Provider Claims Specialist $28 Weekly Pay - Career Growth

Claims Examiner

Examine claims records and forms to determine whether the patient has medical insurance. Review provisions of certificate or policy to determine the patient's included medical coverage losses. Negotiate claim settlements and make recommendations for legal action when settlements are deemed non-negotiable. Complete logs, reports, forms and records to properly document medical claims. Reject or accept documentation, determine benefit due, and start the denial or payment process to resolve medical claims. Adhere to all company policies, procedures and guidelines in addition to insurance regulations at the federal and state level. Examine medical treatment records, police reports, physical property damage and medical bills to gauge overall extent of liability. Interview and communicate with claimants, police, witnesses, physicians and other necessary individuals to decide claim denial, settlement or review. Ensure all claims information remains confidential. Engage in continuing education and training opportunities when possible.

Pay Range: $26.00 - $28.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type: This is a fully onsite position in Honolulu, HI.

Application Deadline: This position is anticipated to close on Aug 14, 2025.

About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.