Senior Workers' Comp Claims Examiner - Complex & Litigated

TEEMA Solutions Group; Kapolei (HI); On-site; USD 75,000 - 95,000; Full time

Job summary

A leading claims management firm in Kapolei, HI is seeking a Workers Compensation Claims Examiner III to manage complex indemnity claims and oversee all aspects of claims resolution. Candidates should possess 5+ years of experience in workers’ compensation claims, showcasing the ability to handle litigation and complex claims efficiently. The position requires excellent communication skills and the capability to manage a wide range of stakeholders effectively. Join a dedicated team committed to quality service and client satisfaction.

Qualifications

• Minimum 3+ years of workers’ compensation claims experience for Claims Examiner II.
• Minimum 5+ years of progressive workers’ compensation claims experience for Claims Examiner III.
• Demonstrated experience handling complex and litigated indemnity claims.

Responsibilities

• Manage a full caseload of workers’ compensation claims, including complex indemnity claims.
• Conduct timely and thorough claim investigations.
• Communicate effectively with claimants and medical providers.
• Settle and finalize claims with appropriate authority.

Skills

Claims management

Complex indemnity claims handling

Effective communication

Regulatory compliance

Investigation skills

Education

Bachelor’s degree in a related field

Job description

A leading claims management firm in Kapolei, HI is seeking a Workers Compensation Claims Examiner III to manage complex indemnity claims and oversee all aspects of claims resolution. Candidates should possess 5+ years of experience in workers’ compensation claims, showcasing the ability to handle litigation and complex claims efficiently. The position requires excellent communication skills and the capability to manage a wide range of stakeholders effectively. Join a dedicated team committed to quality service and client satisfaction.