Senior Claims Specialist - Casualty
Island Holdings
Summary: Under minimal to no supervision, handles claims from first notice to final disposition. Duties include, but are not limited to, coverage analysis, investigation, litigation management, and negotiation of a variety of claims assigned, including the more complex and severe damage and/or injury cases.
Duties:
Duties:
- Claim Handling and Investigation
- Receive 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.
- Review limited assignments as well as assigned claims for applicable coverage, liability, and exposures.
- Handle those losses or litigated claims involving the greatest complexity.
- Must have thorough knowledge of all lines of business written by the company, including, but not limited to auto, homeowners, dwelling fire, commercial general liability, and umbrella.
- Review applicable policy forms, determine and explain available coverage/benefits, resolve conflicts.
- Contact insured and other involved parties within the specified time frame, as outlined by department procedure.
- Determine/confirm facts of loss/cause of loss, identify parties involved, and extent of injuries or damages, as applicable.
- Obtain written or recorded statement(s) as needed.
- Inspect, photograph, and diagram damages and the scene of loss. Ensure the investigation is thorough and complete, and documentation in the file supports the claim. Secure and preserve evidence.
- Obtain other documentation, as appropriate, including but not limited to police and fire investigative reports, applicable contracts, plans and specifications, diagrams and photographs, repair proposals and appraisals, and medical records and bills.
- Determine liability based on facts developed and thorough knowledge of the applicable Hawaii Revised Statutes and other applicable laws.
- Provide clear and concise analysis of liability based on the facts and the applicable Hawaii Revised Statutes and other applicable laws.
- Provide analysis of alleged damages and injuries.
- Initiate deductible recovery procedures where applicable.
- Communication and Customer Service
- Review questionable claims and all coverage issues with the Claim Manager.
- Communicate status to insureds, claimants, and their attorneys, if any, as required by the Hawaii Revised Statutes or per department policy.
- Stay abreast of statute, case law decisions, as well as policy and coverage changes.
- Possess a positive, service-oriented attitude toward agencies, insureds, and employees within the company.
- Provide quality claims handling and superior customer service on a regular basis.
- Serve as a mentor to other claims professionals in a technical capacity.
- Assist other claim professionals with claims handling, evaluations, negotiations, and litigation issues.
- Provide technical advice/direction to department personnel on more complex claims.
- Assist with the assignment of claim assignments as needed, reviewing first notices of loss, providing direction, and support to the assigned individual.
- Financial and Administrative Responsibilities
- Perform appropriate and timely processing of financial transactions, including establishing reserves, adjusting reserves, and making payments on the applicable claim system, as authorized.
- Prepare and submit written requests for authority, as well as other reports, as required.
- Evaluate damages and injuries considering applicable coverage, liability determination, and other pertinent information developed.
- Negotiate settlements within authority granted.
- Enter timely, clear, and concise notes on the applicable computer claim handling system to document all activities - investigations, evaluations, recommendations, negotiations, and resolution.
- Diary all assigned claim files for timely follow-up and review them within the specified time frame as outlined by department procedure.
- Manage all outside vendors (e.g., independent adjusters, appraisers, contractors, investigators, experts, and attorneys) to minimize the length of time to resolution of the claim, and the allocated loss expenses.
- Follow prescribed litigation guidelines and procedures including reporting requirements and attorney fee review program.
- Attend and participate in mediations, arbitrations, settlement conferences as required.
- Perform accurate and timely preparation and submission of data and reports, as required by the department procedure or management.
- High school diploma or general education degree (GED); and 5-7 years multi-line Claims Specialist 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.
- State of Hawaii general adjusting license preferred.
- Valid Hawaii Driver's license and use of own vehicle required.
- Enrollment or completion of IIA, AIC or other insurance industry courses preferred.
