Hawaii Pacific Health Jobs

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Hawaii Pacific Health Claims Specialist - Workers Compensation in Honolulu, Hawaii

Job Description

Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the Pacific Region with high quality, compassionate care. Its four medical centers - Kapi'olani, Pali Momi, Straub and Wilcox - specialize in innovative programs in women’s health, pediatric care, cardiovascular services, cancer care, bone and joint services and more. Hawai'i Pacific Health is recognized nationally for its excellence in patient care and the use of electronic health records to improve quality and patient safety.

The Worker’s Compensation department provides the organization with resources to reduce occupational injuries, illnesses and fatigue, and to improve the quality of work life for our employees. The department’s services include developing guidelines for reporting of illness or injury, reporting when appropriate to the correct agencies, determining when to award benefits, coordinating benefits and making necessary pay adjustments, and ongoing monitoring and reporting to protect the health and safety of our employees at all times.

As the Claims Specialist, you will provide essential support to our insurance and claims activities and help to uphold Hawai‘i Pacific Health’s high standard of professional and operational excellence. You will assist with the investigation, evaluation and resolution of claims against Hawai‘i Pacific Health entities; help to maintains a claims database in Peminic and a physician and AHP insured database, as well as working with CVO and CMO offices to coordinate coverage for medical staff; respond to queries regarding claims histories and process payments and financial transactions to ensure accurate records; and provide support for litigation management and insurance matters for PIC and Hawai‘i Pacific Health. We are looking for someone with exceptional organizational and communication skills, an understanding of claims management protocol and a commitment to delivering the highest quality health care to Hawai‘i’s people.

*Under the Centers for Medicare and Medicaid Services (CMS) Federal Vaccination Mandate, all health care workers must be fully vaccinated against COVID-19 or have an approved medical or religious exemption from receiving the COVID-19 vaccination.*

Location: Hawaii Pacific Health, Honolulu, HI

Work Schedule: Day - 8 Hours

Work Type: Part Time Regular

FTE: 0.500000

Bargaining Unit: Non-Bargaining

Exempt: No

Minimum Qualifications: Associate’s degree in Business Administration or related field and/or equivalent combination of education, training and experience. One (1) year clerical experience. Knowledge of the insurance industry.

Preferred Qualifications: Completion of Hawai‘i Labor Law course or training. Basic knowledge of Worker’s Compensation Laws. Knowledge of Occupational Safety and Health Administration (OSHA) Laws. Proficient in Microsoft Excel, Word, Access and/or other computer applications. Familiar with Human Resource systems/applications.


Position Claims Specialist - Workers Compensation

Category Administrative

Employment Type Employee

Location Hawaii Pacific Health, Honolulu, HI

Req ID 23134