WC Adjuster

Job Description

Job Description

Description:

Job Summary:

The Workers Compensation Adjuster will analyze new and existing claims to determine benefits due in accordance with Hawaii law, conduct investigations, address all pertinent issues, and attend hearings on all islands.

Essential Functions

To perform this job successfully, candidate must be able to perform each essential duty satisfactorily:

• Determining eligibility for benefits
• Conduct investigations and assessments
• Determining and administering benefits on behalf of the employer/Carriers in accordance with the Hawaii Workers’ Compensation Laws
• Provide status Reports and File reserve recommendations to the Clients
• Present files at Claims Reviews
• Manage litigation process; ensure timely and cost-effective claims resolution
• Respond timely to e-mail, phone calls and client requests
• Comply with client and internal special handling instructions

Competencies

• Minimum of 2 years’ experience handling workers comp claims
• Excellent client servicing skills
• Ability to meet timeline requirements
• Very flexible and team oriented
• Ability to handle a high-volume workload
• Ability to meet multiple timelines
• Organized and detail-oriented
• Excellent verbal and written communication skills
• Ability to work well with internal/external customers
• Ability to work independently and efficiently meeting required deadlines
• Ability to read and understand medical reports
• Familiar with Hawaii statutes and regulations
• Experience taking recorded interviews
• WC Adjuster’s license preferred
• Demonstrated proficiency in Microsoft Office programs
• Ability to type

Supervisory Responsibility

This position has no supervisory responsibilities.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the office work environment is usually quiet but is subject to change in field situations.

Physical Demands

While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds.

Position Type/Expected Hours of Work

This is a full-time position. Days and hours of work are Monday through Friday, with flexible work shift within the Company flex schedules, and as approved by department manager.

Travel

Inter-island travel for hearings occasionally

Required Education and Experience

• High school diploma or GED.
• Minimum of 2 years’ experience handling workers comp claims

Additional Eligibility Qualifications

None required for this position.