Home > Big Island jobs > Big Island accounting/financial

Posted: Wednesday, January 10, 2018 12:06 AM




DATE POSTED: November 29, 2017

JOB ORDER# 2017-11

JOB TITLE: Medical Claims Adjuster




Adjudicates medical claims, applies coordination of benefits as outlined in plan guidelines and works with providers to gather the necessary documents to make final payment determination on claims. Successful candidates must have experience processing medical claims for an insurance company or third party administrator.


Bachelors Degree or equivalent experience.
Requires minimum five (5) years clerical office experience and on-line claims processing experience with knowledge of medical terminology, CRVS, and CPT codes.
Must have experience and good understanding of COB rules, including Medicare; PPO contract language useful.
Must be able to type a minimum of 45 words per minute.
Ability to work effectively in a team environment.
Excellent customer service skills both on the telephone and in person. Ability to positively and professionally manage challenging service situations.
Ability to lift, push, and pull up to 10 pounds.
To be able to clearly and effectively express oneself through verbal and written means in English and Ilkano would be helpful; to properly use such technical factors as grammar, punctuation, vocabulary, and correct spelling. To be able to prepare business letters, memoranda, and reports using a prescribed format.
To be able to read, analyze, comprehend, and disseminate information from medical and legal documents.
Ability to function calmly in a fast paced environment handling multiple priorities simultaneously with a high level of detail orientation.
To be able to deal with situations of a dynamic nature; to be able to modify plans, actions, and decisions in light of changing situations and circumstances.
To be able to demonstrate an understanding, and the regular use, of a time management process; to work in an organized way; to work efficiently and effectively.
To be able to use a desktop computer, to be able to operate menu driven window software and to be proficient in the use of Windows programs, including but not limited to Word, Excel, and Outlook.
Must be able to meet required quality and production standards.
Please apply at: send resumes to

• Location: Big Island

• Post ID: 9392052 bigisland is an interactive computer service that enables access by multiple users and should not be treated as the publisher or speaker of any information provided by another information content provider. © 2018