Senior Workers’ Comp Claims Examiner - Hybrid, Complex

TEEMA Solutions Group; Kapolei (HI); Hybrid; USD 70,000 - 90,000; Full time

Job summary

A leading staffing solutions provider is seeking a Claims Examiner III in Hawaii to manage complex workers’ compensation claims in a hybrid work environment. The ideal candidate will have a minimum of three years' experience in claims handling and excellent problem-solving skills. Responsibilities include managing a caseload, conducting investigations, and negotiating settlements while maintaining compliance with regulations. Strong communication abilities and technical knowledge are essential for success in this impactful role.

Qualifications

• Minimum of three (3) years of workers’ compensation claims experience, or equivalent education/experience.
• Strong technical knowledge of workers’ compensation statutory regulations.

Responsibilities

• Manage a caseload of approximately 125–150 workers’ compensation claims.
• Conduct timely investigations to determine compensability.
• Administer benefits and manage claims according to statutory requirements.
• Negotiate, settle, and finalize claims.

Skills

Analytical judgment

Communication skills

Problem-solving skills

Negotiation skills

Technical knowledge of medical terminology

Education

Bachelor’s degree in a related field

Tools

Microsoft Word

Microsoft Excel

Job description

A leading staffing solutions provider is seeking a Claims Examiner III in Hawaii to manage complex workers’ compensation claims in a hybrid work environment. The ideal candidate will have a minimum of three years' experience in claims handling and excellent problem-solving skills. Responsibilities include managing a caseload, conducting investigations, and negotiating settlements while maintaining compliance with regulations. Strong communication abilities and technical knowledge are essential for success in this impactful role.