Claims Jobs in Kailua, HI

A Claims Professional in the insurance industry is responsible for handling insurance claims filed by policyholders. Their role includes investigating the claim, determining the policyholder's coverage, negotiating settlements, and authorizing payments. They are often the main point of contact for clients during the claims process and will work closely with underwriters, brokers, and other insurance professionals. They may also provide recommendations for policy adjustments or present evidence in legal cases.

Claims Professionals should have excellent customer service skills, as well as strong analytical and problem-solving abilities. They should be familiar with insurance laws and regulations, and have a solid understanding of the specific types of insurance they work with. Some positions may require professional certifications such as the Chartered Property Casualty Underwriter (CPCU) or Associate in Claims (AIC). Prior to becoming a Claims Professional, a person might serve in roles such as Insurance Underwriter, Insurance Sales Agent, or Claims Adjuster Trainee.

1-15 of 22 Jobs

Pharmacy Claims Rep 2

  • Honolulu, HI (9 miles from Kailua, HI)
  • 4 days ago
  • Honolulu, HI (9 miles from Kailua, HI)
  • 4 days ago

Team Leaders & the Pharmacy Claims (Support Services) Manager Assist pharmacies with claims adjudication Complete incoming tasks as assigned by the Pharmacy Claims Team Leaders and the Pharmacy Claims...

Claims Specialist Senior - Injury

  • Honolulu, HI (9 miles from Kailua, HI)
  • 6 days ago
  • Honolulu, HI (9 miles from Kailua, HI)
  • 6 days ago

Location: Honolulu or Oahu, HI Must-have qualifications Five years of relevant work experience with two years in claims handling OR Two years in claims handling and a bachelor's degree OR Four years...

Claims Processor - Remote

  • Honolulu, HI (9 miles from Kailua, HI)
  • 7 days ago
  • Honolulu, HI (9 miles from Kailua, HI)
  • 7 days ago

The **Claims Processor** is responsible for the timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures....

Remote Work

Auto Claims Adjuster

  • Honolulu, HI (9 miles from Kailua, HI)
  • 7 days ago
  • Honolulu, HI (9 miles from Kailua, HI)
  • 7 days ago

; and to identify subrogation of claims and negotiate settlements....

Claims Assistant II

  • Honolulu, HI (9 miles from Kailua, HI)
  • 9 days ago
  • Honolulu, HI (9 miles from Kailua, HI)
  • 9 days ago

Prepares claims data for corporate 1099 reporting, BWH, IRS mis-match review & correction, performing functions necessary to support the claims division on a day to day basis....

Sr. Executive General Adjuster - Pacific Region

  • Honolulu, HI (9 miles from Kailua, HI)
  • 10 days ago
  • Honolulu, HI (9 miles from Kailua, HI)
  • 10 days ago

Executive General Adjuster - Pacific Region **PRIMARY PURPOSE** **:** To investigate losses or claims internationally on any size National Account (Maintaining a minimum of five (5) national/international...

AVP- Complex Claim Specialist- GL

  • Honolulu, HI (9 miles from Kailua, HI)
  • 11 days ago
  • Honolulu, HI (9 miles from Kailua, HI)
  • 11 days ago

** + High School Degree or GED required. + 5 years bodily injury litigation claim handling experience or 10 years litigation experience required. + In order to perform the essential job functions of...

Claims Specialist, Medical Malpractice (LTC)

  • Honolulu, HI (9 miles from Kailua, HI)
  • 12 days ago
  • Honolulu, HI (9 miles from Kailua, HI)
  • 12 days ago

cost for our clients. + Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost. + Represents Company in depositions...

Workers Compensation Medical Only Claims Adjuster In-office (Honolulu, HI)

  • Honolulu, HI (9 miles from Kailua, HI)
  • 15 days ago
  • Honolulu, HI (9 miles from Kailua, HI)
  • 15 days ago

Communicates claim action/processing with claimant, client and appropriate medical contact. Ensures claim files are properly documented and claims coding is correct....

Medicare Claims Manager

  • Honolulu, HI (9 miles from Kailua, HI)
  • 16 days ago
  • Honolulu, HI (9 miles from Kailua, HI)
  • 16 days ago

*Key Responsibilities:* * Claims Processing: Oversee the end-to-end claims processing operations....

General Liability Claims Examiner - Hawaii License Required

  • Honolulu, HI (9 miles from Kailua, HI)
  • 16 days ago
  • Honolulu, HI (9 miles from Kailua, HI)
  • 16 days ago

ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements....

Claims Adjuster Trainee

  • Honolulu, HI (9 miles from Kailua, HI)
  • 16 days ago
  • Honolulu, HI (9 miles from Kailua, HI)
  • 16 days ago

In a fast-paced environment, you'll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish....

Claims Specialist - Workers Compensation - West Region

  • Honolulu, HI (9 miles from Kailua, HI)
  • 18 days ago
  • Honolulu, HI (9 miles from Kailua, HI)
  • 18 days ago

claims, and refers claims to the subrogation group or Special Investigations Unit as appropriate....

Claims Adjuster I Workers Compensation I CA experience required I Hybrid

  • Honolulu, HI (9 miles from Kailua, HI)
  • 21 days ago
  • Honolulu, HI (9 miles from Kailua, HI)
  • 21 days ago

assigned claims, determines benefits due, and manages action plan pursuant to the claim or client contract. + Manages subrogation of claims and negotiates settlements. + Communicates claim action with...

Claims Examiner - Liability

  • Honolulu, HI (9 miles from Kailua, HI)
  • 23 days ago
  • Honolulu, HI (9 miles from Kailua, HI)
  • 23 days ago

ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements....

Demographic Data for Kailua, HI

Moving to Kailua, HI? Find some basic demographic data about Kailua, HI below.


Local
National
49,922
940
Medium

Claims Online Courses and Training Opportunities

iHireInsurance curates thousands of courses in order to recommend the best ones to help further your career. If you register for a course using the links on our site, we may receive a small commission.
Construction Claims - Identifying Claims
This course is aimed at helping construction professionals better understand the practice and importance of claim identification and how this contributes to a successful claims strategy and...
Insurance Claims Foundations
Learn how Claims Management can transform the insurance claims lifecycle. Explore various topics like Claims Product Modeling, First Notice of Loss, and more. This module includes the following...
Claims Creation for Insurance
Learn to prepare policies and configure claim data for effective insurance claims. Discover best practices for using JSON and Integration Procedures. This module includes the following lessons:...

Title Synonyms

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Salary for Claims Jobs in Kailua, HI

Estimated salary range based on data from US Bureau of Labor Statistics (BLS) and iHireInsurance research efforts.

Licensing / Certification

Required or preferred licenses and certifications for Claims positions.



Highest Education Level

Claimss in Kailua, HI offer the following education background
Bachelor's Degree
43.8%
Associate's Degree
14.2%
Vocational Degree or Certification
12.6%
Master's Degree
11.9%
High School or GED
11.8%
Doctorate Degree
3.2%
Some College
2.0%
Some High School
0.3%


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