Sedgwick
Sedgwick
Sedgwick provides technology-enabled risk, benefits, and integrated business solutions for organizations worldwide. Its work includes administering accident, health, disability, unemployment compensation, and liability claims, alongside building consulting, forensic accounting, forensic engineering, property restoration, brand protection, and loss prevention services. Sedgwick supports clients across industries including construction, consulting, healthcare, agriculture, and environmental services, with a stated focus on diversity, equity, inclusion, and environmental, social, and governance practices.

Workers’ Compensation Claims Examiner, Hawaii

Handle complex workers’ compensation claims in Hawaii for Sedgwick, from exposure investigations through resolution. Duties include evaluating benefits, negotiating settlements, and coordinating with claimants, clients, and excess carriers.

Description

  • Assess client workers’ compensation claims and determine benefits owed
  • Adjudicate claims in line with service expectations, industry practices, and client requirements
  • Create and carry out action plans to move claims toward timely resolution
  • Investigate claims and collect information to assess exposure
  • Negotiate settlements within assigned authority
  • Keep claimants and clients informed about claim activity and processing
  • Submit claims to the excess carrier
  • Respond promptly and professionally to requests for guidance

Requirements

  • High school diploma or GED
  • At least five years of claims management experience, or an equivalent combination of education and experience
  • Knowledge of Hawaii workers’ compensation jurisdiction and licensing
  • Bachelor’s degree from an accredited college or university preferred
  • Relevant professional certification preferred, where applicable to the line of business
  • Clear, conceptual thinking
  • Strong judgment, troubleshooting, problem-solving, analytical, and discretion skills
  • Ability to manage work-related stress and competing priorities
  • Ability to meet deadlines
  • Computer keyboarding skills
  • Willingness to travel as required

Benefits

  • Flexible work schedule
  • Employee referral incentives
  • Agile work environment
  • Career development and advancement opportunities
  • Medical, dental, and vision coverage
  • 401(k) eligibility from the first day
  • 401(k) matching
  • Paid time off
  • Disability insurance
  • Life insurance
  • Employee assistance program
  • Flexible spending account or health savings account
  • Additional voluntary benefits
  • Hybrid schedule with two days in the office and three days working from home

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