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Career Job Position

HiEmployment

Job Number 000042KC
Job Title Workers Compensation Claims Adjuster
Location Honolulu, HI
Description Workers Compensation Claims Adjuster: (Potentially temp to hire or direct placement)
IWe are seeking seasoned Workers Compensation Claims Adjusters to work in the claims department.

Duties:
Review, investigate and process workers compensation claims for appropriate payment. Communicate with insureds/employers, physicians, and injured parties throughout the claim process.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

Review assigned claims for applicable coverage, compensability, and exposures.

Contact insured/employer and injured party within 24 hours of receipt of assignment.

Determine/confirm facts of loss, liability / 3rd party negligence, compensability and extent of injury.

Obtain recorded statements as needed.

Explain benefits available.

Establish appropriate initial case reserves on computer claim handling system within 10 days of receipt of assignment.

Submit injured party information to American Insurance Services Group (AISG) within 48 hours of receipt of assignment, or as soon as adequate information is available.

Review questionable claims and all coverage issues with Claim Supervisor.

Communicate status to injured parties, the insured/employer, medical providers and their attorneys, if any, as required by the Hawaii Revised Statutes.

Read and interpret medical records, reports and treatment plans.

Interested in this position? Apply online now!

For more details or if you have questions, please contact info@hi-employment.com.

HiEmployment is an equal opportunity employer. This listing was last updated on July 27, 2016.