- 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
2 weeks ago
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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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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claims specialist
2 weeks ago
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
2 weeks ago
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
2 weeks ago
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 high ...
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Claims Operation Specialist
3 weeks ago
Hawaii Medical Service Association Honolulu, United StatesJob Summary · Pay Range: $47,500 - $88,000 · Note: 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 streamli ...
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Claim Specialist WC
2 days ago
HEMIC Honolulu, United StatesJob Description · Job DescriptionJoin 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 Workplaces, our ...
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Claim Specialist WC
2 weeks ago
HEMIC Honolulu, United StatesJoin 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 Workplaces, our business is founded on caring fo ...
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Claims Operation Specialist
2 weeks ago
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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Medical Claim Specialist
2 days ago
HEMIC Honolulu, United StatesJob Description · Job DescriptionJoin us at HEMIC · Voted one of Hawai`i Business' Best Places to Work for 6 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 Workplaces, our ...
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Surety Claims Specialist
3 days ago
Sedgwick Honolulu, United StatesTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. Its an opportunit ...
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LTD Claims Specialist
3 weeks ago
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: · Charlotte, NC (North Carolina); Dover, NH (New Hampsh ...
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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
2 weeks ago
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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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
3 weeks ago
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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Specialist, Default FHA MI Claims, II
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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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Integrated Absence Claims Specialist
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Lincoln Financial Group Honolulu, United StatesLincoln Financial Group · Integrated Absence Claims Specialist · Honolulu , · Hawaii · Apply Now · Alternate Locations: · Work from Home; Boise, ID (Idaho); Omaha, NE (Nebraska); Phoenix, AZ (Arizona); Sacramento, CA (California); San Diego, CA (California); San Francisco, ...
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Entry-Level Claims Specialist
2 weeks ago
ALTRES Staffing Honolulu, United States Full timeEntry-Level Claims Specialist (Workers' Comp Work for a local insurance company, voted one of Hawaii's Best Places to Work · As the Workers' Comp Claims Specialist, you will manage workers' compensation claims for medical only, lost time, and disfigurement. A current Hawaii worke ...
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:
