Claims Benefit Examiner II (RFT-Kapolei) - (Kapolei, HI)

Process claim suspensions from the system to correct processing discrepancies by reviewing on-line details while applying HMSA policies and procedures. Prioritize workload to meet customer expectations and department quality, production, and guidelines. Concurrently access and utilize multiple databases, software programs, and/or on-line tools to perform critical functions. Meet or exceed performance objectives and competencies. Improve claims payment accuracy by identifying pricing inconsistencies and reporting to the QA Trainer. Assist Benefit Examiner Trainees and/or Benefit Examiner I's with processing questions in the absence of the QA Trainer Attend training as directed by Supervisor. Other duties as assigned.