Claim specialist jobs in Urban Honolulu, HI - 84 jobs

Under minimal to no supervision, handles claims from first notice to final disposition. Duties include, but are not limited to, coverage analysis, investigation, litigation management, and negotiation of a variety of claims assigned, including the more complex and severe damage and/or injury cases. Duties: * Claim Handling and Investigation * Receive claim loss information from agencies, insured, and claimants or other involved parties via telephone, facsimile, mail, or computer; and establish a claim on the appropriate computer claim handling system. * Review limited assignments as well as assigned claims for applicable coverage, liability, and exposures. * Handle those losses or litigated claims involving the greatest complexity. * Must have thorough knowledge of all lines of business written by the company, including, but not limited to auto, homeowners, dwelling fire, commercial general liability, and umbrella. * Review applicable policy forms, determine and explain available coverage/benefits, resolve conflicts. * Contact insured and other involved parties within the specified time frame, as outlined by department procedure. * Determine/confirm facts of loss/cause of loss, identify parties involved, and extent of injuries or damages, as applicable. * Obtain written or recorded statement(s) as needed. * Inspect, photograph, and diagram damages and the scene of loss. Ensure the investigation is thorough and complete, and documentation in the file supports the claim. Secure and preserve evidence. * Obtain other documentation, as appropriate, including but not limited to police and fire investigative reports, applicable contracts, plans and specifications, diagrams and photographs, repair proposals and appraisals, and medical records and bills. * Determine liability based on facts developed and thorough knowledge of the applicable Hawaii Revised Statutes and other applicable laws. * Provide clear and concise analysis of liability based on the facts and the applicable Hawaii Revised Statutes and other applicable laws. * Provide analysis of alleged damages and injuries. * Initiate deductible recovery procedures where applicable. * Communication and Customer Service * Review questionable claims and all coverage issues with the Claim Manager. * Communicate status to insureds, claimants, and their attorneys, if any, as required by the Hawaii Revised Statutes or per department policy. * Stay abreast of statute, case law decisions, as well as policy and coverage changes. * Possess a positive, service-oriented attitude toward agencies, insureds, and employees within the company. * Provide quality claims handling and superior customer service on a regular basis. * Serve as a mentor to other claims professionals in a technical capacity. * Assist other claim professionals with claims handling, evaluations, negotiations, and litigation issues. * Provide technical advice/direction to department personnel on more complex claims. * Assist with the assignment of claim assignments as needed, reviewing first notices of loss, providing direction, and support to the assigned individual. * Financial and Administrative Responsibilities * Perform appropriate and timely processing of financial transactions, including establishing reserves, adjusting reserves, and making payments on the applicable claim system, as authorized. * Prepare and submit written requests for authority, as well as other reports, as required. * Evaluate damages and injuries considering applicable coverage, liability determination, and other pertinent information developed. * Negotiate settlements within authority granted. * Enter timely, clear, and concise notes on the applicable computer claim handling system to document all activities - investigations, evaluations, recommendations, negotiations, and resolution. * Diary all assigned claim files for timely follow-up and review them within the specified time frame as outlined by department procedure. * Manage all outside vendors (e.g., independent adjusters, appraisers, contractors, investigators, experts, and attorneys) to minimize the length of time to resolution of the claim, and the allocated loss expenses. * Follow prescribed litigation guidelines and procedures including reporting requirements and attorney fee review program. * Attend and participate in mediations, arbitrations, settlement conferences as required. * Perform accurate and timely preparation and submission of data and reports, as required by the department procedure or management. Qualifications: * High school diploma or general education degree (GED); and 5-7 years multi-line Claims Specialist required. * College degree with credits in insurance related subjects preferred. * Equivalent combination of education and job-related experience will be considered. * Continuing education in insurance and job related issues and subjects required. * State of Hawaii general adjusting license preferred. * Valid Hawaii Driver's license and use of own vehicle required. * Enrollment or completion of IIA, AIC or other insurance industry courses preferred.

