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Claim processor jobs in Hawaii

- 16 jobs
  • Claims Examiner

    Sedgwick 4.4company rating

    Claim processor job in Urban Honolulu, HI

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Examiner **This position is responsible for handling complex Workers' Compensation claims. Experience working Washington State Workers' Comp claims is preferred.** **PRIMARY PURPOSE** **:** To analyze complex or technically difficult workers compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; and to ensure ongoing adjudication of claims within company standards and industry best practices or client specific requirements. **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult claims by investigating and gathering information to assist employer in determining their position on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. + Works to move claim towards appropriate claim closure which may include referral for settlement evaluation. + Monitors reserve adequacy throughout the life of the claim if applicable. + Monitors and reviews benefits due and payment calculations ensuring accuracy. + Prepares necessary state filings within statutory limits. + Follows best practice standards in contested claims including outside legal representation. + Coordinates vendor referrals for additional investigation and/or litigation management. + Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Participates in claim recoveries including, but not limited to: subrogation, Second Injury Fund recoveries, and Social Security offsets. + Communicates claim action/processing with appropriate parties including, but not limited to: claimant, client, state agency, managed care organization and appropriate medical contact. + Ensures claims files are properly documented and claims coding is correct. + Maintains professional client relationships. + Coordinates actuarial/settlement issues impacting employers with rate and settlement departments. + Assesses policy level status of clients; works in coordination with clients' service expectations and assigned service personnel. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line-of-business preferred. **Experience** Four (4) years claims management experience or equivalent combination of education and experience required. **Skills & Knowledge** + In-depth line-of-business knowledge of appropriate insurance principles and laws, recoveries offsets and deductions, and cost containment principles + Excellent oral and written communication skills, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Good interpersonal skills + Ability to work in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **TAKING CARE OF YOU BY** + We offer a diverse and comprehensive benefits package including: + Three Medical, and two dental plans to choose from. + Tuition reimbursement eligible. + 401K plan that matches 50% on every $ you put in up to the first 6% you save. + 4 weeks PTO your first full year. **NEXT STEPS** If your application is selected to advance to the next round, a recruiter will be in touch. _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $70,000 - $78,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $70k-78k yearly 1d ago
  • Coin Processor Driving

    Loomis 4.1company rating

    Claim processor job in Urban Honolulu, HI

    As a Coin Processor, you work with your team to maintain inventory in our cash vaults for our Loomis customers Responsibilities Count, sort, and handle coin bags weighing 50 pounds Manage the proper storage of pallets of boxed coin Previous forklift experience preferred (though not required) Requirements * Repetitiously lift, without assistance, at least 50 pounds from floor level to 3-4 foot level * Ability to move bulk coin with hand carts or manual pallet jacks * A valid firearms permit and/or ability to pass all applicable firearms and state regulated security guard card/license requirements in the state to which you are applying is required. This may include varying requirements under applicable state law (e.g., some states require an individual to have a high school diploma or GED to be eligible for a state issued security guard card/license or equivalent) Working Conditions * Work in a large area within a vault with little or no exposure to outside light * Full-time schedule can potentially consist of an average of 40 to 50 hours/week, with a minimum of 5 days during a 6-day period Essential Functions/Job QualificationsAs part of the qualification process for the Coin Processor position, a Human Performance Evaluation (HPE) is required. This evaluation requires successful completion of testing in the following areas:Lift:- 25lbs vertical lift from 10 inches to 66 inches from the floor (1X) Lift-Carry:- 18lbs vertical lift from 1 inch to 44 inches from the floor, and horizontally transfer 15ft (4X)- 18lbs vertical lift from 10 inches to 36 inches from the floor and horizontally transfer 300ft (1X)- 50lbs vertical lift from 10 inches to 36 inches from the floor and horizontally transfer 2ft (2X) Push-Pull:- Horizontally transfer 47lbs of force on a sled (single, non-dominant arm), a distance of 1ft (2X) Repetitive Coupling:- Squeeze Jamar Hand Dynamometer requiring forces up to 30lbs / both right & left hands (4X each) Benefits Loomis offers one of the most comprehensive employees benefit packages in the industry, which includes: * Vacation and Sick Time (PTO) as well as Paid Holidays * Health & Dental Insurance * Vision Insurance * 401(k) Plan * Basic Life Insurance Plan * Voluntary Life Insurance Plan * Flexible Spending and Health Savings Account * Dependent Care Account Industry leading Training and Development
    $31k-35k yearly est. 5d ago
  • Senior Claims Examiner, Property

