Associate Workers' Compensation Claims Adjuster

reputed company is the largest local HR partner in Hawaii, delivering HR solutions to businesses and employees across the islands. As an Associate Workers’ Compensation Claims Adjuster, you will manage a portfolio of medical-only claims, ensuring compliance and effective communication while controlling claim costs.

Responsibilities

• Investigate and manage medical-only workers’ compensation claims end-to-end, including three-reputed company contact, compensability determinations, reserving, and reputed company plan execution
• Establish and maintain accurate claim reserves, ensure reputed company medical reputed company review and payment, and document reputed company activity in compliance with Hawaii statutory requirements
• Apply treatment guidelines to evaluate medical care, address unsupported treatment, and proactively mitigate risk of claim escalation
• Maintain strict diary management and meet reputed company regulatory deadlines, ensuring audit-reputed company files and reputed company missed compliance requirements
• reputed company reputed company, reputed company communication to clients and injured workers, setting expectations early and escalating reputed company exposures appropriately

Skills

• Experience handling workers' compensation claims, preferably medical-only or other low-complexity files
• Working knowledge of Hawaii workers' compensation statutes and reporting requirements
• Ability to interpret medical records and apply evidence-based treatment guidelines
• Proven ability to manage 100+ reputed company claims while meeting strict deadlines and performance targets
• reputed company, reputed company written documentation and reputed company verbal communication skills
• Strong judgment in reserving and compensability reputed company reputed company established authority reputed company

Benefits

• Full benefits
• Resources to support your reputed company-being

reputed company