Position: Full-time, TDI Claims Examiner
Location: Honolulu
Industry: Insurance
Schedule: Monday – Friday, 8AM – 5PM
Pay: $21.00 - $23.00 per hour (depends on experience)
In-state candidates only.
Benefits:
- Pay Cards, Direct Deposit & Weekly Pay
- Medical/Dental/Vision/Prescription
- Free Online Skill Classes, EAP, Discounts & many more
The TDI Claims Examiner processes Temporary Disability Insurance claims from start to finish. This includes new claims, reviewing information for accuracy, determining eligibility, calculating benefit payments, and following up on required documentation. The role requires sound judgment when handling confidential information, strong customer service skills, and the ability to manage multiple claims while meeting deadlines.
Job Duties:
- Establish new TDI claims in the policy administration system
- Review claim forms and supporting documentation for accuracy, completeness, and eligibility
- Determine claimant eligibility in accordance with policy guidelines and regulations
- Calculate benefit amounts and issue payments as appropriate
- Follow up with claimants, employers, and providers to obtain missing or additional documentation
- Maintain accurate claim records and ensure timely updates throughout the life of the claim
- Communicate policy information clearly and professionally to the public, agents, and internal staff
- Exercise discretion and confidentiality when handling sensitive information
- Provide responsive and courteous customer service while resolving inquiries
- Complete training requirements and demonstrate readiness for advancement to Claims Examiner II
#RemedyHIjobs
Job Requirements:
- Associate’s degree required; Bachelor’s degree preferred
- Insurance, claims, or general office experience related to claims processing preferred
- Prior claims examination experience is a plus
- Strong customer service skills with a professional and empathetic approach
- Excellent written and verbal communication skills
- Highly organized with strong attention to detail and the ability to meet critical deadlines
- Ability to work independently with minimal supervision and apply sound judgment
- Flexibility to adapt to changing priorities and handle high-pressure situations
- Proficiency with personal computers and standard office equipment
Equal Opportunity Employer