Exemption Status:United States of America (Non-Exempt)$17.92 - $22.85 - $27.78 “Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.” This position is not eligible for Sponsorship. MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare. At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution! Job Description Summary The successful candidate will work as a member of the Claims Processing team, ensuring accurate and timely processing of Physician, Facility, Dental, and Vision claims for multiple plan designs, including traditional PPO plans, Reference Based Pricing (RBP) plans, and Minimal Essential Coverage (MEC) plans. Interprets schedules of benefits and plan documents to apply accurate benefits to claims according to the plan design. Applies internal policy and procedures for claims adjudication, identifies and resolves claim processing errors, adjusts previously processed claims, and logs refunds for claim overpayments. Performs data entry of CMS 1500, UB 04, and dental claims, research claim issues, and assists in audit projects. Works under general supervision, relying on instructions, work process guidelines, policies & procedures, and company knowledge/experience to perform job functions, with supervision ranging from close to minimal oversight based on demonstrated skill and performance levels. Essential Duties and Responsibilities include the following. Other duties may be assigned. Accurate and timely processing of Physician, Facility, Dental and Vision claims for multiple plan designs, including traditional PPO plans, Reference Based Pricing (RBP) plans and Minimal Essential Coverage (MEC) plans. Adhere to Corporate and Departmental standards including production and quality goals. Interpret schedule of benefits and plan documents to apply accurate benefits to claims according to the plan design. Identify potential system or plan design issues that would impact the correct adjudication of a claim. Effectively communicate with the Management team on claim processing questions and issues. Interpretation and application of internal policy and procedures for claims adjudication. Identify and resolve the root cause of a claim processing and/or data entry error. Adjust previously processed claims. Identify claim over payments and log refunds. Data entry of CMS 1500, UB 04, and dental claims. Research complex claim issues. Assist in audit projects Supervisory Responsibilities No supervisory responsibilities Client Responsibilities This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience GED/HS Diploma and 1+ year experience or equivalent combination of education and experience Computer Skills Intermediate knowledge of MS Office/Word, Excel, PowerPoint and Outlook. Experience with Windows based database programs is preferred. Strong aptitude for new programs. Certificates, Licenses, Registrations Certified Claims Professional (CCP), Medical Billing and Coding Certificate, or Certified Professional Coder (CPC) not required but highly preferred. Other Skills and Abilities Demonstrated ability to appear for work on time, follow directions from a supervisor, interact well with co-workers, understand and follow work rules and procedures, comply with corporate policies, goals and objectives, accept constructive criticism, establish goals and objectives, and exhibit initiative and commitment. Reasoning Ability Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Ability to add and subtract two digit numbers and to multiply and divide with 10's and 100's. Ability to perform these operations using units of American money and weight measurement, volume, and distance. Language Skills Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. Competencies To perform the job successfully, an individual should demonstrate the following competencies: Composure Decision Quality Organizational Agility Problem Solving Customer Focus Drive for Results Peer Relations Time Management Dealing with Ambiguity Learning on the Fly Political Savvy Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic). Work Location This position must work on-site at the Honolulu, Hawaii location for purposes of providing adequate support to internal clients; being available for face-to-face interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as for facilitation of quick and effective decisions through collaboration with stakeholders. Remote work is not an option for these purposes. Working Hours This is a full-time non-exempt position requiring one to be able to work overtime from time to time in order to get the job done. Therefore, one must have the ability to work nights, weekends or on holidays as required. This may be changed at any time to meet the needs of the business. The typical working hours for this position are Monday through Friday from 8:00am to 5:00pm. Travel This position requires no travel however attendance may be required at various local conferences and meetings. The Perks: Medical / Dental / Vision / Wellness Programs Paid Time Off / Company Paid Holidays Incentive Compensation 401K with Company match Life and Disability Insurance Tuition Reimbursement Employee Referral Bonus To explore all that MedImpact has to offer, and the greatness you can bring to our teams, please submit your resume to ************************* MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets. Equal Opportunity Employer, Male/Female/Disabilities/VeteransOSHA/ADA: To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Mid Corp Property Team as a Senior Claims Examiner, Property. In this role, the responsibilities include actively managing complex First Party Commercial Property claims focused in Hawaii and other jurisdictions throughout the United States. This candidate will need to be local to Hawaii. Responsibilities Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis Develop and implement strategy related to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care Develop and implement timely and accurate resolution strategies to ensure mitigation of indemnity and expense exposures Maintain contact with any/all associated claims carrier(s)' claims staff, business line leader, underwriter, defense counsel, program manager, and broker to communicate developments and outcomes as necessary Investigate claims and review the insureds' materials, pleadings, and other relevant documents Identify and review each jurisdiction's applicable statutes, rules, and case law Review litigation materials including depositions and expert's reports Analyze and direct risk transfer, additional insured issues, and contractual indemnity issues Retain counsel when necessary and direct counsel in accordance with resolution strategy Analyze coverage, liability and damages for purposes of assessing and recommending reserves Prepare and present written/oral reports to senior management setting forth all issues influencing evaluations and recommending reserves Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter Negotiate resolution of claims Select and utilize structure brokers Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims Experience & Required Skills Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines Strong time management and organizational skills Demonstrated ability to take part in active strategic discussions Demonstrated ability to work well independently and in a team environment Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word Willing and able to travel 10% Education Bachelor's degree required. 5-7+ years of work experience at an insurance company and/or insurance claims loss adjustment service provider managing property claims process supporting commercial accounts Proper & active adjuster licensing in all applicable states, Hawaii #LI-SW1 #LI-REMOTE For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible. $97,000 - $115,000/year Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future. Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits. Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team. 14400 Arch Insurance Group Inc.

IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity Matters: With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives. This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation. Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. You're welcome to sign up on our jobs roster if you meet our guidelines. How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges. Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster. Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals. Seize the Opportunity Today! Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews. You can also find us on YouTube at: (********************************************************* and Facebook at: (************************************************** for additional resources and updates. APPLY HERE #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.

Under the supervision of Claims Supervisor, performs accurately all functions related to dental claims processing. Follows processing rules, guidelines, and policies. Meets department productivity, quality, and accountability standards. ESSENTIAL DUTIES AND RESPONSIBILITIES Key Responsibilities Electronically images hardcopy claims batch as OCR, Non-OCR, and x-ray attachments. Batch image paper attachments, POAs and adjustments, and back-end imaging of claims documentation. Inputs rejected and RFI claims notices. Performs all aspects of claims data entry, including verification of required documentations. Processes Levels 1, 2 and 3 claims consisting of single, COB-S, Dual, Pre-authorizations and out of state type claims. Reviews all levels of suspended electronic claims including opening and sorting of ECS mails. Processes requests to pay pre-authorizations. Other Duties and Responsibilities Assists the Claims department in adhering to established document policies and procedures. Provides back-up support and assistance in Customer Service and other departments as necessary. Accomplishes special projects as assigned. Determines and follows through with a plan to meet annual goals set up with the supervisor. Takes responsibility for relationships with others in the department and company. Works as a team player and assists wherever there is a need. Maintains a customer advocate attitude, understanding the importance that timely and accurate claims processing has on customer satisfaction. Other miscellaneous duties and responsibilities as assigned. MINIMUM QUALIFICATIONS AND EXPERIENCE Education High School Diploma or its equivalent required. Experience Minimum two years of clerical experience, customer service, sales, or any combination of education and experience which would provide the necessary knowledge, skills, and abilities to meet the minimum qualifications to perform the essential functions of this position. Skills and Knowledge Working knowledge of PC applications (i.e., word processing and spreadsheets) highly desirable. Requires demonstrated customer service skills and sales ability. Ability to maintain focus and attention to detail. Ability to handle multiple tasks with some distractions. Ability to communicate orally and in writing with all levels of staff, customers and vendors. Ability to handle all information in a confidential manner and in compliance with federal and state laws/regulations (i.e., HIPAA, PHI). Note : The above information in this description has been designed to indicate the general nature and level of work performed by an employee in this classification. It is not to be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications of employees assigned to this job. Hawaii Dental Service has the right to add to, revise, or delete information in this description. Reasonable accommodation will be made to enable qualified individuals with disabilities to perform the essential functions of this position.

