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Sr Claim Examiner- WC

Honolulu, HI

Posted: 06/11/2024 Job Number: 22377851

Job Description


Job Title: Sr Claim Examiner- WC
Location: Honolulu HI 96813
Duration: 6+ months Contract with a high possibility of extension
 
Job description:
  • Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
  • Manages all aspects of investigative activity on complex claims.
  • Directs the discovery and litigation strategy with legal counsel.
  • Analyses claims activity and prepares reports for clients/carriers and management.
  • Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements.
  • Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits.
  • Develops subrogation and third-party recovery potential and follows reclaim procedures.
  • Analyses claims activities and prepares reports for clients, carriers, and/or management.
  • Participates in claim reviews.
 
Required
  • Workers’compensation claims handling
  • CPCU
  • Presentation skills
  • Problem solving
  • Technical claims
 
Additional
  • Claims
  • Litigation strategy
  • Payments
 
Skills:
  • Ability to work independently while assimilating various technical subjects.
  • Strong written and oral communication, negotiation, and presentation skills.
  • Advanced analytical and problem-solving skills, with the ability to manage and prioritize multiple projects.
 
Education:
  • Bachelor's degree or equivalent experience.
  • Technical claims investigations/settling experience with 4-8 years’experience in Claims or similar organization.
  • Workers Compensation (WC) Adjuster License required according to jurisdictional requirements.
  • Preferred: - Industry designations such as IIA, AIC, AEI and/or CPCU.

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About Honolulu, HI

Ready to embark on a career journey in beautiful Honolulu, Hawaii? Nestled on the island of Oahu, Honolulu offers job seekers a unique blend of stunning beaches, vibrant culture, and endless growth opportunities. Imagine working near iconic landmarks like Diamond Head State Monument, indulging in delicious local cuisine such as poke bowls and malasadas, or exploring art galleries like the Honolulu Museum of Art. With renowned theaters, the Honolulu Symphony, and the opportunity to catch a game of the Hawaii Pacific University Sharks, Honolulu is a melting pot of art, entertainment, and sports. Discover your next career move in this enchanting city, where work-life balance meets tropical paradise. Explore our job listings today and seize the opportunity to build your career in the heart of Hawaii!