Claims Liaison Coordinator
HMSA · Honolulu, HI
- Claims Resolution & Support
- Serve as the primary liaison for complex escalated claim inquiries from providers, members, account management, and internal departments.
- Research and resolve complex claim discrepancies, denials, adjustments, and payment issues within established service-level agreements (SLAs).
- Coordinate with claims examiners, configuration, and payment integrity teams to ensure accurate claim adjudication.
- Document and maintain claim processing instructions and workflows to ensure accurate and efficient processing.
- Prov
