Full-Cycle Workers' Comp Claims Adjuster – Hawaii (Hybrid)

ProService Hawaii; Honolulu (HI); Hybride; USD 76 000 - 98 000; Plein temps

Avantages offerts par ce poste

Health insurance

401(k) matching

Paid parental leave

Student loan assistance

Employee assistance program

Paid time off

Résumé du poste

ProService Hawaii is seeking a Workers' Compensation Claims Adjuster to own the full lifecycle of indemnity claims from first report through resolution. This is a high-visibility, client-facing role with ownership of each file and visible results.

Based in Hawaii Kai on Oahu with a flexible hybrid schedule (in-office Tue–Thu; remote Mon & Fri). Base compensation ranges from $76,000 to $98,000 per year, depending on experience.

Qualifications

• Experience owning full-cycle workers' compensation claims, including indemnity and litigated files.
• Proven ability to determine compensability and defend reserve strategies.
• Strong knowledge of Hawaii WC statutes, timelines and procedures.
• Ability to review medical documentation using ODG guidelines and determine IME needs.
• Documentation quality showing rationale, strategy, and next steps for audit readiness.

Responsabilités

• Manage a full caseload of ~90–100 active indemnity/lost time claims to resolution.
• Conduct investigations, establish reserves within 48 hours, and set forward-looking strategies.
• Coordinate medical treatment plans using evidence-based guidelines and return-to-work strategies.
• Ensure compliance with Hawaii workers' compensation statutes and deadlines; maintain audit-ready files.
• Prepare for and represent at hearings before the Hawaii DLIR, Disability Compensation Division.
• Communicate proactively with employers, injured workers, attorneys, and medical providers.

Connaissances

Full-cycle indemnity claims

Compensability decisions

Hawaii WC knowledge

ODG-based treatment management

Client-facing communication

Description du poste

ProService Hawaii is seeking a Workers' Compensation Claims Adjuster to own the full lifecycle of indemnity claims from first report through resolution. This is a high-visibility, client-facing role with ownership of each file and visible results.

Based in Hawaii Kai on Oahu with a flexible hybrid schedule (in-office Tue–Thu; remote Mon & Fri). Base compensation ranges from $76,000 to $98,000 per year, depending on experience.