    Archgroup

    Claim processor job in Hawaii

    With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibilityâ„ . Position Summary Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Mid Corp Property Team as a Senior Claims Examiner, Property. In this role, the responsibilities include actively managing complex First Party Commercial Property claims focused in Hawaii and other jurisdictions throughout the United States. This candidate will need to be local to Hawaii. Responsibilities Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis Develop and implement strategy related to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care Develop and implement timely and accurate resolution strategies to ensure mitigation of indemnity and expense exposures Maintain contact with any/all associated claims carrier(s)' claims staff, business line leader, underwriter, defense counsel, program manager, and broker to communicate developments and outcomes as necessary Investigate claims and review the insureds' materials, pleadings, and other relevant documents Identify and review each jurisdiction's applicable statutes, rules, and case law Review litigation materials including depositions and expert's reports Analyze and direct risk transfer, additional insured issues, and contractual indemnity issues Retain counsel when necessary and direct counsel in accordance with resolution strategy Analyze coverage, liability and damages for purposes of assessing and recommending reserves Prepare and present written/oral reports to senior management setting forth all issues influencing evaluations and recommending reserves Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter Negotiate resolution of claims Select and utilize structure brokers Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims Experience & Required Skills Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines Strong time management and organizational skills Demonstrated ability to take part in active strategic discussions Demonstrated ability to work well independently and in a team environment Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word Willing and able to travel 10% Education Bachelor's degree required. 5-7+ years of work experience at an insurance company and/or insurance claims loss adjustment service provider managing property claims process supporting commercial accounts Proper & active adjuster licensing in all applicable states, Hawaii #LI-SW1 #LI-REMOTE For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible. $97,000 - $115,000/year Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future. Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits. Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team. 14400 Arch Insurance Group Inc.
    $97k-115k yearly Auto-Apply 5d ago
  • Workers Compensation Adjuster Trainee

    John Mullen & Co Inc.

    Claim processor job in Urban Honolulu, HI

    Job DescriptionDescription: Responsible for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provide quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation, and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. Responsibilities · Confirm policy coverage · Conduct investigations · Determine eligibility for benefits · Process benefits in accordance with Hawaii law · Provide excellent client service · Respond timely to e-mail, phone calls & client requests · Comply with client and internal special handling instructions Requirements: Requirements · Minimum of 1-2 years of insurance experience preferred · Excellent client service skills · Ability to meet timeline requirements · Very flexible and team oriented · Excellent mathematical skills · Ability to handle a high-volume workload · Organized and detail-oriented · Excellent verbal and written communication skills · Ability to work well with internal/external customers · Ability to work independently and efficiently · Familiarity with Work Comp Process preferred · Hawaii Independent Adjuster's License preferred · Demonstrated proficiency in Microsoft Office Programs
    $52k-64k yearly est. 8d ago
  • Cash & Coin Vault Processor

    Bank of Hawaii Corp 4.7company rating

    Claim processor job in Urban Honolulu, HI

    Under the direction of the Manager, this position provides quality service and support to internal and external customers by processing transactions, answering questions, responding to inquiries and service requests in a timely and professional manner while adhering to Vault Services & Operations (VSO) standard safety requirements.
    $32k-36k yearly est. Auto-Apply 60d+ ago
  • Claims Investigator - Part Time

    Coventbridge Group 3.8company rating

    Claim processor job in Hawaii

    Claims Investigator (Part-Time) Oahu, HI area Immediate need for a PT Claims Investigator within the largest worldwide investigative solutions company. Join CoventBridge Group as it continues its expansion into all areas of investigations, allowing continual growth for its employees. Responsibilities/ Requirements Responsibilities: Duties and responsibilities include essential functions of positions assigned to this classification. Depending on assignment, the employee may perform a combination of some or all the following duties: Ability to conduct multiple types of complex claims investigations Daily submission of updates regarding work performed on each case Ability to manage time Maintain a sufficient level of client billable hours Write and record detailed statements Conduct scene investigations Submit professional and client ready investigative reports Conduct background/activity checks and courthouse research Due to driving, constant state of alertness in a safe manner is an essential function of this position Requirements: Licensed or eligible to be licensed as a Private Investigator in Hawaii and in surrounding states 1 year or more of full time report writing experience on field investigations cases Field investigations experience - face to face statements Ability and willingness to travel within a multi-state coverage area (as necessary) Experienced in investigation of product/auto/general liability claims, Workers Compensation, disability claims, life insurance and contestable death claims Flexibility to work varied/irregular hours and days including nights, weekends Reliable and fuel efficient vehicle with minimum of auto liability insurance Possess or is willing to purchase: digital recording device and laptop computer with Windows Operating System with access to Microsoft Word and other necessary equipment for position Educational/Experience Qualifications: Associate or Bachelor's Degree in Criminal Justice or related field Experience as a Private Investigator or detective Military or Law Enforcement background Comprehensive knowledge of insurance law and underwriting Self-starter who holds themselves accountable for results and performance Strong attention to detail with commitment to accuracy and quality Ability to adapt and work under stressful and sensitive situations Can type 50 words or more a minute Benefits CoventBridge offers the most premiere compensation package in the industry. Flexibility to self-schedule Ability to work from home-based office Competitive pay Monthly vehicle allowance Company fuel card Company cell phone Company matching 401(k) Travel and report writing compensation Company paid investigator licensing fees Paid ongoing career advancement training Timely expense reimbursement with very minimal out-of-pocket expenses The salary range for this role is $27 - $31 per hour. This is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee's pay position within the salary range will be based on several factors including, but not limited to, relevant education, qualifications, certifications, experience, skills, geographic location, performance, and business or organizational needs. About Us: CoventBridge Group is the global leader in full-service investigations providing: Surveillance, SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop Investigations, Social Media, Record Retrieval, Canvasses and Vendor Management programs. The company provides top tier data privacy and security practices, deploys robust case management technology customized to clients' needs and delivers worldwide coverage via its 1000 employees and affiliates worldwide. CoventBridge is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, caste, disability, veteran status, and other legally protected characteristics and maintains a drug-free workplace. CoventBridge is committed to the full inclusion of all qualified individuals. As part of this commitment, CoventBridge will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact: Human Resources; ************; *******************************. CoventBridge (USA) Inc. Hawaii License # PDA-1099
    $27-31 hourly Auto-Apply 60d+ ago
  • Processor

