Claims Examiner II or III

Workers’ Compensation Claims Adjuster (Hawaii) — Remote/HybridLocation: Kapolei, HI (Hybrid if local | Remote option if you are located in any other island)Salary : $70k-$80K if CEII 3 years of experienceSalary: $85k-$95K if CEIII 5 years of experienceOverview
Leading Third-Party Administrator is seeking an experienced Workers’ Compensation Claims Adjuster to manage claims from intake through resolution. This role requires strong knowledge of Hawaii workers’ comp regulations and the ability to handle complex, litigated claims independently.Must-Have ResponsibilitiesManage a full caseload of workers’ compensation claims (indemnity + medical)Investigate claims, determine compensability, and administer benefits per Hawaii regulationsHandle medical management, reserves, and settlements within authorityMaintain accurate documentation, claim strategies, and diary managementCommunicate with claimants, attorneys, medical providers, and clientsManage litigated claims and partner with defense counsel (hearings, mediations, settlements)Must-Have Qualifications Hawaii Workers’ Compensation Adjuster License (REQUIRED)3–5+ years of workers’ compensation claims experienceExperience handling indemnity and litigated claimsStrong knowledge of workers’ comp laws, regulations, and medical terminologyAbility to manage claims independently from start to finishExcellent communication and organizational skillsNice to Have Experience with complex/catastrophic claimsMulti-jurisdictional claims exposureMicrosoft Office proficiency

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