Claims Examiner - Workers Compensation | Jurisdiction & Licensing: Hawaii (Hybrid)

Sedgwick; Hawaii; Hybrid; USD 75,000 - 85,000; Full time

Benefits offered by this job

Flexible schedule

Referral program

Agile environment

Career development

Comprehensive benefits

Job summary

Sedgwick in Hawaii is seeking a Claims Examiner for Workers' Compensation to adjudicate complex claims and determine benefits due. This hybrid role combines in-office and remote work, with 2 days in the office and 3 days at home.

Ideal candidate has a High School Diploma or GED (Bachelor's preferred) and at least 5 years of claims management experience, plus licensing knowledge for Hawaii. Sedgwick offers flexible schedules, robust benefits, and opportunities for career growth.

Qualifications

• Education: High School Diploma or GED; Bachelor's degree preferred; professional certification as applicable.
• Experience: 5 years of claims management experience or equivalent.
• Licensing/Jurisdiction: Hawaii.

Responsibilities

• Analyzing and processing workers' compensation claims to determine exposure and appropriate resolution.
• Negotiating settlements within designated authority.
• Communicating claim activity with the claimant and client.
• Reporting claims to the excess carrier and responding to directions professionally and promptly.

Skills

Claims adjudication

Negotiation

Client communication

Analysis

Education

High School Diploma or GED

Bachelor's degree preferred

Professional certification (as applicable)

Job description

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 - Workers Compensation | Jurisdiction & Licensing: Hawaii (Hybrid)

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 Claims Examiner, WC knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
• 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 Location:

Hybrid 2 days in office, 3 days work from home.

PRIMARY PURPOSE OF THE ROLE

To analyze workers compensation 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 Responsablities 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: 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.

Experience: 5 years of claims management experience or equivalent combination of education and experience required.

Licensing / Jurisdiction Knowledge:

Hawaii

TAKING CARE OF YOU

• Flexible work schedule.
• Referral incentive program.
• Opportunity to work in an agile environment.
• Career development and promotional growth opportunities.
• A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

Work Environment Requirements Include

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental:Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical:Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking

#claimsexaminer #claims #hybrid #Sedgwick #Hotjobs

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 ($75k-85k). 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.

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.