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Claims examiner • honolulu hi

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Claims Examiner - General Liability | Hawaii License Required

Claims Examiner - General Liability | Hawaii License Required

Seattle StaffingHonolulu, HI, US
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Claims Examiner - General Liability.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the une...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Claims Examiner - General Liability | Hawaii License Required

Claims Examiner - General Liability | Hawaii License Required

San Diego StaffingHonolulu, HI, US
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Claims Examiner - General Liability.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the une...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Claims Examiner - General Liability | Hawaii License Required

Claims Examiner - General Liability | Hawaii License Required

Sedgwick Claims Management Services, Inc.Honolulu, HI, United States
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By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Manager, Claims

Manager, Claims

HMSAHonolulu, HI, United States
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Manage and lead a claims team by providing training, mentorship, and best practice solutions.Manage daily operations of the claims team, including inventory analysis, tracking and resolution of cla...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Claims Representative | Auto | Remote

Claims Representative | Auto | Remote

Remote StaffingHonolulu, HI, US
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Claims Representative | Auto | Remote.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the u...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Workers' Compensation Claims Coordinator

Workers' Compensation Claims Coordinator

ProService HawaiiHonolulu, HI, US
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WORKERS' COMPENSATION CLAIMS COORDINATOR.You’ll be the first and most consistent point of contact in the claims experience—supporting injured employees and their employers with comp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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RCIS Crop Claims Specialist

RCIS Crop Claims Specialist

Zurich Insurance CompanyHonolulu, HI, US
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Zurich is currently looking for a Crop Claims Specialist to join our Rural Community Insurance Services (RCIS) team.RCIS is one of the leading crop insurance providers in the U.RCIS offers insuranc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Claims Examiner - General Liability | Hawaii License Required

Claims Examiner - General Liability | Hawaii License Required

Phoenix StaffingHonolulu, HI, US
serp_jobs.job_card.full_time
Claims Examiner - General Liability.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the une...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Claims Examiner | Auto BI, UM, LIS | Remote

Claims Examiner | Auto BI, UM, LIS | Remote

SedgwickHonolulu, HI, US
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serp_jobs.job_card.full_time
Claims Examiner | Auto BI, UM, LIS | Remote.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Medical Only Claims Specialist

Medical Only Claims Specialist

CorVelHonolulu, HI, US
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Medical Only Claims Specialist.The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers' compensation claims under close supervisi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Claims Appraiser - Auto Estimatics

Claims Appraiser - Auto Estimatics

State FarmHonolulu, HI, United States
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Being good neighbors - helping people, investing in our communities, and making the world a better place - is who we are at State Farm. It is at the core of how we operate and the reason for our suc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Claims Specialist

Claims Specialist

ApTaskHonolulu, HI, US
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Company is a worldwide provider of legal services, serving law firms, corporations, financial institutions and government agencieshelping them streamline the administration of business operations.I...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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(Remote) California Claims Examiner - Workers Compensation

(Remote) California Claims Examiner - Workers Compensation

Hawaii StaffingHonolulu, HI, US
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serp_jobs.job_card.full_time
Workers Comp Claims Examiner - Ca Experience Needed.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who ar...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Director Claims

Director Claims

Ryder System, Inc.Honolulu, HI, United States
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The Director Claims directs activities within the General and Auto Liability Claims, Physical Damage Repairs and Property and Cargo Claims including the management of loss control activities and th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Workers Compensation Claims Adjuster

Workers Compensation Claims Adjuster

Arthur J Gallagher & CoHonolulu, HI, US
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At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose. Every day, we help clients navigate complexity,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Priority Claims Specialist III

Priority Claims Specialist III

HangerHonolulu, HI, US
serp_jobs.job_card.part_time
Priority Claims Specialist III - Remote.With a mantra of Empowering Human Potential, Hanger, Inc.O&P) services and products, offering the most advanced O&P solutions, clinically differentiated prog...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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TAX RETURNS EXAMINER III

TAX RETURNS EXAMINER III

Government JobsHonolulu, HI, US
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This recruitment is for the Department of Taxation for OAHU ONLY.Applications are available at the Department of Taxation (DoTAX) Human Resources Office or at. Complete and return all forms to the ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Claims Appraiser - Auto Estimatics

Claims Appraiser - Auto Estimatics

State Farm Mutual Automobile Insurance CompanyHonolulu, Hawaii, US
serp_jobs.job_card.full_time
Location US-HI-Honolulu Job Category Claims and Investigation Position Type Regular Full Time Req ID 42151 Overview Being good neighbors – helping people, investing in our communities, and making t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Travel Phlebotomy Examiner Flexible Hours

Travel Phlebotomy Examiner Flexible Hours

Quest DiagnosticsHonolulu, HI, United States
serp_jobs.job_card.full_time
A leading healthcare diagnostics provider is seeking a Mobile Examiner in Honolulu, HI.This role involves performing mobile exams, ensuring accurate specimen collection, and providing exceptional c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Claims Examiner - General Liability | Hawaii License Required

Claims Examiner - General Liability | Hawaii License Required

Seattle StaffingHonolulu, HI, US
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Claims Examiner - General Liability

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - General Liability | Hawaii License Required Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?

Here, you will :

  • Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
  • Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.
  • Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
  • Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.
  • Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
  • Enjoy flexibility and autonomy in your daily work, your location, and your career path.
  • Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.

Hybrid 2 Days In-Office

Primary Purpose :

  • To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
  • Essential Functions and Responsibilities :

  • Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
  • Assesses liability and resolves claims within evaluation.
  • Negotiates settlement of claims within designated authority.
  • Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
  • Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
  • Prepares necessary state fillings within statutory limits.
  • Manages the litigation process; ensures timely and cost effective claims resolution.
  • Coordinates vendor referrals for additional investigation and / or litigation management.
  • Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
  • Manages claim recoveries, including but not limited to : subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
  • Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
  • Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
  • Ensures claim files are properly documented and claims coding is correct.
  • Refers cases as appropriate to supervisor and management.
  • Qualification :

    Education & Licensing :

  • Bachelor's degree from an accredited college or university preferred.
  • Professional certification as applicable to line of business preferred.
  • Experience :

  • Five (5) years of claims management experience or equivalent combination of education and experience required.
  • Skills & Knowledge :

  • Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
  • Excellent oral and written communication, including presentation skills.
  • PC literate, including Microsoft Office products.
  • Analytical and interpretive skills.
  • Strong organizational skills.
  • Good interpersonal skills.
  • Excellent negotiation skills.
  • Ability to work in a team environment.
  • Ability to meet or exceed Service Expectations.
  • Taking Care of You :

  • Flexible work schedule.
  • Referral incentive program.
  • Career development and promotional growth opportunities.
  • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
  • As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $80,000 - $100,000. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

    Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

    If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

    Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com.