Microsoft Word and Excel (intermediate).

Responsibilities

• Oversees the operation of the Claims Department and meets targets for turnaround time and accuracy.
• Supervises department employees—hiring, training, coaching, and evaluating performance.
• Establishes department policies and procedures to ensure efficiency, accuracy, and compliance.
• Maintains and updates health plans in the claims system.
• Generates reports and monitors productivity and timelines.
• Keeps current with industry changes and their impact on claims processing.

Skills

Organizational skills

Analytical skills

Time management

Attention to detail

Decision-making

Leadership

Communication skills

Presentation skills

Problem-solving

Microsoft Word (intermediate)

Microsoft Excel (intermediate)

Education

High school diploma or GED

College degree in Business Administration, Healthcare Management or related field

Tools

Microsoft Word

Microsoft Excel

Job description

Hawaii-Western Management Group Inc in Honolulu seeks a Claims Manager to lead the Claims Department, ensuring targets for turnaround time, accuracy, and performance. This full-time role requires strong leadership and process discipline.

You will supervise staff, set policies, update health plans in the claims system, and generate reports to monitor productivity. Familiarity with industry regulations and strong communication skills are essential.