The Claims Senior Auto Adjuster supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation, claims resolution and negotiation strategies of moderate complexity claims in compliance with established company technical and customer service best Practices. Under limited supervision, works within specific limits and authority to resolve claims with well-defined procedures. Job Duties Communicate and interact with a variety of individuals including insureds and claimants. Verify and explain benefits, coverages, fault, and claims process either verbally or in writing which complies with regulatory and statutory requirements. Recognize and appropriately address moderate-complexity coverage issues. Identify and obtain statements from insureds, claimants and witnesses. Conduct investigations to determine liability and damages and differentiate between allegations and facts. Evaluate and negotiate within settlement authority with insureds and claimants to resolve first and third-party claims in multiple markets. Demonstrate proficiency with estimates, property, material damage, liability, total loss evaluations, analysis of claims, claims technology, and tool usage. Coordinate with internal and external departments as required. Respond quickly to customer needs and inquiries. Overtime and holiday hours may be required Qualifications Bachelors Equivalent combination of education and experience Preferred 1-3 years Claims handling experience. Required Working knowledge of claims administration best practices and procedures. Understanding of vehicle repair processes and procedures Knowledge of fault assessment, negligence and subrogation principles required. Knowledge of Microsoft Office suite, general computer software and claims software. Organization and planning recognition skills required. Oral and written communication skills required. Interpersonal skills required. Property and Casualty Insurance License, valid in selling state - Issued by State Preferred May be required to obtain an Adjuster license as applicable in accordance with state law. within 60 Days Preferred Travel Requirements Occasional travel to off-site business meetings or conferences. (5% proficiency) Remarkable benefits: • Health coverage for medical, dental, vision • 401(K) saving plan with company match AND Pension • Tuition assistance • PTO for community volunteer programs • Wellness program • Employee discounts (membership, insurance, travel, entertainment, services and more!) Auto Club Enterprises is the largest federation of AAA clubs in the nation. We have 14,000 employees in 21 states helping 17 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity - we win. All of Us! With our national brand recognition, long-standing reputation since 1902, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. "Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.” AAA is an Equal Opportunity Employer

Our client is seeking to add an experienced Senior Workers' Compensation Claims Specialist to enhance their team. This role is vital for managing a range of Workers' Compensation claims from inception through resolution. The position involves detailed claim investigation, assessment, and settlement of complex cases. The ideal candidate will possess an active Hawaii adjuster's license and have at least 3 years of focused experience in Workers' Compensation claims. Responsibilities: Thoroughly investigate Workers' Compensation claims to determine coverage, assess liability, and estimate damages. Manage a caseload of claims efficiently, ensuring thorough documentation and adherence to company policies and regulatory requirements. Engage in the settlement negotiation process, effectively resolving claims in a timely and fair manner. Develop and implement strategies to facilitate claim resolution and meet all necessary deadlines. Collaborate with medical providers, employers, and legal counsel to coordinate and manage the claims process. Identify and pursue opportunities for subrogation and cost recovery. Requirements: 3 - 7+ years' experience in handling Workers' Compensation claims. Must possess an active adjuster's license in Hawaii. Proven ability to manage and resolve complex Workers' Compensation claims. Strong analytical skills and attention to detail. Excellent communication and interpersonal skills, with an ability to negotiate settlements effectively. Capable of working both independently and as part of a team. Familiarity with Workers' Compensation laws and regulations in Hawaii. Salary/Benefits: $80,000 to $105,000 annual based salary Competitive Medical, Dental, and Vision plans Employer matching 401k Lucrative PTO

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Representative (IAP) - Workers Compensation Training Program Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? + A stable and consistent work environment in an office setting. + A training program to learn how to help employees and customers from some of the world's most reputable brands. + An assigned mentor and manager who will guide you on your career journey. + Career development and promotional growth opportunities through increasing responsibilities. + A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE:** To be oriented and trained as new industry professional with the ability to analyze workers compensation claims and determine benefits due. **ARE YOU AN IDEAL CANDIDATE?** We are seeking enthusiastic individuals for an entry-level trainee position. This role begins with a comprehensive 6-week classroom-based professional training program designed to equip you with the foundational skills needed for a successful career in claims adjusting. Over the course of a few years, you'll have the opportunity to grow and advance within the field. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Attendance and completion of designated classroom claims professional training program. + Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only claims. + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal disability duration under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim action/processing with claimant and client. + Supporting other claims examiners and claims supervisors with larger or more complex claims as assigned. + Participates in rotational assignments to provide temporary support for office needs. **QUALIFICATIONS** Bachelor's or Associate's degree from an accredited college or university preferred. **EXPERIENCE** Prior education, experience, or knowledge of: - Customer Service - Data Entry - Medical Terminology (preferred) - Computer Recordkeeping programs (preferred) - Prior claims experience (preferred) Additional helpful experience: - State license if required (SIP, Property and Liability, Disability, etc.) - WCCA/WCCP or similar designations - For internal colleagues, completion of the Sedgwick Claims Progression Program **TAKING CARE OF YOU** + Entry-level colleagues are offered a world class training program with a comprehensive curriculum + An assigned mentor and manager that will support and guide you on your career journey + Career development and promotional growth opportunities + A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is 25.65/hr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. #claims #claimsexaminer #entrylevel #remote #LI-Remote_ Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

The Telehealth Outstationed Specialist plays a vital role in the patient experience. They are responsible for meeting with patients at various outstationed POCs and assist them with connecting to a provider. Specialist will also responsible for facilitating appropriate use of the Center's resources, assisting patients with completion of applications for medical insurance and medication assistance. This position actively participates in special activities of the Department. It is expected to work within the program directives of the funding source, within the philosophical framework set by the Board of Directors, and within the existing network of community services providers and natural helpers. EDUCATION/EXPERIENCE: 1. High School graduate/GED 2. Experience in clinic/office setting & community outreach work required 3. Clinic workflow experience preferred 4. Familiarity with NextGen EMR/EMP software required An Equal Employment Opportunity / Affirmative Action Employer

Claims Resolution & Support Serve as the primary liaison for complex escalated claim inquiries from providers, members, account management, and internal departments. Research and resolve complex claim discrepancies, denials, adjustments, and payment issues within established service-level agreements (SLAs). Coordinate with claims examiners, configuration, and payment integrity teams to ensure accurate claim adjudication. Document and maintain claim processing instructions and workflows to ensure accurate and efficient processing. Provide guidance and mentoring to Claims Liaison Specialists. Analysis & Reporting Perform root-cause analysis of claim errors, payment delays, and provider/member complaints. Compile and present findings to leadership with recommended solutions. Track claim trends and prepare reports on recurring issues, financial impact, and compliance risks. Stakeholder Communication Provide clear and timely communication of claim resolutions to providers, members, and internal stakeholders. Develop strong working relationships with provider relations, customer service, utilization management, and network management teams. Function as a subject-matter resource on claim workflows and policies. Process Improvement & Compliance Identify opportunities to improve claims workflows, system configuration, and provider/member experience. Participate in cross-functional workgroups to implement corrective actions and process enhancements. Ensure adherence to state, federal, and accreditation guidelines (e.g., CMS, HIPAA, NCQA). Performs all other miscellaneous responsibilities and duties as assigned or directed. #LI-Hybrid