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Senior Claims Specialist - Casualty in Honolulu, HI vacancy
- A prominent insurance company in Honolulu is seeking a skilled Claims Examiner responsible for overseeing property and casualty claims. The ideal candidate should have over two years of experience in this domain, combined with strong analytical and negotiation skills....Senior
$70.9k
Ryder System, Inc. is seeking an experienced claims adjuster to manage Auto Liability claims within its self-insured program. The ideal candidate has at least two years of experience in casualty claims and a Bachelor's degree. Responsibilities include investigating claims...SeniorRyder
Honolulu, HI2 days ago- Overview The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze, and process claims that are routinely... ..., and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. The Senior...SeniorWork experience placementLocal area
$100k - $125k
A leading claims management firm is seeking a Sr. Claims Specialist to analyze complex claims and provide resolutions. The role involves negotiating settlements, coordinating legal defenses, and managing claims costs while delivering excellent customer service. Ideal candidates...SeniorRemote workSedgwick
Honolulu, HI4 days ago$62.4k - $93.6k
...Sr Representative Claims - CH08BE Sr Representative Clms CA - CH08AN Consultant Claims... .... The General Liability Litigation Senior Claim Representative or Consultant is accountable... ...Adjuster's License to process Property & Casualty Insurance Claims in the states supported...SeniorFull timeTemporary workPart timeWork experience placementWork at officeRemote workMonday to Friday3 days per weekThe Hartford
Honolulu, HI11 hours ago$15k
...insurance provider in Honolulu is seeking an Experienced Surety Bond Desk Adjuster. The role involves investigating and resolving claims valued up to $15,000, requiring strong analytical and negotiation skills. Candidates should possess a Bachelor's degree and three years...SeniorHourly pay- GEICO is seeking a Senior Examiner for Personal Umbrella Claims in Honolulu, Hawaii. The role involves evaluating and managing high-severity claims, requiring at least five years of experience in Personal Umbrella Insurance. Candidates should have expertise in investigation...SeniorRemote job
$18.5 - $42.35 per hour
Hispanic Alliance for Career Enhancement is hiring for a full-time medical claim processor in Hawaii. Responsibilities include reviewing and adjudicating complex medical claims, ensuring compliance with regulatory requirements, and mentoring team members. The ideal candidate...SeniorHourly payFull time- A leading risk management firm in Honolulu seeks a Senior Claims Specialist to analyze and manage complex medical malpractice claims. This role involves negotiating settlements, ensuring compliance with client guidelines, and coordinating with legal teams. The ideal candidate...SeniorFlexible hours
- Liberty Mutual Insurance is seeking a Senior Claims Specialist to review and process claims in Honolulu, Hawaii. The role involves investigating claims, assessing damages, negotiating settlements, and mentoring team members. Candidates must have excellent interpersonal...Senior
$18.5 - $42.35 per hour
...Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines.... ...Responsibilities Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise. Applies...SeniorRemote jobHourly payFull timeWork experience placementLocal area- AllSearch Professional Staffing is seeking a Claims Examiner in Honolulu, HI, to manage complex Property and Casualty insurance claims including property damage, auto liability, casualty, and workers’ compensation. This role involves coordinating with Third-Party Administrators...
- Claims Examiner - Property and Casualty Insurance - Base Salary to 90k/year - Honolulu, HI Our client, a large and growing insurance carrier, is seeking a Claims Examiner to join their team in Honolulu, HI. This role is responsible for managing complex Property and Casualty...For contractorsWork at officeRemote work
- A leading insurance firm is seeking a skilled Claims Examiner to manage complex property and casualty claims involving structural damage, auto, and workers' compensation. You will collaborate with third-party adjusters and vendors, assess policy coverage, and negotiate...