    Hilo Products, Inc.

    Claim processor job in Hilo, HI

    Job Description Job Title: Processor Job Summary: The processor is responsible for inspecting, cleaning, cutting, and packaging fresh fruits and vegetables to create safe, high-quality, customer-ready products while strictly adhering to food safety standards and production schedules. Duties and Responsibilities: Prepare, wash, peel, and slice fruits and vegetables per standard operating procedures. Assemble finished produce items such as salads, trays, or cut components and then seal, label, and package them for shipment. Ensure product consistency and quality, verifying weights and presentation of packages. Maintain sanitation and safety by keeping the work area, tools, and equipment clean, and following food safety guidelines. Operate machines and equipment safely as trained and support other production areas as needed. Qualifications: Previous experience in fresh produce processing is preferred but not required Strong knife skills, attention to detail, and ability to follow instructions accurately. Comfortable working in refrigerated environments and standing for long periods. Able to work weekends and holidays as needed. Great communication skills and a team player. Benefits (for those who qualify): Free Medical, Drug, Vision, Dental, through HMSA or Kaiser and HDS. Low-cost visits for Chiropractic, Acupuncture, and Massage. Voluntary Benefits such as HealthCare FSA, Dependent Care FSA, AFLAC Voluntary Insurance, and Transamerica Life Insurance. Employee perks include discounts on select businesses and services. 401k with company match. Paid Time Off. Employee Assistance Program. Hilo Products Inc. is an equal opportunity employer. The Company strictly prohibits and does not tolerate any discrimination towards applicants based on race, color, religion, creed, ethnicity, ancestry, national origin, citizenship, veteran or military status, sexual orientation, marital status, age, physical or mental disability, or any other protected factor under federal, state or local law.
    $30k-38k yearly est. 6d ago
  • Senior Claims Examiner, Property

    Arch Capital Group Ltd. 4.7company rating

    Claim processor job in Hawaii

    With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibilityâ„ . Position Summary Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Mid Corp Property Team as a Senior Claims Examiner, Property. In this role, the responsibilities include actively managing complex First Party Commercial Property claims focused in Hawaii and other jurisdictions throughout the United States. This candidate will need to be local to Hawaii. Responsibilities * Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis * Develop and implement strategy related to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care * Develop and implement timely and accurate resolution strategies to ensure mitigation of indemnity and expense exposures * Maintain contact with any/all associated claims carrier(s)' claims staff, business line leader, underwriter, defense counsel, program manager, and broker to communicate developments and outcomes as necessary * Investigate claims and review the insureds' materials, pleadings, and other relevant documents * Identify and review each jurisdiction's applicable statutes, rules, and case law * Review litigation materials including depositions and expert's reports * Analyze and direct risk transfer, additional insured issues, and contractual indemnity issues * Retain counsel when necessary and direct counsel in accordance with resolution strategy * Analyze coverage, liability and damages for purposes of assessing and recommending reserves * Prepare and present written/oral reports to senior management setting forth all issues influencing evaluations and recommending reserves * Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter * Negotiate resolution of claims * Select and utilize structure brokers * Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims Experience & Required Skills * Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines * Strong time management and organizational skills * Demonstrated ability to take part in active strategic discussions * Demonstrated ability to work well independently and in a team environment * Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word * Willing and able to travel 10% Education * Bachelor's degree required. * 5-7+ years of work experience at an insurance company and/or insurance claims loss adjustment service provider managing property claims process supporting commercial accounts * Proper & active adjuster licensing in all applicable states, Hawaii #LI-SW1 #LI-REMOTE For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible. $97,000 - $115,000/year * Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future. * Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits. Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team. 14400 Arch Insurance Group Inc.
    $97k-115k yearly Auto-Apply 5d ago
  • Claims Investigator-Adjustor - SR-23

