Healthcare Claims Processor I

Pacific Administrators; Honolulu (HI); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

401(k) Plan with Company Match

Paid Vacation, Sick and Personal Time

Commuter Benefit

Job summary

Pacific Administrators in Honolulu, HI seeks a Claims Processor I to work under the Claims Department Supervisor. Responsibilities include processing medical, hospital, vision, chiropractic and ancillary claims, ensuring accurate coordination of benefits and third-party liability claims, and assisting the department with inquiries and duties.

The role requires at least 2 years of experience or equivalent, strong typing (45 WPM) and 10-key by touch, and proficiency in Word/Excel.

Qualifications

• Minimum of 2 years work experience or equivalent (education/work).
• Typing 45 WPM.
• 10-key by touch.
• Microsoft Word and Excel proficiency.
• Good organization skills and the ability to multitask.
• Strong analytical skills.
• Self-starter and quick learner.

Responsibilities

• Process medical, hospital, vision, chiropractic and ancillary claims.
• Coordinate benefit and third-party liability claims per policies.
• Send referrals to Managed Care Department and to contract negotiator.
• Submit and correct error tickets; process claim adjustments.
• Assist Customer Service with inquiries and support other duties.
• Maintain error rate and production quotas.
• Occasional lifting and transporting of supplies.

Skills

Typing 45 WPM

10-key by touch

Analytical skills

Organization

Self-motivated

Tools

Word

Excel

Job description

Pacific Administrators in Honolulu, HI seeks a Claims Processor I to work under the Claims Department Supervisor. Responsibilities include processing medical, hospital, vision, chiropractic and ancillary claims, ensuring accurate coordination of benefits and third-party liability claims, and assisting the department with inquiries and duties.

The role requires at least 2 years of experience or equivalent, strong typing (45 WPM) and 10-key by touch, and proficiency in Word/Excel.