Claims Examiner I / II
USAble Life - Honolulu, HI

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When it comes to making a meaningful difference in the lives of our members, Life & Specialty Ventures and its family of companies is always ready.

We are a profitable and growing organization that offers many of the industry’s best individual and group life, dental and disability insurance products. We’re also an organization that’s committed to providing each employee with the chance to make his or her own meaningful difference. Our team is ambitious and passionate, and our work environment is relaxed and fun. Are you ready to join us?

We’re currently searching for a Claims Examiner I / II to join our dynamic team in Honolulu, Hawaii.

This person will be an integral part of the member experience by:
  • Performing diverse duties relating to the processing, review and adjudication of claims; including reviewing for accuracy, file and claim completeness, reviewing coverage and approving payment or denial.
  • Communicating with claimants, group policy holders, medical providers and internal staff on claims related issues.
  • Updating tracking systems and processing systems as necessary.
  • Providing assistance and feedback to less experienced staff members as assigned.
Required Skills Knowledge of diagnosis and procedure codes and general medical terminology. Proficient in MS Office. Excellent verbal and written communication skills and ability to compose professional correspondence. Demonstrated leadership skills and the ability to assist and guide others. Attention to detail and ability to maintain a low error rate. Organization skills. Ability to prioritize tasks, multi-task and handle deadlines.

Required Experience Claims Examiner I:
  • Associates degree or Equivalent professional experience
  • 1 to 3 years customer service experience
  • Bachelor's Degree; LOMA courses 1 and 2 is preferred
Claims Examiner II:
  • Associates Degree or Equivalent professional experience
  • 1 to 3 years customer service experience
  • 1 to 2 years as a Claims Examiner
  • Bachelor's Degree; LOMA courses 1 and 2 is preferred

If you’ve got talent with Microsoft Office Word and Excel, are personable and communicate well with others, possess great customer service skills and enjoy multitasking and paying attention to details that make a difference in the lives of our members, we’re looking for you!

USAble Life - 11 months ago - save job - block
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