    County of Hawaii (Hi 4.2company rating

    Claim processor job in Hilo, HI

    Investigates, adjusts, and negotiates for settlement of claims of real and personal property damage for and against the County of Hawai'i; conducts investigative work in contemplation of litigation and anticipated cases; handles personal injury cases not covered by insurance carried by the County of Hawai'i; and performs other related duties as required. There is one (1) immediate temporary full-time not-to-exceed 11/30/2028 vacancy with the Office of the Corporation Counsel - Litigation Division in Hilo. The eligible list may be used for other permanent and temporary vacancies as they arise during the life of the list. Temporary appointment may lead to conversion to permanent appointment. Examples of Duties * Determines, evaluates, and verifies the facts set forth in any claim or lawsuit filed against and by the County. * Locates, interviews, and interrogates the principals involved and/or the witnesses. * Inspects the physical evidence of damages; gathers and verifies the value of damages by asking for expert opinions when necessary; arrives at judgments of the worth of statements given by individuals. * Obtains additional, clarifying, or substantiating information, evidence, and facts. * Prepares reports on findings with recommendations. * Negotiates for the settlement of claims to the satisfaction of the principals involved. * Recommends to the Corporation Counsel the acceptance or rejection of liability by the County or action to be taken against individuals who owe the County. * Checks with the appropriate agencies to determine the assets of individuals against whom the County has claim. * Follows up on delinquent accounts by personal interview and recommends new terms or enforcement of terms based on findings. * Assists the County attorneys in the presentation of cases. * Testifies and presents supporting information in court, arbitrations, mediations, hearings, administrative hearings or any other quasi-judicial proceedings. * Assists the County attorneys in presenting evidence and producing witnesses. * As directed, works with County commissions, boards, administrators, and others in judicial or quasi-judicial hearings. * Monitors and evaluates all requests for No-Fault benefits, including medical treatment plans for compliance with appropriate laws and guidelines; recommends the approval or disapproval of payments, treatment plans, or modifications to plans. * Notifies claimant or authorized representative when No-Fault benefits are about to be or have been exhausted. * Locates missing persons. * Investigates complaints against County of Hawai'i employees. * Prepares detailed reports of investigations, analyses, findings, and recommendations; prepares other administrative reports as required. * Serves complaints, counter and/or cross claims, warrants, subpoenas, summonses, or other documents for the Office of the Corporation Counsel. * Investigates hardship cases in condemnation proceedings and workers' compensation cases. * Performs other related duties as assigned. Minimum Qualification Requirements Training and Experience: A combination of education and experience substantially equivalent to: * graduation from an accredited college or university with a baccalaureate degree (scan and attach a copy of your official transcript to your application), and * three (3) years of investigational or law enforcement work, of which * one (1) year shall have involved the investigation or the adjustment of claims relating to personal, medical, and property damages, and * possession of a valid State of Hawai`i driver's license (Class 3) or any other valid comparable driver's license at time of filing. (You will be required to submit your valid driver's license at time of hire.) Note: Foreign transcripts must be accompanied by an official transcript or credential evaluation to determine U.S. equivalency. (Scan and attach a copy of your official transcript or credential evaluation to your application.) Examination: All applicants who meet the minimum qualification requirements will be assigned a score of 70 points. An education and experience evaluation will be conducted based on the applicant's training, education and experience as presented in the application. Please read the minimum qualification requirements carefully. Be certain to list all pertinent training and experience, as this may be important in determining your examination score. It is essential that the applicant describe fully the duties and responsibilities of each position held, specify the date of each position held (from and to, month and year), and indicate the number of hours worked per week. Attach all required documentation (e.g. official transcript, professional license(s)/certification(s), DD-214, etc.) at the time of submitting your application. Note: In-person interviews and/or further testing in Hawai'i County may be required at the discretion of the hiring department/agency. If in-person interviews and/or further testing are required, applicants who are referred to the hiring department/agency must be available to participate in person and at their own expense