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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in analyzing and managing workers compensation claims, ensuring compliance with Hawaii jurisdiction and industry best practices. Proficient in negotiating settlements and communicating effectively with clients and claimants.
Highest-signal resume keywords
Claims Management ExperienceHawaii Workers Compensation KnowledgeNegotiation SkillsProblem SolvingProfessional Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims AnalysisClaims ProcessingAdjudicationInformation GatheringSettlement NegotiationComputer Keyboarding
Soft Skills
Clear ThinkingExcellent JudgmentDiscretionAbility to Handle StressTime Management
Certifications & Qualifications
Professional Certification
Industry Keywords
Workers CompensationClaims AdjudicationClient ServiceClaim ExposureExcess Carrier Reporting
About the role
Key responsibilities & impact- Analyze workers compensation claims on behalf of clients to determine benefits due
- Ensure ongoing adjudication of claims within service expectations, industry best practices, and client service requirements
- Analyze and process claims through action plans toward timely resolution
- Investigate and gather information to determine claim exposure
- Negotiate claim settlements within designated authority
- Communicate claim activity and processing with claimants and clients
- Report claims to the excess carrier
- Respond professionally and promptly to requests for directions
Requirements
What you’ll need- High School Diploma or GED required
- 5 years of claims management experience or equivalent combination of education and experience required
- Knowledge of Hawaii workers compensation jurisdiction and licensing
- Bachelor's degree from an accredited college or university preferred
- Professional certification as applicable to line of business preferred
- Clear and conceptual thinking ability
- Excellent judgment, troubleshooting, problem solving, analysis, and discretion
- Ability to handle work-related stress and multiple priorities simultaneously
- Ability to meet deadlines
- Computer keyboarding
- Travel as required
Benefits
Comp & perks- Flexible work schedule
- Referral incentive program
- Opportunity to work in an agile environment
- Career development and promotional growth opportunities
- Medical, dental, and vision coverage
- 401K on day one
- 401K matching
- PTO
- Disability insurance
- Life insurance
- Employee assistance program
- Flexible spending or health savings account
- Other additional voluntary benefits
- Hybrid work schedule: 2 days in office and 3 days work from home