Investigates, adjusts, and negotiates for settlement of claims of real and personal property damage for and against the County of Hawai'i; conducts investigative work in contemplation of litigation and anticipated cases; handles personal injury cases not covered by insurance carried by the County of Hawai'i; and performs other related duties as required. There is one (1) immediate temporary full-time not-to-exceed 11/30/2028 vacancy with the Office of the Corporation Counsel - Litigation Division in Hilo. The eligible list may be used for other permanent and temporary vacancies as they arise during the life of the list. Temporary appointment may lead to conversion to permanent appointment. Examples of Duties * Determines, evaluates, and verifies the facts set forth in any claim or lawsuit filed against and by the County. * Locates, interviews, and interrogates the principals involved and/or the witnesses. * Inspects the physical evidence of damages; gathers and verifies the value of damages by asking for expert opinions when necessary; arrives at judgments of the worth of statements given by individuals. * Obtains additional, clarifying, or substantiating information, evidence, and facts. * Prepares reports on findings with recommendations. * Negotiates for the settlement of claims to the satisfaction of the principals involved. * Recommends to the Corporation Counsel the acceptance or rejection of liability by the County or action to be taken against individuals who owe the County. * Checks with the appropriate agencies to determine the assets of individuals against whom the County has claim. * Follows up on delinquent accounts by personal interview and recommends new terms or enforcement of terms based on findings. * Assists the County attorneys in the presentation of cases. * Testifies and presents supporting information in court, arbitrations, mediations, hearings, administrative hearings or any other quasi-judicial proceedings. * Assists the County attorneys in presenting evidence and producing witnesses. * As directed, works with County commissions, boards, administrators, and others in judicial or quasi-judicial hearings. * Monitors and evaluates all requests for No-Fault benefits, including medical treatment plans for compliance with appropriate laws and guidelines; recommends the approval or disapproval of payments, treatment plans, or modifications to plans. * Notifies claimant or authorized representative when No-Fault benefits are about to be or have been exhausted. * Locates missing persons. * Investigates complaints against County of Hawai'i employees. * Prepares detailed reports of investigations, analyses, findings, and recommendations; prepares other administrative reports as required. * Serves complaints, counter and/or cross claims, warrants, subpoenas, summonses, or other documents for the Office of the Corporation Counsel. * Investigates hardship cases in condemnation proceedings and workers' compensation cases. * Performs other related duties as assigned. Minimum Qualification Requirements Training and Experience: A combination of education and experience substantially equivalent to: * graduation from an accredited college or university with a baccalaureate degree (scan and attach a copy of your official transcript to your application), and * three (3) years of investigational or law enforcement work, of which * one (1) year shall have involved the investigation or the adjustment of claims relating to personal, medical, and property damages, and * possession of a valid State of Hawai`i driver's license (Class 3) or any other valid comparable driver's license at time of filing. (You will be required to submit your valid driver's license at time of hire.) Note: Foreign transcripts must be accompanied by an official credential evaluation report to determine U.S. equivalency. (Scan and attach a copy of your official credential evaluation report to your application.) Examination: All applicants who meet the minimum qualification requirements will be assigned a score of 70 points. An education and experience evaluation will be conducted based on the applicant's training, education and experience as presented in the application. Please read the minimum qualification requirements carefully. Be certain to list all pertinent training and experience, as this may be important in determining your examination score. It is essential that the applicant describe fully the duties and responsibilities of each position held, specify the date of each position held (from and to, month and year), and indicate the number of hours worked per week. Attach all required documentation (e.g. official transcript, professional license(s)/certification(s), DD-214, etc.) at the time of submitting your application. Note: In-person interviews and/or further testing in Hawai'i County may be required at the discretion of the hiring department/agency. If in-person interviews and/or further testing are required, applicants who are referred to the hiring department/agency must be available to participate in person and at their own expense at that phase of the selection process. Knowledge of: principles and practices of investigation; interviewing and interrogating methods and techniques; rules of evidence; elementary law of real property, insurance, and torts; court procedures; human relations and behavior. Ability to: interpret and apply laws and regulations; gather, analyze, and evaluate facts and settle liabilities; make sound observations and mature judgments; deal tactfully and effectively with the public and representatives of other government agencies; write accurate, clear, and concise reports. Physical Requirements: Persons seeking appointment to positions in this class must meet the health and physical condition standards deemed necessary and proper to perform the essential functions of the position with or without reasonable accommodations. Physical Effort Grouping: Light Benefits of County employment: The County of Hawai'i offers a competitive compensation package. Your total compensation is comprised of your salary and a generous range of valuable benefits, subject to eligibility requirements. * Flexible Working Arrangements: Options may include alternate work schedules (4-10) and flexible working hours. (Not all Departments/Agencies participate and not all positions are eligible.) * Vacation: Start accruing paid vacation time immediately upon hire - up to 21 days per year. * Sick Leave: Start accruing paid sick leave time immediately upon hire - up to 21 days per year. * Holidays: The County provides 13 paid holidays per year (plus General Election Day when applicable). * Training and Development: The County has a variety of training and development opportunities for employees. * County Tuition Reimbursement Program: This scholarship program rewards employees who take the initiative to advance their education and learning. * Public Service Loan Forgiveness (PSLF) Program: You may be eligible for this federal program which forgives portions of federal student loans for individuals working in public service. * Retirement Plan: The Employees' Retirement System is a qualified defined benefit public pension plan that provides retirement, disability, survivor and other benefits to all eligible full-time and part-time county employees in the State of Hawaii as well as their beneficiaries. * Deferred Compensation: Save additional money for retirement - this voluntary supplemental retirement savings plan allows for the investment of tax-deferred contributions. * Flexible Spending Plan: Use pre-tax dollars to pay for qualified dependent care and/or medical expenses, as well as insurance premiums. * Health Benefit Plans: The County of Hawai'i offers a variety of health benefit plans for eligible employees. * Employee Assistance Program (EAP): This voluntary assistance program provides employees and their family members with free professional and confidential assistance in overcoming personal and work-related problems. * Group Life Insurance: Free life insurance policy for active employees. * Credit Union Membership * Other Leaves: You may be eligible for other leaves, including Family Leave, Funeral Leave, Leave Sharing, Military Leave, Donor Leave, Victims Protection Leave, as well as leave for Parent-Teacher Conferences, Disaster Relief, Blood Bank Donations, and Jury Duty. All benefits are subject to eligibility requirements and change due to legislative actions and/or changes negotiated through collective bargaining. Please check out the benefits tab for additional information. Supplemental Information Please scan and attach these supporting documents to your on-line application, if required: * an official college transcript, * a valid driver's license, * a temporary assignment verification, * professional licenses, and/or * certificates. Veterans applying for veteran's preference points shall also scan and attach their DD-214 form and as needed, their VA claim letter to the on-line application. PLEASE APPLY IMMEDIATELY AS THIS RECRUITMENT MAY CLOSE AT ANY TIME. ELECTRONIC NOTIFICATION TO APPLICANTS: Please ensure that the email address and mobile phone number you provide is current, secure, and readily accessible to you. We will not be responsible in any way if you do not receive our emails and text messages or fail to check your email box or NEOGOV account INBOX in a timely manner. Checking your NEOGOV account INBOX daily is recommended and is the most secure method to check on notices sent to you. This is a new feature created by our vendor, NEOGOV. Please add *********************** to your contact list. Open your NEOGOV account using your user name and password. In the upper right hand corner of the account is your name, and under your name, click on INBOX to view all notices sent you. The notices will appear here in the INBOX even in the event you don't receive it on your cell phone, computer, or other electronic device. This is the best way to check and view all notices sent to you. You will receive a confirmation email upon successfully submitting your application. Failure to receive this confirmation email, indicates that your application was not submitted. APPLICATIONS MUST BE FILED ONLINE AT: *************************************************** E-mail: *********************

