- Under limited supervision, receives assignments and reviews claim and policy information to provide background for investigation and may determine the extent of the policy's obligation to the insured depending on the line of business.
- Contacts, interviews and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.
- Depending on line of business may inspect and appraise damage for property losses or arranges for such appraisal.
- Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company's obligation to the insured under the policy contract.
- Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc.
- Sets reserves within authority limits and recommends reserve changes to Team Leader.
- Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions.
- Prepares and submits to Team Leader unusual or possible undesirable exposures.
- Assists Team Leader in developing methods and improvements for handling claims.
- Settles claims promptly and equitably.
- Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims.
- Informs claimants, insureds/customers or attorney of denial of claim when applicable.
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claims specialist
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BrightSpring Health Services Honolulu, United StatesCLAIMS SPECIALIST - 3RD PARTY · Job Locations · US-HI-HONOLULU · ID · Line of Business · PharMerica · Position Type · Full-Time · Pay Min · USD $19.00/Hr. · Pay Max · USD $19.00/Hr. · Our Company · PharMerica · Overview · Join our PharMerica team · PharMerica is a ...
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claims specialist
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BrightSpring Health Services Honolulu, United States· CLAIMS SPECIALIST - 3RD PARTY · Job Locations · US-HI-HONOLULU · ID · Line of Business · PharMerica · Position Type · Full-Time · Pay Min · USD $19.00/Hr. · Pay Max · USD $19.00/Hr. · Our Company · PharMerica · Overview · Join our PharMerica team PharMerica is a closed-door ...
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claims specialist
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PharMerica Honolulu, United StatesOur Company · PharMerica · Overview · Join our PharMerica team · PharMerica is a · closed-door pharmacy · where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy · environment. Our organizat ...
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claims Specialist
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ResCare Honolulu, United StatesOur Company · PharMerica · Overview · Join our PharMerica team PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our organization is in hi ...
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Claim Specialist WC
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HEMIC Honolulu, United StatesJob Description · Job Description · Join us at HEMIC · Voted one of Hawai`i Business' Best Places to Work for 5 Years in a Row · As a HEMIC employee, you will get: · People Who Care · Voted one of Hawai`i Business' Best Places to Work, and Pacific Business News' Best Workplac ...
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Claims Operation Specialist
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Hawaii Medical Service Association Honolulu, United StatesNote: · Individuals typically begin between the minimum to middle of the pay range · The Claims Operation Specialist tracks, analyzes, and resolves claims and claims related system issues while collaborating with our vendor to streamline operational processes. In this role, the ...
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Claims Operation Specialist
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HMSA Honolulu, United StatesCollect, analyze, and utilize data and feedback related to Claims to identify opportunities to improve the relationship between the business and the other entity. This will include direct communication and participation with the Vendor Management Office (VMO) and Transformation M ...
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Claims Operation Specialist
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Hawaii Medical Service Association Honolulu, United StatesJob SummaryPay Range: $47,500 - $88,000Note: Individuals typically begin between the minimum to middle of the pay rangeThe Claims Operation Specialist tracks, analyzes, and resolves claims and claims related system issues while collaborating with our vendor to streamline operatio ...
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Life Claims Specialist
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Lincoln Financial Group Honolulu, United StatesLocation field must contain 'city, state' or a zip code to perform a radius search (e.g., · Denver, CO · or · City and state must be separated by a comma followed by a space (e.g., · Houston, TX ) · Alternate Locations: · Work from Home · Work Arrangement: · Remote : Work at ...
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Carrington Honolulu, United StatesCome join our amazing team and work remote from home · The Default FHA Claims Specialist II will work under moderate supervision, be responsible for preparing, filing, and following up on FHA claims timely and accurately according to insurer/investor guidelines. Performs all duti ...
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Hawaii State Department of Education Honolulu, United States Permanent, Full time 12-monthSalary Range: All new external applicants will be placed on the initial step of the salary range. However, placement above the initial step of the salary range will be based on special characteristics and critical needs of the position, an applicant's exceptional qualifications, ...
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ESIS Claims Specialist, WC - Honolulu, United States - Chubb
Description
ESIS, Inc., a Chubb company, provides claim and risk management services to a wide variety of commercial clients.ESIS' innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients' unique risk management needs.
With 70 years of experience, and offerings in both the U.S.and globally, ESIS provides one of the industry's broadest selections of risk management solutions covering both pre and post-loss services.
The ESIS Senior Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines.
Note:
This is a hybrid position requiring 3 days in the Honolulu office and 2 days working from home.
Major Duties and Responsibilities include but are not limited to:
