- TEKsystems (Honolulu, HI)
- Description The Claims Manager will oversee the claims processing operations, ensuring accuracy, efficiency, and compliance with regulatory requirements. ... skills, and the ability to drive process improvements. The Claims Manager will manage both onshore and...all lines of business, including Medicare, Medicaid, and commercial insurance . Key Responsibilities: Claims Processing: Oversee the… more
- TEKsystems (Honolulu, HI)
- At TEKsystems we are working with a local company seeking a Claims Manager will oversee the claims processing operations, ensuring accuracy, efficiency, and ... skills, and the ability to drive process improvements. The Claims Manager will manage both onshore and...all lines of business, including Medicare, Medicaid, and commercial insurance . If you are interested, please apply and one… more
- Travelers Insurance Company (Honolulu, HI)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without...facts or allegations of each case. + Work with Manager on use of Claim Coverage Counsel as needed.… more
- Hawaiian Electric (Honolulu, HI)
- …Board Administrative Proceedings, Vocational Rehabilitation Rules and Regulations, insurance / medical /legal fundamentals & terminology. + Working knowledge ... Manager , Workers' Compensation - Oahu Date:Jun 12, 2025...settlement, litigation, to ensure accurate and timely disposition of claims in accordance with company protocols and statutory requirements.… more
- Western Digital (Honolulu, HI)
- …and recommend appropriate courses of action. + Coordinate property and casualty insurance claims control function at all locations. + Continuous review ... is exposed) through supervision and coordination of loss prevention, asset protection, insurance , and claims control. Domestic and/or international travel may be… more
- Guardian Life (Honolulu, HI)
- The **Advisory Market Account Implementation Manager ** , primarily handles complex and large group implementations, providing overall coordination and support to ... and enrollment data to ensure the ability to pay claims by the agreed upon effective date and accuracy...have + 3-+ years of experience in the group insurance industry; implementation or client management experience preferred. +… more
- Travelers Insurance Company (Honolulu, HI)
- …and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O ... medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B ...and improve bench strength. + COMMUNICATION/INFLUENCE: + Consult with Manager on use of Claim Coverage Counsel as needed.… more
- Sedgwick (Honolulu, HI)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering ... with the injured worker, employer, and medical providers, create a case management strategy...systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. +… more
- Otsuka America Pharmaceutical Inc. (Honolulu, HI)
- **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide… more
- AURA (Hilo, HI)
- …and regulatory authorities (if required) and coordinating efforts with regulatory authorities, insurance claims adjusters, Human Resources team, and others. + ... in Hawai'i in accordance with company policy and governmental requirements. The EHS Manager reports directly to the EHS Director and works closely with the Hawai'i… more
- Otsuka America Pharmaceutical Inc. (Honolulu, HI)
- **Job Summary** Manager , Clinical Supply Operations manages Phase I-IV clinical studies, including coordination of packaging, labeling, blinding of investigational ... accordance with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life,… more
- Otsuka America Pharmaceutical Inc. (Honolulu, HI)
- **Position Summary** The Senior Manager , Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The role ... accordance with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life,… more
- Otsuka America Pharmaceutical Inc. (Honolulu, HI)
- **Position Summary** The Senior Manager of Field Technology will lead the design, optimization, and delivery of field sales reporting platforms and tools. This role ... accordance with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life,… more
- Walgreens (Honolulu, HI)
- …and the Continuous Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. ... efficient workflow. + At the direction of the Pharmacy Manager or pharmacist, prepares, and files reports and records...Follows-up with insurance companies as well as medical providers… more
- Otsuka America Pharmaceutical Inc. (Honolulu, HI)
- …of the global regulatory team (GRL, regional leads, CMC-RA, labeling, medical writing, regulatory operations, etc.) to develop global regulatory plans, address ... accordance with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life,… more
- Otsuka America Pharmaceutical Inc. (Honolulu, HI)
- …accordance with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life, ... accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match, flexible… more
- CBRE (Honolulu, HI)
- Contracts and Commercial Sr Manager Job ID 220291 Posted 10-Jun-2025 Service line GWS Segment Role type Full-time Areas of Interest Administrative, Risk Management ... the life sciences industry, including those in pharmaceuticals, biotech, medical devices, and genomics, as well as contract research...industry. **About the Role:** As a CBRE Sr. Commercial Manager , you will be responsible for leading the contract… more
- Hawaii Pacific Health (Honolulu, HI)
- …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...and security of the environment, and/or result in costly claims and lawsuits with subsequent financial loss to the… more
- Centene Corporation (Honolulu, HI)
- …related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims , contracting ... + Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform… more