at that phase of the selection process. Knowledge of: principles and practices of investigation; interviewing and interrogating methods and techniques; rules of evidence; elementary law of real property, insurance, and torts; court procedures; human relations and behavior. Ability to: interpret and apply laws and regulations; gather, analyze, and evaluate facts and settle liabilities; make sound observations and mature judgments; deal tactfully and effectively with the public and representatives of other government agencies; write accurate, clear, and concise reports. Physical Requirements: Persons seeking appointment to positions in this class must meet the health and physical condition standards deemed necessary and proper to perform the essential functions of the position with or without reasonable accommodations. Physical Effort Grouping: Light Benefits of County employment: The County of Hawai'i offers a competitive compensation package. Your total compensation is comprised of your salary and a generous range of valuable benefits, subject to eligibility requirements. * Flexible Working Arrangements: Options may include alternate work schedules (4-10) and flexible working hours. (Not all Departments/Agencies participate and not all positions are eligible.) * Vacation: Start accruing paid vacation time immediately upon hire - up to 21 days per year. * Sick Leave: Start accruing paid sick leave time immediately upon hire - up to 21 days per year. * Holidays: The County provides 13 paid holidays per year (plus General Election Day when applicable). * Training and Development: The County has a variety of training and development opportunities for employees. * County Tuition Reimbursement Program: This scholarship program rewards employees who take the initiative to advance their education and learning. * Public Service Loan Forgiveness (PSLF) Program: You may be eligible for this federal program which forgives portions of federal student loans for individuals working in public service. * Retirement Plan: The Employees' Retirement System is a qualified defined benefit public pension plan that provides retirement, disability, survivor and other benefits to all eligible full-time and part-time county employees in the State of Hawaii as well as their beneficiaries. * Deferred Compensation: Save additional money for retirement - this voluntary supplemental retirement savings plan allows for the investment of tax-deferred contributions. * Flexible Spending Plan: Use pre-tax dollars to pay for qualified dependent care and/or medical expenses, as well as insurance premiums. * Health Benefit Plans: The County of Hawai'i offers a variety of health benefit plans for eligible employees. * Employee Assistance Program (EAP): This voluntary assistance program provides employees and their family members with free professional and confidential assistance in overcoming personal and work-related problems. * Group Life Insurance: Free life insurance policy for active employees. * Credit Union Membership * Other Leaves: You may be eligible for other leaves, including Family Leave, Funeral Leave, Leave Sharing, Military Leave, Donor Leave, Victims Protection Leave, as well as leave for Parent-Teacher Conferences, Disaster Relief, Blood Bank Donations, and Jury Duty. All benefits are subject to eligibility requirements and change due to legislative actions and/or changes negotiated through collective bargaining. Please check out the benefits tab for additional information. Supplemental Information Please scan and attach these supporting documents to your on-line application, if required: * an official college transcript, * a valid driver's license, * a temporary assignment verification, * professional licenses, and/or * certificates. Veterans applying for veteran's preference points shall also scan and attach their DD-214 form and as needed, their VA claim letter to the on-line application. PLEASE APPLY IMMEDIATELY AS THIS RECRUITMENT MAY CLOSE AT ANY TIME. ELECTRONIC NOTIFICATION TO APPLICANTS: Please ensure that the email address and mobile phone number you provide is current, secure, and readily accessible to you. We will not be responsible in any way if you do not receive our emails and text messages or fail to check your email box or NEOGOV account INBOX in a timely manner. Checking your NEOGOV account INBOX daily is recommended and is the most secure method to check on notices sent to you. This is a new feature created by our vendor, NEOGOV. Please add *********************** to your contact list. Open your NEOGOV account using your user name and password. In the upper right hand corner of the account is your name, and under your name, click on INBOX to view all notices sent you. The notices will appear here in the INBOX even in the event you don't receive it on your cell phone, computer, or other electronic device. This is the best way to check and view all notices sent to you. You will receive a confirmation email upon successfully submitting your application. Failure to receive this confirmation email, indicates that your application was not submitted.
    $47k-53k yearly est. Easy Apply 60d+ ago
  • Cash & Coin Vault Processor