Under the direction of the Manager and Team Lead, this position provides support in the administration of Personal Trust and Institutional Services accounts where the bank is acting as trustee, personal representative, conservator, guardian or agent. Oversees daily operational activities of accounts as well as provides the highest level of service to internal partners, clients, attorneys, CPA's, beneficiaries and other wealth advisors related to these accounts.

Hawai'i Health & Harm Reduction Center (HHHRC) provides harm reduction-focused services to marginalized populations in Hawai'i, including people living with and/or affected by HIV, hepatitis, substance use, homelessness, and the transgender, LGBQ, and the Native Hawaiian communities. HHHRC bridges gaps and helps individuals access essential resources such as housing, health care, entitlements, and treatment. We foster health, wellness, and systemic change in Hawai'i and the Pacific through outreach, care services, advocacy, training, prevention, education, and capacity building. Primary Purpose: The Insurance Navigation Specialist is responsible for providing health insurance navigation services to the uninsured Oahu population through outreach, targeting marginalized populations including people living with and/or affected by HIV, hepatitis, substance use, houselessness, the LGB&T community, and the unsheltered and recently released prison population. Reporting Relationship: Reports to: HIV Program Director Supervises: N/A Essential Duties & Responsibilities: Complete all training and submit all paperwork required by Department of Human Services (DHS), Med-QUEST Division (MQD), Centers for Medicare & Medicaid Services (CMS) and Federally Facilitated Marketplace (FFM). Attend meetings as required by funder and MQD. Assure timely compliance with all contract responsibilities. Travel to consumers in the target communities and provide information on affordable health insurance and direct assistance and guidance through the enrollment process. Submit mileage and expense reports monthly. Build and sustain relationships with other community organizations. Provide feedback to the HIV Program Director on strategies for effective engagement with community members and the appropriate tools and specific methods for educating each of the target populations. Track and record data including numbers of consumers reached through presentations, community events and health fairs, the types and numbers of other consumer assistance provided, and number of people enrolled. Submit data monthly to the HIV Program Director for tabulation and reporting. Perform additional duties as needed and assigned. Duties are subject to change. General Responsibilities: Contribute to a safe, creative, enthusiastic, and cooperative working environment for all. Serve on agency committees. Work as a team with other staff and support team members. Maintain appropriate professional and ethical standards while serving as a representative of HHHRC. Observe and comply with rules and regulations - such as HHHRC Code of Conduct, Drug-Free Workplace - and other administrative policies of HHHRC. Abide by all policies and procedures of the HHHRC Health & Safety Program and the Quality Management Program. Comply with HHHRC confidentiality policy, HIPAA requirements, cultural competencies, and rights to persons served, as well as CARF standards. Demonstrate steadfast understanding of, and commitment to, the Mission, Vision, and Values of HHHRC. Work Hours: Monday - Friday, 8:30am to 5:00pm, with some weekend and evening attendance required for agency events and client needs. Working Conditions/Physical Demands: Office Environment: Indoors, air-conditioned. Fieldwork: may be subjected to unpredictable environments with extremes in temperature, noise, odors, weather conditions, etc. Occasional outdoor events/activities: may be subjected to unpredictable environments with extremes in temperature, noise, odors, weather conditions, etc. Regular use of computers keyboards, telephone, and operating office equipment. Essential physical activities: standing, sitting, walking, finger dexterity, seeing, hearing, speaking, and frequent gripping of an object. Occasional physical activities: stooping, bending, squatting, twisting body, and lifting. Occasional lifting and carrying of supplies and equipment (up to 25 pounds). Requires possession of a reliable insured vehicle for traveling to off-site locations. Requires closed-toe shoes during working hours and comfortable and appropriate business-casual attire (walking shorts, and pertinent tee-shirt for scheduled activities/events of the day). Required Qualifications: Knowledge/Skills/Abilities: Ability to translate complex information about health insurance to individuals and groups with varied educational levels and backgrounds. Willingness and ability to do outreach and engagement within communities of underserved populations, including but not limited to people living with and/or are affected by HIV, hepatitis, substance use, houselessness, and mental health challenges. Self-motivated, honest, energetic, and committed. Extensive knowledge of Oʻahu, including supportive services and resources. Excellent interpersonal, written, oral communication, and presentation skills. Non-judgmental attitude and ability to respect the knowledge, actions, and feelings of others. Demonstrated ability to work productively, both independently and as part of a team. Ability to work well and thrive professionally in an atmosphere of significant diversity, working with marginalized populations. Familiarity with our various Hawai'i cultures/languages, and culturally sensitive to needs of the diverse communities of Hawai'i. Proficiency with Microsoft Office (Word, Excel, PowerPoint, Outlook, SharePoint, etc.). Education/Experience: High School diploma/GED, or equivalent work experience. Preferred Qualifications: Bachelor's degree in social work, or comparable degree. Knowledge of LGB&T, substance abuse, houseless, and other disenfranchised and high-risk communities in Hawai'i. Experience working in nonprofit sector and working with people who actively use drugs and people living with HIV and/or viral hepatitis. Required Work Cards/Certifications: Valid Hawaii Driver's License and clean three-year (3-year) Driver's Abstract. COVID-19 Vaccination TB Clearance Hep B Clearance and/or Vaccination Must pass Center for Medicare/Medicaid Services eligibility screening Hawaiʻi Health & Harm Reduction Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

