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Claims Specialist

Kelly Services

Honolulu, HI
Job Code:
  • Customer Service
Kelly Services
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Job Details

Job Title Claims Specialist

Jobid US2222LP_24247177

Location: Honolulu, HI, 96823, USA

Description **Job Description**


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.

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 relationship 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 Duties and Responsibilities




High School Diploma, or its equivalent.


Minimum two years of clerical experience, customer service or 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)

**Why Kelly** **®** **?**

At KellyServices ® , we work with the best. Our clients include 95 of the Fortune100 ™ companies, and more than 70,000 hiring managers rely on Kelly annually to accessthe best talent to drive their business forward. If you only make one career connection today, connectwith Kelly.

**AboutKelly Services** **®**

As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 peoplearound the world and have a role in connecting thousands more with work through our global network oftalent suppliers and partners. Revenue in 2017 was $5.4 billion. Visit and connect with us on Facebook, LinkedIn and Twitter .

Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females,Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and iscommitted to employing a diverse workforce. Equal Employment Opportunityis The Law.

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