$95k - $110k
...relationships, and mentoring entry-level staff. Candidates must have a minimum of 3 years of underwriting experience in property and casualty lines, along with strong analytical and risk evaluation skills. The position offers a competitive salary range of $95,000 to $110,...Senior$95k - $110k
...entry level Underwriters and agency staff, as assigned. Education and/or Experience: Minimum 3 years commercial lines property and casualty underwriting technical experience required; previous sales experience preferred. Equivalent combination of education and job-...Senior$105k - $120k
...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | Medical Malpractice | Long Term Care Job Description PRIMARY PURPOSE OF THE ROLE: To analyze complex...SeniorLocal areaFlexible hoursSedgwick
Honolulu, HI4 days ago$15k
A leading risk and claims administration partner in Honolulu is seeking an Experience Desk Adjuster. This role involves handling property and casualty claims valued up to $15,000 through thorough document examinations and case load management. The ideal candidate will have...Hourly pay$100k - $125k
...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL | Remote Primary Purpose To analyze complex or technically difficult errors and...SeniorWork at officeLocal areaRemote workFlexible hoursSedgwick
Honolulu, HI11 hours ago$108.8k - $163.2k
...Sr Claims Analyst FL - CV08DE We're determined to make a difference and are proud to be an insurance company that goes well beyond... ...team as we help shape the future. The Global Financial Lines Senior Claims Analyst - Allied Health Professional Liability manages complex...SeniorTemporary workWork at officeRemote work3 days per weekThe Hartford
Honolulu, HI1 day ago$23.16 per hour
...Job Description : JOB SUMMARY This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building positive client relationships, providing...SeniorFor contractorsWork at officeLocal areaHighmark Health
Honolulu, HI4 days ago$4,961 - $5,811 per month
Help protect taxpayers' money by investigating claims, determining liability, and supporting fair, well-documented resolutions. This position investigates, evaluates, and manages property damage, personal injury, and liability claims involving the City, working closely...SeniorWork experience placementAfternoon shift$107.6k - $161.4k
...Specialist Claims - CH07DE Specialist Claims CA - CH07DN We're determined to make a difference... ...reports and deliver presentations to senior claim leadership on case developments,... ...a JD license and specialization within casualty, environmental and/or construction case...Temporary workWork at officeRemote work3 days per weekThe Hartford
Honolulu, HI11 hours ago$6,535 - $7,952 per month
The State of Hawai'i is seeking a Section Supervisor in the Claims Management Branch to administer the state's workers' compensation program. In this role, you will supervise and train staff engaged in processing claims, handle complex cases, and participate in administrative...Senior$50 - $60 per hour
...DataAnnotation is committed to creating high-quality AI. We are looking for a Senior Underwriter to join our team to help train the next generation of AI while enjoying the flexibility of remote work and the freedom to set your own schedule. This role is designed to fit...SeniorHourly payFull timeContract workPart timeWork experience placementRemote workFlexible hoursDataAnnotation
Honolulu, HI11 hours ago$5,369 - $6,535 per month
A government agency in Hawaii seeks an Insurance Rate & Policy Analyst responsible for examining insurance rates and policies for compliance with state laws. The role involves conducting analytical work and recommending actions based on research findings. Applicants must...Senior- ...seasoned geotechnical professional to join our growing team in Hawaii. As we continue to expand in the region, we are looking for a Senior or Principal level Geotechnical Engineer to play a key role in supporting and leading our efforts. Our current backlog includes...SeniorFor contractorsWork at office
MNCP Staffing
Honolulu, HI16 days ago - ...insurance knowledge while enjoying the flexibility of remote work. Ideal candidates will have substantial experience in Property & Casualty insurance and a strong focus on risk selection, pricing strategies, and relationship management. Work can be tailored to full or...Full timePart timeRemote workWork from home
Work At Home Vintage Experts LLC
Honolulu, HI2 days ago $217.3k - $325.9k
Teradata Corporation (SE) is seeking a Sr. Principal Architect at the Senior Director level in Honolulu, HI. This role requires 20+ years of software engineering and recognized authority in cloud-native data platforms or AI infrastructure. Responsibilities include leading...SeniorFlexible hours$64.7k - $120.4k
Oliver Wyman, LLC is looking for a Commercial Lines Underwriter in Honolulu, Hawaii, to handle the underwriting and marketing of commercial lines accounts while providing exceptional support to agents and clients. Candidates should have a high school diploma, ideally a ...Senior
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Claims Specialist - Casualty. Be the first to apply!
Related searches
- claims processor Honolulu, HI
- senior claims specialist Honolulu, HI
- claims analyst Honolulu, HI
- medical insurance claims specialist Honolulu, HI
- life insurance claim analyst Honolulu, HI
- claims resolution specialist Honolulu, HI
- medical claims analyst Honolulu, HI
- remote medical claims processor Honolulu, HI
- claims assistant Honolulu, HI
- claim examiner Honolulu, HI