FEP Benefit Processor Customer Service Representative Trainee Hawaii Medical Service AssociationFEP Benefit Processor Customer Service Representative TraineeKapolei, HIApply sound decision making to request and compile appropriate supporting documentation as required by the FEP Director's Office or the FEP Operations Center to update, correct or initiate member enrollment or demographic information, plan primacy order, servicing authorization, TPL case pursuit, and other documentation as needed. Review, assess and deliver accurate and timely responses to eligibility, benefit and basic claims status inquiries using multiple systems and resources to research information (i.e., QNXT, Documentum, 837 Database, Mainframe, ASSIST, FEPDirect, FEPBlue.org, BlueWeb.org, PC software).
HUMAN RESOURCES SPECIALIST VI (EMPLOYEE CLAIMS) - OAHU State of HawaiiHUMAN RESOURCES SPECIALIST VI (EMPLOYEE CLAIMS) - OAHUHonolulu, HI$6,914–$8,414Staff Specialist or Supervisory Experience: One (1) year of Staff Specialist or Supervisory Experience of the type and quality described below: A. Staff Specialist Experience: Human resources specialist experience performing work regularly encompassing difficult and complex situations and problems in a given human resources specialty with responsibility for furnishing advisory services to management in the overall aspects of program development and evaluation; or human resources specialist experience performing extensive and intensive work in a given area of specialization, working on the most complex and difficult assignments in the areas of program development and evaluation, development of new and revised procedures, review of working situations to be sure that departments are following guidelines for sound human resources practices, recommending legislation or studying impact of proposed legislation, and engaging in human resources research aimed towards improving the human resources system. Selective Certification - Workers Compensation Claims Management Experience: Three and one-half years (3-1/2) years of experience in the area of workers compensation, which involved investigating and monitoring questionable claims, recommending/determining the employers position, preparing and recommending settlement offers and negotiating settlements, developing the employers case and representing the employer in hearing and on contested cases.
Claims Liaison Specialist Hawaii Medical Service AssociationClaims Liaison SpecialistHonolulu, HIInvestigate and resolve escalated claims and trends, including denied or delayed claims, by coordinating with relevant departments to implement short- and long-term solutions and process improvements. Function as a central communication point between claims processing teams and internal/external partners regarding claim status, issues and resolutions.
Workers Compensation Claims Examiner II/III TEEMA GroupWorkers Compensation Claims Examiner II/IIIKapolei, HI$85,000–$90,000The position requires strong analytical judgment, excellent communication skills, and consistent collaboration with clients, claimants, vendors, legal counsel, and internal teams. This role handles highly complex claims and plays a critical part in ensuring compliance with state regulations, timely investigations, accurate reserving, and effective claim resolution.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTEHonolulu, HIRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
Senior Claims Representative - REMOTE Ryder System IncSenior Claims Representative - REMOTEHonolulu, HIRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
TEMP-Senior Workers' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Senior Workers' Compensation Claims AdjusterHI$48.65–$57.59 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Essential Responsibilities: Working under limited technical direction and within broad limits and authority, adjudicate highly complex indemnity workers' compensation claims on assignments reflecting potentially with significant impact on departmental results.
Independent Insurance Claims Adjuster in Pearl City, Hawaii MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Pearl City, HawaiiPearl City, HawaiiHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Kapolei, Hawaii MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Kapolei, HawaiiKapolei, HawaiiHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Kaneohe, Hawaii MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Kaneohe, HawaiiKaneohe, HawaiiHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Honolulu, Hawaii MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Honolulu, HawaiiHonolulu, HawaiiHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Kailua, Hawaii MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Kailua, HawaiiKailua, HawaiiHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Claims Associate - Workers Compensation (On-Site Honolulu, HI) Sedgwick Claims Management Services, Inc.Claims Associate - Workers Compensation (On-Site Honolulu, HI)Honolulu, HI$22–$24 / hourMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Surveillance / Claims Investigator - Part Time Allied UniversalSurveillance / Claims Investigator - Part TimeHonolulu, Hawaii$22–$25 / hourSurveillance / Claims Investigators validate the facts of loss for Insurance claims through scene Investigations, claimant and witness Interviews, document retrieval and data Interpretation. Associate’s degree in Criminal Justice with a minimum of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims .
Claims Team Lead - Workers Compensation Sedgwick Claims Management Services, Inc.Claims Team Lead - Workers CompensationHonolulu, HI$90,000–$94,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Provides technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for high-cost or complex claims.
Claims Team Lead Asst - Workers Compensation Sedgwick Claims Management Services, Inc.Claims Team Lead Asst - Workers CompensationHonolulu, HI$85,000–$94,000 / yearPRIMARY PURPOSE OF THE ROLE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure workers' compensation claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; to identify subrogation of claims and negotiate settlements; and to provide backup for team lead when out of the office. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
NewClaims Adjuster - Attorney Represented Injury The Progressive CorpClaims Adjuster - Attorney Represented InjuryHonolulu, HI$69,400–$89,800 / yearAn ideal candidate will have experience managing an inventory independently, experience assessing and evaluating liability, coverage, and damages, as well as working independently and directly with attorneys to negotiate and settle claims. For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ .
Claims Adjuster Trainee The Progressive CorpClaims Adjuster TraineeHonolulu, HI$59,500–$63,000 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://www.progressive.com/careers/how-we-hire/faq/job-scams/ . This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months.
NewClaims Adjuster Senior - Litigation The Progressive CorpClaims Adjuster Senior - LitigationHonolulu, HI$80,000–$105,000 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
Independent Insurance Claims Adjuster in Mililani, Hawaii MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Mililani, HawaiiMililani, HIWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.