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Claims Adjudicator I

Ref: 188027-5  

Description:

Strong analyzer and organized individual is needed to fill a Claims Adjudicator I role at a health and benefits company in Honolulu.  

You will efficiency process the following types of claims:

  • Professional claims
  • Dental claims
  • Travel reimbursement
  • Third-party liability (TPL) claims 
  • Basic Coordination of Benefits (COB)
We are looking for someone who has at least three months of experience processing medical claims. If this sounds like a good fit for you, keep reading to learn more! 

Hours:
Full-time

Location:
Oahu: Honolulu

Pay:
$15.00 Hourly

Additional Responsibilities:

  • Process claims in compliance with company policies and procedures
  • Verify claim form data to ensure accuracy and completeness
  • Identify discrepancies and inconsistencies within claim payments
  • Create third-party liability (TPL) diary reports and other claim reports
  • Ensure Federal and State regulations are met 
  • Prioritize workload to ensure all objectives are met and projects are completed 
  • Perform other duties as assigned 

Required Education and Qualifications:

  • High school diploma or GED 
  • Certificate from college or technical school 
  • Minimum three months of experience in medical claims processing
  • Proficiency with Microsoft Word and Excel 
  • Knowledge of medical terminology, CPT, ICD, and HCPCS codes 
  • 10-key by touch 
  • Ability to type 30 WPM 
  • Independent worker as well as a team player