We are offering a promotional $1,000 sign-on bonus! The expected pay range for a Lumberyard Specialist in Kapolei is $19.80 to $23.30 per hour. HPM Building Supply in Kapolei, Hawaii is seeking to hire a full-time Lumberyard Specialist to save the day by ensuring our customers get the materials they need. The Lumberyard Specialist is the first to respond when an order is placed and sets the tone for our customers' experience with us. The typical schedule for this Lumberyard Specialist position: * Monday-Friday (schedule is between 6:00 am to 4:30 pm) * Some Saturday work may be needed at times * No Sundays - Closed on Sundays!!! QUALIFICATIONS * Knowledge of building materials and lumber is preferred * Forklift certification or ability to be forklift certified * Basic computer skills * Ability to work in our outdoor warehouse in various weather conditions * Must be able to twist, bend, squat, reach, climb a ladder, and stand for extended periods of time * Ability to lift 50 lbs with or without a reasonable accommodation OUR BENEFITS * Medical (including prescription drug, vision and chiropractor/massage/acupuncture or Health Reimbursement Account ($2,400 a year) * Dental (with ortho coverage for employee and dependents) * PTO (15 days a year) + up to 5 additional days of Well Being Leave * Basic Life/AD&D coverage * Long-term disability * Health and Dependent Care Flexible Spending Plans * 401(k) Plan * Employee Stock Ownership Plan (ESOP) * AFLAC voluntary insurance and more! ARE YOU READY TO JOIN OUR TEAM? If you feel that you would be right for this Lumberyard Specialist position, fill out our initial 3-minute, mobile-friendly application. We look forward to meeting you! ABOUT HPM HAWAII HPM Building Supply has been helping Hawai'i build and live better for over a century. HPM serves the home improvement market and building industry statewide through its retail stores, building supply and lumber yards, Home Design Centers, roofing and manufacturing facilities, corporate offices, and U.S. West Coast Consolidation Facility spanning 20 locations across Hawai'i Island, Maui, Lāna'i, O'ahu, Kaua'i, and Washington state. HPM is also the parent company of Truss Systems by HPM and HPM Tech. As a local, 100% employee-owned company, we strive to enhance homes, improve lives, and transform communities by living our core values of Heart, Character, and Growth. Join HPM and become an owner!

Schofield Barracks, Hawaii, US Health/Medical 12361 Full-Time The ability to pass a NACI (Tier 1) to obtain access to U.S. Government facilities and systems. $57525.6 - $86288.93 Description & Qualifications** **Position Description & Qualifications** If you love high profile and challenging projects supporting the US Army, Serco has a great opportunity for you! This Cognitive Performance Specialist (CPS) will be on a dynamic team, supporting Holistic Health and Fitness (H2FIT) initiative, the Army's investment in Soldier Readiness. The Cognitive Performance Specialist (CPS) plays a pivotal role within the Holistic Health and Fitness (H2FIT) Performance Teams. The CPS is responsible for the development, coordination, and implementation of mental readiness and cognitive performance optimization programs for Soldiers. The position requires a unique blend of expertise in sport psychology, mental coaching, and resilience training tailored to enhance the performance of individual Soldiers and teams within military settings. In this role, you will: + Assist in developing and maintaining Mental Readiness Programs, ensuring consistent and effective delivery of services across the brigade (BDE) + Advise and collaborate with the Mental Readiness Director and other health professionals on program assessment, improvement, and monitoring + Develop and execute cognitive performance optimization and mental readiness training within the BDE's operational schedule + Provide education, coaching, and mentoring to Soldiers on cognitive skills and mental readiness strategies to support mission execution and individual tasks + Coordinate the scheduling of facilities and resources for government-approved courses and training + Conduct literature reviews to keep the H2F Performance Team updated with the latest evidence-based research in mental readiness and cognitive performance + Support research efforts and provide data and feedback to the Mental Readiness Director and brigade personnel development (PD) + Participate in in-service training and professional development opportunities within the H2F Performance Team Please visit our landing page for more information:U.S. Army Holistic Health & Fitness (H2F) System (serco.com) (**************************************************** To be successful in this role, you will have: + Legal status to work in the U.S. + The ability to pass a NACI (Tier 1) to obtain access to U.S. Government facilities and systems + A Master's degree + or a Doctoral degree in Human Performance, Sport Psychology, Kinesiology/Exercise Science, or Counseling/Clinical Psychology from an accredited college or university + Three (3) years of demonstrable accumulated experience within the past five (5) years as a mental performance coach or sport psychology practitioner with individual athletes and groups of athletes at the levels of National Collegiate Athletic Association (NCAA) Collegiate, Olympic, professional sports, and/or Service Members in the accompanying, respective settings + Be a Licensed Psychologist with a proficiency in sports psychology as recognized in Division 47 of the American Psychological Association + or Certified Consultant through the Association for Applied Sport Psychology (CCAASP) + or the ability to obtain the Certified Mental Performance Consultant (CMPC) (formerly CC-AASP) certification within two (2) years of being hired and maintain an active mental performance consultant certification + The physical capability to lift and manipulate up to 45 pounds and withstand training demands in various weather conditions and terrains + The ability to travel 10% as needed to support geographically dispersed units Additional desired experience and skills: + Active NACI + Doctoral degree in Human Performance, Sport Psychology, Kinesiology/Exercise Science, or Counseling/Clinical Psychology from an accredited college or university + One (1) year working directly with Service Members in a performance and/or resilience training and education setting is preferred + Prior work with Service Members in a performance and/or resilience training and education setting is preferred + Military service is desirable but not required + Proficient in Microsoft Office Suite (Word, Excel, and Teams) Positions supporting the H2F System offers a challenging and rewarding opportunity for those passionate about significantly impacting overall soldier health.Visit the following link for more information about how Serco supports our Veterans: ************************************************** If you are interested in supporting and working with our personnel across the globe on a passionate, talented, and diverse Serco team- then submit your application now for immediate consideration. It only takes a few minutes and could change your career! **Company Overview** Serco Inc. (Serco) is the Americas division of Serco Group, plc. In North America, Serco's 9,000+ employees strive to make an impact every day across 100+ sites in the areas of Defense, Citizen Services, and Transportation. We help our clients deliver vital services more efficiently while increasing the satisfaction of their end customers. Serco serves every branch of the U.S. military, numerous U.S. Federal civilian agencies, the Intelligence Community, the Canadian government, state, provincial and local governments, and commercial clients. While your place may look a little different depending on your role, we know you will find yours here. Wherever you work and whatever you do, we invite you to discover your place in our world. Serco is a place you can count on and where you can make an impact because every contribution matters. To review Serco benefits please visit: ************************************************ . If you require an accommodation with the application process please email: ******************** or call the HR Service Desk at ************, option 1. Please note, due to EEOC/OFCCP compliance, Serco is unable to accept resumes by email. Candidates may be asked to present proof of identify during the selection process. If requested, this will require presentation of a government-issued I.D. (with photo) with name and address that match the information entered on the application. Serco will not take possession of or retain/store the information provided as proof of identity. For more information on how Serco uses your information, please see our Applicant Privacy Policy and Notice. Serco does not accept unsolicited resumes through or from search firms or staffing agencies without being a contracted approved vendor. All unsolicited resumes will be considered the property of Serco and will not be obligated to pay a placement or contract fee. If you are interested in becoming an approved vendor at Serco, please email ********************* . Serco is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. **Pay Transparency** Our Total Rewards package includes competitive pay, performance-based incentives, and benefits that promote well-being and work-life balance-so you can thrive both professionally and personally. Eligible employees also gain access to a wide range of benefits from comprehensive health coverage and health savings accounts to retirement plans, life and disability insurance, and time-off programs that support work-life balance. Program availability may vary based on factors such as contract type, location, hire date, and applicable collective bargaining agreements. Salary range: The range for this position can be found at the top of this posting. This range is provided as a general guideline and represents a good faith estimate across all experience levels. Actual base salary will be determined by a variety of factors, including but not limited to, the scope of the role, relevant experience, job-related knowledge, education and training, key skills, and geographic market considerations. For roles available in multiple states, the range may vary to reflect differences in local labor markets. In addition to base salary, eligible positions may include other forms of compensation such as annual bonuses or long-term incentive opportunities. Benefits - Comprehensible benefits for full-time employees (part-time employees receive a limited package tailored to their role): + Medical, dental, and vision insurance + Robust vacation and sick leave benefits, and flexible work arrangements where permitted by role or contract + 401(k) plan that includes employer matching funds + Tuition reimbursement program + Life insurance and disability coverage + Optional coverages that can be purchased, including pet insurance, home and auto insurance, additional life and accident insurance, critical illness insurance, group legal, ID theft protection + Birth, adoption, parental leave benefits + Employee Assistance Plan To review all Serco benefits please visit: ******************************************* . Serco complies with all applicable state and local leave laws, including providing time off under the Colorado Healthy Families and Workplaces Act for eligible Colorado residents, in alignment with our policies and benefit plans. The application window for this position is for no more than 60 days. We encourage candidates to apply promptly after the posting date, as the position may close earlier if filled or if the application volume exceeds expectations. Please submit applications exclusively through Serco's external (or internal) career site. If an applicant has any concerns with job posting compliance, please send an email to: ******************** .

