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  • HMSA
  • Honolulu, HI United States
  • 03/27/2017
Independently investigates all other party liability data (Coordination of Benefits between multiple plans, and No Fault, Workers Compensation, Third Party Liability) to ensure accuracy and compliance with health plan administration and governmental rules and regulations. Duties and Responsibilities...  More Details
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  • HMSA
  • Honolulu, HI United States
  • 03/27/2017
  • Administrative / Clerical
Investigate potential Third Party Liability cases to determine primacy and ensure correct application of benefits and cost avoidance. Duties and Responsibilities: Investigate potential Third Party Liability (TPL) cases by contacting members, providers, attorneys, and other carriers for necessary inf...  More Details
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  • HMSA
  • Honolulu, HI United States
  • 03/27/2017
  • Healthcare
Engages members admitted to the hospital into appropriate programs to increase positive collaboration outcomes with hospital clinicians and staff. Provides coordinated case management services for members from admission to post discharge by working with healthcare providers, members and families, en...  More Details
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  • HMSA
  • Honolulu, HI United States
  • 03/27/2017
  • Legal
Responsible for overall department timely and effective response and resolution to grievances, complex complaints and appeals that are raised by members and providers relating to all aspects of health plan coverage consistent with contract, regulatory and/or accreditation requirements. Also assists ...  More Details
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  • HMSA
  • Honolulu, HI United States
  • 03/27/2017
**(ROC) Regular-on-Contract until 12/29/17**Investigates all other party liability data (Coordination of Benefits between multiple plans or No Fault, Workers Compensation, Third Party Liability) to ensure accuracy and compliance with health plan administration and governmental rules and regulations....  More Details
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