    Bank of Hawaii 4.7company rating

    Claim processor job in Urban Honolulu, HI

    Under the direction of the Manager, this position provides quality service and support to internal and external customers by processing transactions, answering questions, responding to inquiries and service requests in a timely and professional manner while adhering to Vault Services & Operations (VSO) standard safety requirements. High School diploma or G.E.D. Level is dependent on years of experience and size/complexity of prior positions held. Minimum 2 years in banking, cash handling, accounting or related experience. Demonstrated proficiency with personal computers in a networked environment and Microsoft applications (Outlook, Word, Excel, and PowerPoint) or similar software. Knowledge of or ability to use Bank software and systems. Ability to independently operate required equipment after training period. Demonstrated verbal and written communication skills. Analytical ability and math skills sufficient to balance cash trucks. Able to work independently with frequent interruptions. Must have effective interpersonal skills with a positive, can-do attitude focused on teamwork and partnership. Must be able to lift/transport up to 50 pounds and be able to stand for extended periods of time. Able to work flexible hours, including weekends and shift work. As a Bank of Hawaii employee, you ensure (or assist with ensuring) compliance with applicable laws, regulations, regulatory requirements and Bank policies and procedures, including but not limited to those related to Fair Banking, Anti-Money Laundering laws and regulations, Bank Secrecy Act and USA PATRIOT Act. Delivering exceptional customer experiences is at the heart of what we do at Bank of Hawaii. We listen, understand and deliver what our customers need to help them build a better tomorrow. We are an EEO/AA employer, including disability and veterans. For Bank of Hawaii's full EEO statement, please visit **************************** Provides quality service and support in a professional manner, meeting the bank's service guarantees/standards by processing (receives, verifies and balances) deposits received from customers and branches and releases orders to armored couriers. Prepares outgoing cash orders for customers and branches. Fields all communications via telephone, email, fax, or mail including customer deposit discrepancy notifications, customer inquiries and disputes and researches and resolves problems and processes customer requests. Balances cash trucks and adheres to cash handling guidelines. Assists with various validation processes, as assigned by VSO management. Ensures daily bag and reconciliation is balanced, reviewed, and completed accurately within established timeframes. Provides team support in meeting team goals and daily deadlines. Works with teammates, to maintain current working knowledge of the various functions within the department. Performs other miscellaneous job responsibilities and duties as assigned.
    $32k-36k yearly est. Auto-Apply 60d+ ago
  • Claims Examiner - General Liability | Hawaii License Required

    Sedgwick Claims Management Services, Inc. 4.4company rating

    Claim processor job in Urban Honolulu, HI

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - General Liability | Hawaii License Required Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? * Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. * Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. * Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. * Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights. * Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. * Enjoy flexibility and autonomy in your daily work, your location, and your career path. * Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. OFFICE LOCATIONS Hybrid 2 Days In-Office PRIMARY PURPOSE: To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES * Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. * Assesses liability and resolves claims within evaluation. * Negotiates settlement of claims within designated authority. * Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. * Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level. * Prepares necessary state fillings within statutory limits. * Manages the litigation process; ensures timely and cost effective claims resolution. * Coordinates vendor referrals for additional investigation and/or litigation management. * Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. * Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. * Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner. * Communicates claim activity and processing with the claimant and the client; maintains professional client relationships. * Ensures claim files are properly documented and claims coding is correct. * Refers cases as appropriate to supervisor and management. QUALIFICATION Education & Licensing Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience Five (5) years of claims management experience or equivalent combination of education and experience required. Skills & Knowledge * Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. * Excellent oral and written communication, including presentation skills * PC literate, including Microsoft Office products * Analytical and interpretive skills * Strong organizational skills * Good interpersonal skills * Excellent negotiation skills * Ability to work in a team environment * Ability to meet or exceed Service Expectations TAKING CARE OF YOU * Flexible work schedule. * Referral incentive program. * Career development and promotional growth opportunities. * A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $80,000 - $90,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. #Claims #ClaimsExaminer #Hybrid #LI-Hybrid #LI-Remote #LI-AM1 Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
    $80k-90k yearly Auto-Apply 33d ago
  • Coin Processor Driving

    Loomis 4.1company rating

    Claim processor job in Lihue, HI

    As a Coin Processor, you work with your team to maintain inventory in our cash vaults for our Loomis customers Responsibilities Count, sort, and handle coin bags weighing 50 pounds Manage the proper storage of pallets of boxed coin Previous forklift experience preferred (though not required) Requirements * Repetitiously lift, without assistance, at least 50 pounds from floor level to 3-4 foot level * Ability to move bulk coin with hand carts or manual pallet jacks * A valid firearms permit and/or ability to pass all applicable firearms and state regulated security guard card/license requirements in the state to which you are applying is required. This may include varying requirements under applicable state law (e.g., some states require an individual to have a high school diploma or GED to be eligible for a state issued security guard card/license or equivalent) Working Conditions * Work in a large area within a vault with little or no exposure to outside light * Full-time schedule can potentially consist of an average of 40 to 50 hours/week, with a minimum of 5 days during a 6-day period Essential Functions/Job QualificationsAs part of the qualification process for the Coin Processor position, a Human Performance Evaluation (HPE) is required. This evaluation requires successful completion of testing in the following areas:Lift:- 25lbs vertical lift from 10 inches to 66 inches from the floor (1X) Lift-Carry:- 18lbs vertical lift from 1 inch to 44 inches from the floor, and horizontally transfer 15ft (4X)- 18lbs vertical lift from 10 inches to 36 inches from the floor and horizontally transfer 300ft (1X)- 50lbs vertical lift from 10 inches to 36 inches from the floor and horizontally transfer 2ft (2X) Push-Pull:- Horizontally transfer 47lbs of force on a sled (single, non-dominant arm), a distance of 1ft (2X) Repetitive Coupling:- Squeeze Jamar Hand Dynamometer requiring forces up to 30lbs / both right & left hands (4X each) Benefits Loomis offers one of the most comprehensive employees benefit packages in the industry, which includes: * Vacation and Sick Time (PTO) as well as Paid Holidays * Health & Dental Insurance * Vision Insurance * 401(k) Plan * Basic Life Insurance Plan * Voluntary Life Insurance Plan * Flexible Spending and Health Savings Account * Dependent Care Account Industry leading Training and Development
    $31k-35k yearly est. 5d ago
  • Claims Processor

