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Hmsa Jobs (NOW HIRING)

HMSA

Team Lead - Customer Relations

Honolulu, HI · On-site

Must have thorough and comprehensive working knowledge of HMSA's plan provisions, eligibility requirements, benefits, claims processing, medical policies, payment policies, and administrative ...

HMSA

Senior Business Analyst, Command Center

Honolulu, HI · On-site

$91K - $118K/yr

Develop performance optimization strategies and tactics based on logical assumptions and facts considering resources, constraints, and HMSA values. * Helps to lead and contributes to strategic design ...

HMSA

Medical Management Specialist I

Kapolei, HI · On-site

Utilization of various resources to confirm HMSA's clinical review requirements; as required, educate and/or respond to provider office with outcome. * Creation of the electronic file within the ...

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How much do hmsa jobs pay per hour?

As of Jun 23, 2026, the average hourly pay for hmsa in the United States is $26.34, according to ZipRecruiter salary data. Most workers in this role earn between $15.14 and $30.77 per hour, depending on experience, location, and employer.

What is the highest paid job in health and social care?

In health and social care, the highest paid roles are often medical specialists such as surgeons, anesthesiologists, and hospital physicians, who typically require advanced degrees, extensive training, and certification. These professionals usually earn higher salaries due to their expertise, responsibility, and the critical nature of their work.

What opportunities for career growth are available to employees at HMSA?

HMSA offers a variety of career development paths, from entry-level positions in customer service or claims to advanced roles in management, healthcare analytics, and specialized insurance functions. Employees can benefit from internal training programs, mentorship, and support for further education or certifications relevant to the healthcare industry. Team members are encouraged to apply for internal postings and participate in professional development to grow their careers within the organization. This supportive environment helps motivated staff advance while continually building new skills and expertise in the health insurance sector.

What are the key skills and qualifications needed to thrive in the Hmsa position, and why are they important?

To thrive at HMSA (Hawaii Medical Service Association), candidates typically need a background in healthcare administration, insurance, or customer service, along with a relevant degree or experience in a similar field. Familiarity with health insurance platforms, claims processing systems, and HIPAA compliance is often required, and certifications such as a health insurance associate (HIA) can be beneficial. Strong communication, organizational, and problem-solving skills are crucial for delivering excellent service and working effectively with both customers and team members. These abilities are important to ensure efficient processing, high-quality service, and compliance within the dynamic healthcare insurance environment.

What is an HMSA job?

An HMSA job typically refers to a position at the Hawaii Medical Service Association (HMSA), a nonprofit health insurance company in Hawaii. Jobs at HMSA span various fields, including customer service, healthcare administration, sales, and IT. Employees help manage health plans, assist members, and support medical providers. HMSA aims to improve healthcare access and affordability for Hawaii residents.

Is HMSA part of Blue Cross Blue Shield?

HMSA is a health insurance provider based in Hawaii and is not part of the Blue Cross Blue Shield Association. It operates independently and offers its own plans and services to members in Hawaii. Job roles at HMSA may involve understanding its specific network and coverage options.

How many employees are at HMSA?

HMSA, a health insurance company, employs approximately 2,000 staff members. The organization offers roles in customer service, claims processing, and healthcare administration, often requiring relevant certifications and experience.

Are HMSA and Kaiser the same?

HMSA and Kaiser are separate health insurance providers; HMSA primarily serves Hawaii, while Kaiser operates in multiple states. Both offer health plans, but they are distinct organizations with different networks and coverage options. Job seekers should understand the specific employer and its benefits when applying.
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Hmsa jobs near you

Team Lead - Customer Relations

HMSA

Honolulu, HI • On-site

Other

Medical

Posted 23 days ago

Job description

  1. Mentor servicing representatives to ensure the best customer experience by supporting representatives after they complete classroom training; completing quality assurance audits that ensure timeliness, accuracy, professionalism, and an optimal customer experience; and providing timely, relevant coaching in professional and constructive manner.
    • Be available at all times for representative's questions and circulates the floor periodically every day to listen to conversations and provide instruction.

  2. Proficient in analyzing problems and creating end-to-end resolution.
    • Must have thorough and comprehensive working knowledge of HMSA's plan provisions, eligibility requirements, benefits, claims processing, medical policies, payment policies, and administrative policies.
    • Take ownership of every customer interaction as the subject matter expert to ensure the customers' needs are resolved in every instance with just one contact. This involves coordinating with all areas within HMSA as well as external contacts including providers, employers, third party administrators, and other insurance companies.

  3. Independently exercise judgment to effectively manage inquiry volume by directly supporting inbound calls and other servicing channels while at the same time providing the highest level of service to customers.
    • In concert with the Contact Center management, help to ensure the Blue Cross Blue Shield Association's Member Touchpoints Measures related to First Call Resolution and other performance guarantee and industry standard measures such as inquiry accuracy, inquiry resolution timeliness, abandonment rate, average speed to answer and Grade of Service are met or exceeded.

  4. Research complex calls and benefits that require more time or investigation to reach resolution.
    • Create requests and coordinate resolution for customer complaints and issues, such as an individual consideration, HMO-G, grievance, and appeal requests.

  5. Generate monthly reports and analysis on representatives' key performance indicators and research drivers on performance trends such as performance indicators that are above and below average.
    • Review with supervisors the representatives who exemplify best practices or areas where improvement is needed.

  6. Personally handle elevated irate/complaint calls from customers.
    • Resolve complaints by assessing the root cause, providing the appropriate resolution, and evaluating the effectiveness of HMSA's policies and procedures.
    • Provide feedback to the staff, internal HMSA departments, and management.


  7. Collaborate with management staff and peers in activities that support/accomplish HMSA's mission and department goals
  8. Performs all other miscellaneous responsibilities and duties as assigned or directed.

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