Member Services Specialist – Benefits & Claims

Pacific Administrators; Honolulu (HI); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Paid Vacation

401(k) Plan

Commuter Benefit

Job summary

Pacific Administrators in Hawaii seeks a Member Services Clerk I to assist members and providers with benefit, claim and eligibility inquiries. The role works under the Member Services Supervisor to document actions needed for resolution and maintain accurate enrollment and COBRA related processes.

The position requires strong customer service, excellent communication, and proficiency in Word/Excel. Regular hours and a focus on accurate, friendly service are emphasized in a supportive team

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.
• 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.

Responsibilities

• Access, interpret and analyze information maintained on computer databases and in resource 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.
• Identify and clarify questions and research files for member/provider inquiries.
• Create, log and track contacts requiring action and follow-up on resolutions.
• Update records and process daily Fund benefits (e.g., COBRA, eligibility, address changes).
• File documents to each member's folder for accurate record keeping.
• Present information professionally to represent PAI favorably.
• Assist supervisor/manager with other duties or projects as needed.

Skills

Customer service

Communication skills

Microsoft Word

Microsoft Excel

PowerPoint

10-key by touch

Typing 45 WPM

Organization & multitasking

Problem solving

Education

2 years college or 4 years related experience

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Job description

Pacific Administrators in Hawaii seeks a Member Services Clerk I to assist members and providers with benefit, claim and eligibility inquiries. The role works under the Member Services Supervisor to document actions needed for resolution and maintain accurate enrollment and COBRA related processes.

The position requires strong customer service, excellent communication, and proficiency in Word/Excel. Regular hours and a focus on accurate, friendly service are emphasized in a supportive team