    Hawaiidentalservice 4.6company rating

    Claim processor job in Urban Honolulu, HI

    Under the supervision of Claims Supervisor, performs accurately all functions related to dental claims processing. Follows processing rules, guidelines, and policies. Meets department productivity, quality, and accountability standards. ESSENTIAL DUTIES AND RESPONSIBILITIES Key Responsibilities Electronically images hardcopy claims batch as OCR, Non-OCR, and x-ray attachments. Batch image paper attachments, POAs and adjustments, and back-end imaging of claims documentation. Inputs rejected and RFI claims notices. Performs all aspects of claims data entry, including verification of required documentations. Processes Levels 1, 2 and 3 claims consisting of single, COB-S, Dual, Pre-authorizations and out of state type claims. Reviews all levels of suspended electronic claims including opening and sorting of ECS mails. Processes requests to pay pre-authorizations. Other Duties and Responsibilities Assists the Claims department in adhering to established document policies and procedures. Provides back-up support and assistance in Customer Service and other departments as necessary. Accomplishes special projects as assigned. Determines and follows through with a plan to meet annual goals set up with the supervisor. Takes responsibility for relationships with others in the department and company. Works as a team player and assists wherever there is a need. Maintains a customer advocate attitude, understanding the importance that timely and accurate claims processing has on customer satisfaction. Other miscellaneous duties and responsibilities as assigned. MINIMUM QUALIFICATIONS AND EXPERIENCE Education High School Diploma or its equivalent required. Experience Minimum two years of clerical experience, customer service, sales, or any combination of education and experience which would provide the necessary knowledge, skills, and abilities to meet the minimum qualifications to perform the essential functions of this position. Skills and Knowledge Working knowledge of PC applications (i.e., word processing and spreadsheets) highly desirable. Requires demonstrated customer service skills and sales ability. Ability to maintain focus and attention to detail. Ability to handle multiple tasks with some distractions. Ability to communicate orally and in writing with all levels of staff, customers and vendors. Ability to handle all information in a confidential manner and in compliance with federal and state laws/regulations (i.e., HIPAA, PHI). Note : The above information in this description has been designed to indicate the general nature and level of work performed by an employee in this classification. It is not to be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications of employees assigned to this job. Hawaii Dental Service has the right to add to, revise, or delete information in this description. Reasonable accommodation will be made to enable qualified individuals with disabilities to perform the essential functions of this position.
    $28k-36k yearly est. Auto-Apply 60d+ ago
  • Claims Specialist - Casualty

