Member Services Clerk

Pacific Administrators; Honolulu (HI); On-site; USD 38,000 - 50,000; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

Paid Vacation, Sick and Personal Time

401(k) Plan with Company Match

Commuter Benefit

Job summary

Pacific Administrators in Hawaii is seeking a Member Services Clerk I to assist members and providers with benefit, claim and eligibility information. You will work under the Member Services Supervisor to create documentation directing action for resolution and accurate benefit administration.

The role emphasizes accurate data handling, timely responses, and professional communication. Requires college study or equivalent experience, strong MS Office skills, 45 WPM typing, and a customer-focused

Qualifications

• Minimum of 2 years college education or 4 years work experience in related field.
• Excellent Customer Service and Communication Skills.
• Highly Proficient in Microsoft Word, Excel, and PowerPoint.
• 10-key by touch.
• Typing 45 WPM.
• Good Communication Skills (written and verbal).
• Quick learner with the desire and initiative to keep learning.
• Strong organizational and multi-tasking skills.
• Strong concentration, listening and problem-solving skills.

Responsibilities

• Access, interpret and analyze information in databases and manuals.
• Respond and follow-up to member/provider inquiries in a timely and professional manner.
• Communicate accurate membership, benefit and claims information in response to inquiries verbally or in writing; escalate exceptional cases.
• Know the benefits for designated Health and Welfare accounts.
• Identify questions or concerns via clarifying questions and file research.
• Create, log and track contacts requiring further action; maintain pending follow-up.
• Update records and process various Fund benefits daily (age 26 notifications, address changes, COBRA, etc.).
• File documents to each member's folder for accurate record keeping.
• Present information professionally and to the company’s standards.
• Assist supervisor/manager with other duties or projects.

Skills

Customer service

Communication

MS Office

10-key by touch

Typing 45 WPM

Organizational skills

Multitasking

Problem solving

Attention to detail

Education

2 years college / 4 years experience

Job description

Pacific Administrators (PAI) was founded in 2001 with a mission to provide exceptional Third-Party Administration services to Multi-Employer (Taft-Hartley) Employee Benefit Plan Trust Funds. PAI has been awarded one of Hawaii Business Magazine's Best Places to Work for 2026 and is Hawaii’s Largest Locally Owned & Operated Third-Party Administrator.

About the Role

The Member Services Clerk I will work under the Member Services Supervisor to provide benefit, claim and eligibility information in response to members' and providers' inquiries and, when needed, create documentation to direct action for resolution and/or changes required to ensure accurate administration of those members' benefits.

Responsibilities:

• Access, interpret and analyze information maintained on computer databases and in resource manuals that require effective use of keyboard and PC screens
• Respond and follow-up to member/provider inquiries in a timely and professional manner
• Communicate accurate membership, benefit and claims information in response to inquiries verbally or through written correspondence within established procedures. Elevate exceptional cases to the Member Services Supervisor
• Knowledge of the benefits for designated Health and Welfare account(s)
• Identify specific questions, problems or concerns using clarifying questions and research of individual files when contact is initiated by member or provider on the phone
• Create, log and track contacts that require further action and maintain pending file to follow-up resolution of inquiries
• Update records and complete process for various Fund benefits as required daily (such as Age 26 notifications, Handicapped Reports, Address changes, Enrollment form verification and process, Disability process, COBRA and Self-Pay process, Child support requests, COBRA monthly notices, Life insurance process, Eligible but not covered process)
• File various documents to each member's folder for accurate record keeping
• Present all information in a manner that represents PAI favorably and professionally
• Assist supervisor and/or manager with other duties or projects as needed

Requirements:

• Minimum of 2 years college education or 4 years work experience in related field
• Excellent Customer Service and Communication Skills
• Highly Proficient in Microsoft Word, Excel, and PowerPoint
• 10-key by touch
• Type 45 WPM
• Good Communication Skills (written and verbal)
• Quick learner with the desire and initiative to keep learning
• Strong organizational and multi-tasking skills
• Strong concentration, listening and problem-solving skills

Nice to Haves:

• Some accounting experience is a plus

Working Conditions:

• PAI offices are indoors & air-conditioned while conditions may vary at client locations
• Monday to Friday, 8:00 - 4:00 PM or 8:30 AM - 4:30 PM, with a 1-hour unpaid lunch
• The duties assigned will have situations that will require extra time
• Medical, Dental, Vision Insurance & Prescription Drug Coverage - 100% of Employee's Medical Insurance premiums are paid for by the company for a single participant (or 50% of Employee + Dependents total premiums)
• Paid Vacation, Sick and Personal Time
• 401(k) Plan with Company Match
• Commuter Benefit - 50% of the cost of monthly Bus pass or 50% of Parking is paid for by the company