TEMPORARY DISABILITY INSURANCE (TDI)/HEALTH CARE SPECIALIST IV, III AND II -DOWNTOWN, OAHU

Recruitment Number DLIR-2026-060 – Full time – Downtown Honolulu, Oahu This job posting will remain open until 15 applications are received. Please apply immediately as this recruitment may close at any time. Salary Temporary Disability Insurance/Health Care Specialist IV (Step D to I) – $5,369 to $6,535 monthly (SR-22) Temporary Disability Insurance/Health Care Specialist III (Step D to I) – $4,961 to $6,043 monthly (SR-20) Temporary Disability Insurance/Health Care Specialist II (Step D) – $4,590 monthly (SR-18) Responsibilities Level IV: Performs the most difficult and complex health care plans review and acceptance activities as a regular assignment; and performs other duties as required. Level III: Reviews and recommends the approval or disapproval of plans and temporary disability insurance (TDI) provisions submitted by insurance carriers and employers to meet the requirements of the TDI and health care laws, rules, and regulations of the State; and performs other duties as required. Level II: Performs the full range of TDI claims examination and denial of benefits review; assists and participates in the review of TDI and health care plans; receives advanced training; and performs other duties as required. Qualifications BASIC EDUCATION REQUIREMENT: Graduation from an accredited four‑year college or university with a bachelor’s degree. GENERAL EXPERIENCE REQUIREMENT: One‑half (1/2) year of progressively responsible professional or other analytical work which involved fact finding, analysis, and evaluation to determine eligibility and/or compensability; the interpretation and application of relevant laws, rules, and regulations; and dealing effectively with individuals to elicit information orally and in writing.

SPECIALIZED EXPERIENCE REQUIREMENT:

Level IV: Two (2) years of specialized experience. Level III: One (1) year of specialized experience. Level II: No specialized experience required. Specialized experience: Knowledge and application of the Temporary Disability Insurance and/or Pre‑paid Health Care laws, rules and regulations, involving analyzing, explaining, applying and interpreting those laws, rules and regulations, and pertinent rulings, precedents, and related criteria. Examples of acceptable specialized work experience include (but are not limited to): Examining and approving or disapproving TDI claims and developing or reviewing employer’s health plans, including self‑developed plans and collective bargaining agreements providing such benefits. Reviewing health care plans concerned with ensuring conformance with statutory requirements as a regular work assignment; and enforcing state and/or federal regulatory laws. Reviewing complex documentation for accuracy and completeness and demonstrating the ability to understand and apply state and federal regulatory laws. QUALIFICATIONS: Possession of the required number of years of experience alone is not sufficient proof of qualification. The applicant’s overall experience must have been of such scope and level of responsibility as to conclusively demonstrate that they have the ability to perform the duties of the position. EEO Statement The State of Hawaiʻi complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If you require reasonable accommodations in completing an application, any pre‑employment testing, or otherwise participating in the selection process, please call View phone number on click.appcast.io for assistance. #J-18808-Ljbffr State of Hawai'i