    Island Insurance Co, Limited 3.4company rating

    Claim processor job in Urban Honolulu, HI

    Under minimal to no supervision, reviews, investigates, evaluates, negotiates and resolves a variety of multi-line casualty claims including but not limited to disputed liability, personal injury, coverage disputes, and contract based losses, and specialty claims of a complex nature. Independently handles all aspects of assigned claim inventory in line with department standards, procedures, and appropriate claims practices. Duties: * Claim Intake and Initial Processing * Receives claim loss information from agencies, insured, and claimants or other involved parties via telephone, facsimile, mail, or computer; and establish a claim on the appropriate computer claim handling system. * Reviews limited assignments, as well as assigned claims for applicable coverage, liability, and exposures. * Posesses working knowledge of all lines of business written by the company, including, but not limited to auto, homeowners, dwelling fire, commercial general liability, and umbrella. * Makes initial contact with insured and any other involved parties within the specified time frame, as outlined within department procedure. * Determines/confirms facts of loss, cause of loss, the identification of parties involved, and the existence of/extent of injuries and/or damages involved. * Reviews applicable policy forms/coverage documents, determine and explain available coverage and benefits, and address/resolve conflicts. * Establishes appropriate initial reserves on the computer claims-handling system within the specified time frame outlined within department procedures. * Investigates and handles losses in an appropriate, adequate, and thorough manner. * Obtains written or recorded statements as needed. * Investigation and Documentation * Ensures that damages, scenes, etc. are inspected, photographed, diagramed, and properly documented. Secures and protects evidence, as required. * Obtains other documents and records, such as police and fire reports, contracts and legal agreements, medical bills and reports, etc. * Prepares and submits any required data and reports (such as injury index, Medicare), per department procedure * Determines liability based upon the facts and a working knowledge of the applicable Hawaii Revised Statutes and any other applicable laws. * Stays abreast of statute changes, case law decisions, as well as policy and coverage changes. * Evaluates damages and/or injuries considering applicable coverage, liability determination, and any other pertinent information developed within the investigation. * Negotiates settlements within the authority granted. * Recognizes subrogation opportunity and complete the appropriate investigation in support of the pursuit of financial recovery on the claim. Assist the Subrogation unit, or complete arbitration filings as required. * Recognizes third party liability and contribution, and the handling and resolve of loss accordingly. * Initiates deductible recoveries with an insured per policy/coverage. * Communication and Reporting * Reviews questionable claims and all coverage issues with department management. * Communicates loss status to insured, claimant, or an attorney, as required by law or by department procedure. * Accurately processes financial transactions upon the applicable computer claims handling system, to include establishing or adjusting reserves and making payments within granted authority. * Prepares and submits requests and required reports, for increased financial authority, as required by department procedure. * Maintains a diary on all active claims with diary date established and addressed in line with department procedure. * Enters timely, clear, concise notes within the applicable computer claims handling system(s) related to investigation, handling, assessments, evaluations, and negotiations and settlements on all assigned claims. * Manages and directs any/all outside vendors (such as independent adjusters, contractors, repair shops, experts, or attorneys). * Litigation and Legal Compliance * Handles claims and/or litigation cases, as assigned. * Follows prescribed litigation guidelines and procedures, including reporting requirements and legal fee review program. * Attends and participates in mediations, arbitrations, settlement conferences as directed. * Travels to the neighbor islands as required for inspections and client visits. * Informs Claim Supervisor of any/all oral or written complaints, and any coverage dispute. * Prepares and timely submits required reports as may be required by procedure, department management, the company, or a vendor of the company. Education/Experience: * High school diploma or general education degree (GED); and 3 to 5 years multi-line claims and litigation management experience as a Claim Service Representative required. * College degree with credits in insurance related subjects preferred. * Equivalent combination of education and job-related experience will be considered. * Continuing education in insurance and job-related issues and subjects required Certificates, Licenses, Registrations: * Valid Hawaii Driver license and use of own vehicle required. * State of Hawaii general adjusting license preferred. An Equal Opportunity Employer Committed to an Inclusive Workplace.
    $48k-55k yearly est. 60d+ ago
  • Claims Examiner - General Liability | Hawaii License Required

    Sedgwick 4.4company rating

    Claim processor job in Urban Honolulu, HI

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - General Liability | Hawaii License Required Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights. + Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. + Enjoy flexibility and autonomy in your daily work, your location, and your career path. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. **ARE YOU AN IDEAL CANDIDATE?** We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. **OFFICE LOCATIONS** Hybrid 2 Days In-Office **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. + Assesses liability and resolves claims within evaluation. + Negotiates settlement of claims within designated authority. + Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. + Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level. + Prepares necessary state fillings within statutory limits. + Manages the litigation process; ensures timely and cost effective claims resolution. + Coordinates vendor referrals for additional investigation and/or litigation management. + Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner. + Communicates claim activity and processing with the claimant and the client; maintains professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management. **QUALIFICATION** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. **Experience** Five (5) years of claims management experience or equivalent combination of education and experience required. **Skills & Knowledge** + Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Good interpersonal skills + Excellent negotiation skills + Ability to work in a team environment + Ability to meet or exceed Service Expectations **TAKING CARE OF YOU** + Flexible work schedule. + Referral incentive program. + Career development and promotional growth opportunities. + A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in_ _this job posting only, the range of starting pay for this role is $80,000 - $90,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ \#Claims #ClaimsExaminer #Hybrid #LI-Hybrid #LI-Remote #LI-AM1 Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $80k-90k yearly 33d ago
  • Claims Examiner - Liability (REMOTE - TX, NM, OK, CO exp needed) )

    Sedgwick 4.4company rating

    Claim processor job in Urban Honolulu, HI

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability (REMOTE - TX, NM, OK, CO exp needed) ) Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights. + Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. + Enjoy flexibility and autonomy in your daily work, your location, and your career path. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. **ARE YOU AN IDEAL CANDIDATE?** We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. **PRIMARY PURPOSE OF THE ROLE:** To analyze high-level liability claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner. **QUALIFICATIONS** Education & Licensing: 5+ years of claims management experience or equivalent combination of education and experience required. + High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. + Professional certification as applicable to line of business preferred. **Licensing / Jurisdiction Knowledge: Active adjusters license highly preferred.** **TAKING CARE OF YOU** + Flexible work schedule. + Referral incentive program. + Career development and promotional growth opportunities. + A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is (_ 61,857.00 - 86,600.00) _. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. #claimsexaminer #claims #remote_ Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $48k-57k yearly est. 21d ago

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