Job Description Established in 1899, Child & Family Service (CFS) is a community-based organization with a mission of strengthening families and fostering the healthy development of children. CFS has been a fierce advocate for children and families in the midst of social injustices and inequalities. Our statewide support, counseling, and therapeutic programs help individuals and families heal from trauma, prevent abuse and neglect, and can break the cycle of generational poverty. MISSION STATEMENT Strengthening families and fostering the healthy development of children. OUR VISION Healthy, thriving individuals and families building strong, multicultural communities across generations. OUR VALUES HOPE values: H umility, O wnership, P erserverance, E ngagement We offer an extensive array of benefits for our employee including paid time off, preventative health care paid time off, birthday floating holiday, volunteer floating holiday, 16 Paid Holidays in a Year (17 in an Election Year), Medical/Dental/Vision/RX plans, Opt-out incentive, 401(k), flexible spending plans, & more. Come join Child & Family Service and Help us serve thousands in our communities! SUMMARY OF DUTIES The DV Specialist II is primarily responsible for providing direct services to families exposed to domestic violence. Such services may include safety planning, service planning, assessments, links to community resources, individual/group sessions. EDUCATION AND TRAINING REQUIREMENTS Four-Year College Degree from a school accredited by a recognized accrediting agency - general major. Requires basic knowledge or training in a specialized or technical field or trade, such as social work, professional accounting, finance, business administration, and marketing. Other (Specify): Bachelor's degree in social work, psychology or any relevant behavioral health field. EXPERIENCE Over two years, up to and including four years. Other (Specify): Two years of work experience in domestic violence or related field. SPECIAL KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED Knowledge and experience in domestic violence. Excellent assertive communication skills. Ability to diffuse potentially hostile participants. Basic skills and experience in facilitating groups. Awareness of cultural and gender bias/issues. Requires contact with a high-risk population. OTHER POSITION REQUIREMENTS This job requires a valid Hawaii driver's license, a clear driver's abstract, and willingness to travel in personal vehicle on an as-needed basis throughout the island. This job requires a valid Hawaii driver's license, a clear driver's abstract, and use of personal vehicle to transport participants, as needed, as well as a willingness to travel in personal vehicle on an as-needed basis throughout the island. This job requires a valid Hawaii driver's license, a clear driver's abstract, and use of agency vehicle to transport participants, as needed, as well as a willingness to travel in personal vehicle on an as-needed basis throughout the island. This position is subject to a criminal background investigation and continued employment is contingent on a record clear of convictions. Continued employment in this position is contingent on successful completion of CPR, CPI and/or van driving training as such training is necessary to ensure ability/continued ability to perform essential functions of this job. Continued employment in this position is contingent on successful completion of CPI classes OR other Behavioral Management certification as may be contract-mandated. Continued employment in this position is contingent on successful completion of First Aid classes. At Child & Family Service, we are proud to be an equal opportunity employer and prohibit discrimination and harassment of any type without regard to race, color, religion, age, national origin, disability status, genetics, veteran status, sex, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. We apply this to all aspects of employment, including, but not limited to, recruiting, hiring, promotion, transfer, leave of absence and termination.

