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Benefits Claims Examiner Jobs

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  • HMSA
  • Honolulu, HI United States
  • 05/24/2017
  • Healthcare
The purpose of Claims Administration is to provide HMSA members and providers exemplary service through the accurate and timely processing of medical claims. A Claims Benefit Examiner is required to review and make benefit determinations on medical claims in accordance with HMSA's claim processing g...  More Details
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  • HMSA
  • Kapolei, HI United States
  • 05/24/2017
  • Administrative / Clerical
A Benefits Examiner Level 1 works with situations that require limited decision-making. This employee will learn the CMS and private business guidelines for claims processing and related knowledge. Duties and Responsibilities: Identify and look up data (i.e., referring provider) needed to complete Q...  More Details
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  • HMSA
  • Kapolei, HI United States
  • 05/24/2017
  • Healthcare
The purpose of Claims Administration is to provide HMSA members and providers exemplary service through the accurate and timely processing of medical claims. A Claims Benefit Examiner is required to review and make benefit determinations on medical claims in accordance with HMSA's claim processing g...  More Details
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  • HMSA
  • Kapolei, HI United States
  • 05/24/2017
  • Healthcare
The purpose of Claims Administration is to provide HMSA members and providers exemplary service through the accurate and timely processing of medical claims. A Claims Benefit Examiner is required to review and make benefit determinations on medical claims in accordance with HMSA's claim processing g...  More Details
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  • HMSA
  • Kapolei, HI United States
  • 05/24/2017
  • Customer Service
A Benefits Examiner Level 2 works with situations that require decision-making in non-routine situations. Decisions are made based on known criteria, benefits policies, CMS guidelines and the QNXTS claims processing system. The employee in this position receives direction from the Senior Examiner, Q...  More Details
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