Job DescriptionJoin Our Team: Make a Difference at Full Life Hawaii Full Life Hawaii has been empowering individuals with Intellectual and Developmental Disabilities (IDD) for over 20 years. We provide person-centered services that prioritize independence, inclusion, and personal growth, helping those we support live self-directed, fulfilling lives with dignity and respect. With offices in Hilo and Kona and a dedicated team of over 100 professionals, we're building a supportive community where every participant can thrive. Position: Support Specialist In this role, you will provide individualized support in a 2:1 staffing setting, working alongside another Direct Support Professional. The participant enjoys spending time in the community and has a strong interest in the ocean. You will assist in promoting community integration, enhancing social and communication skills, and encouraging meaningful engagement through activities tailored to the participant's goals. What You'll Do Support Daily Activities: Assist with personal tasks, daily routines, and other needs as appropriate Community Engagement: Promote social opportunities, community involvement, and recreational activities Relationship Building: Develop meaningful connections with the participant and their support circle Empower Independence: Encourage self-determination and personal growth in day-to-day life What You'll Bring We are looking for motivated, compassionate individuals ready to make a positive difference. Prior experience is a plus, but we provide training for the right candidate: High School Diploma or GED (skills assessment available if needed) 18 years or older CPR and First Aid certification (or willingness to obtain) Reliable transportation and a clean driving record TB clearance (Full Life will assist) Experience in caregiving or working with individuals with special needs is preferred, but not required What We Offer We empower our team to grow personally and professionally, with competitive pay, benefits, and a supportive work culture: Competitive pay starting at $20.00/hr (full-time) Health benefits: insurance options or $200/month stipend Paid Time Off for full-time employees 3% 401(k) match after 90 days Cell phone stipend + mileage reimbursement Student Loan Repayment Assistance ($50/month) Flexible Savings Accounts for health and dependent care Referral bonuses up to $500 Performance-based organizational bonuses Regular team activities and events with the Full Life ʻOhana Location This position is based in Captain Cook, with flexible hours to accommodate participant needs and your schedule. The Full Life Hiring Process Apply - Submit your application online Phone Screen (30 minutes) - Let's see if we're a good fit Interview with Hiring Managers (60 minutes) - Dive deeper into your skills and experience Contingent Offer Letter - Welcome to the team! Onboarding & Meet-and-Greet - Meet your future teammates and participants First Day - Begin making an impact! How to Apply Click Apply Now to submit your application. For faster follow-up, contact our Kona office at ************** after submitting your application. Equal Employment Opportunity (EEO) Full Life is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace where all employees are treated with respect and dignity. We do not discriminate based on race, color, religion, gender, gender identity, sexual orientation, national origin, age, disability, or any other protected characteristic. Employment decisions are based on qualifications, merit, and business needs. Americans with Disabilities Act (ADA) Full Life complies with the Americans with Disabilities Act (ADA) and provides reasonable accommodations for individuals with disabilities throughout the application process and employment. If you need an accommodation, please contact *********************.

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. JOB SUMMARY: ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member. Resolve complex, higher-dollar unpaid/denied claims by leveraging proprietary software system, making phone calls, generating letters, accessing client systems and insurance carrier web portals in the pursuit of getting a claim resolved. Identify and report trends found during the account resolution process such as CPT/HCPCS errors/deletions, duplicate claims, revenue code mapping mismatches, missing charges, no claim on file. Perform financial account assessment functions including but not limited to adjustments and NRP to patient. Work within client systems to complete rebill functions. Perform administrative functions including but not limited to medical record submissions, billing claims, patient assistance outreach, obtaining documents from client systems and insurance plan code updates, review corrected claim requests and approve for client assistance or correct the bill within client platform, review and submit payment verification assistance requests. Maintain familiarity with client preferences and known issues across multiple client accounts. Support special projects for clients as needed. Other duties as assigned. QUALIFICATIONS High School Diploma or equivalent 5+ years relevant industry experience in registration, billing, collections, required 3+ years experience with insurance carrier claims resolution, required 3+years of Epic, Cerner, Meditech or other EMR experience preferred Knowledge of UB04 claim forms, EOB's and medical records required ICD-9, ICD-10, CPT and HCPCS coding knowledge required Ability to conduct detailed research to resolve complex claims Intermediate mathematics skills (addition, subtraction, ability to identify trends, etc.) Advanced knowledge of Excel and Power Point Ability to compile and summarize data Strong verbal and written communication skills Ability to analyze and interpret complex documents, contracts, notes, and other correspondence Ability to prioritize and multitask in a fast-paced environment Ability to work effectively in a remote environment Investigative mind set to identify issues and implement solutions. PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A is only intended as a guideline and is only part of the Team Member's function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Job DescriptionPharmacy Technician - Join Our Team at Hawaiʻi Island Community Health Center (HICHC) Status: Full-Time | Non-Exempt Department: Pharmacy Services Compensation: Starting at $20.35 -compensation based on skillset and experience. About Us Hawaiʻi Island Community Health Center (HICHC) is committed to providing high-quality, patient-centered care to our community. Our pharmacy team plays a vital role in ensuring access to affordable medications and supporting the health and well-being of our patients. Position Overview We are seeking a Pharmacy Technician to join our dynamic team at our Kuakini location. Under the supervision of the Pharmacist-In-Charge, you will handle day-to-day pharmacy operations, support the 340B Program, and help patients access affordable medications. If you are detail-oriented, compassionate, and thrive in a collaborative environment, we want to hear from you! What You'll Do Support the 340B Program: Maintain compliance, manage inventory, and assist with audits. Process Prescriptions: Ensure accuracy and resolve insurance claim issues. Assist Patients: Help with sliding-fee-scale applications and medication assistance programs. Collaborate: Work closely with providers and patients to deliver exceptional care. Maintain Standards: Uphold confidentiality, follow state and federal guidelines, and demonstrate service excellence. What We're Looking For Education: High School diploma or GED required. Experience: Minimum 1 year as a pharmacy technician or in a related medical field. Licensure: Active registration with the Hawaiʻi Board of Pharmacy. Skills: Strong computer skills, attention to detail, and ability to work independently and as part of a team. Preferred: Experience in a Federally Qualified Health Center (FQHC) and knowledge of medical terminology. Why Join HICHC? Make a meaningful impact in your community. Work in a supportive, team-oriented environment. Opportunities for growth and training, including 340B University On Demand certification. Physical Requirements Ability to stand for extended periods, lift up to 50 lbs, and interact with patients in a fast-paced setting. Ready to make a difference? Apply today and become part of a team that cares!