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Manager, Claims - Workers' Compensation

Job ID: 1007969
Date Posted: Nov 7, 2022
Department ID: F00612
Company: FICOH, LTD

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Job Description

Marketing Statement

This position is located on the island of Oahu and candidates must work in the state of Hawaii upon hire

First Insurance Company of Hawaii, Ltd. was founded in 1911 and is the oldest and largest property and casualty insurer domiciled in Hawaii. A member of the Tokio Marine North America (TMNA) group of companies, First Insurance enjoys an “A+” (superior) rating from A.M. Best Co. and has been named one of the nation’s top 50 property and casualty insurance companies by The Ward Group six years in a row. Proud of its broadly experienced, service-oriented staff, First Insurance employs more than 300 insurance professionals and distributes its products through 29 independent general agencies.


Typical duties include but are not limited to:

  • Oversee the handling of all aspects of the claims assigned to the unit including reserving, communication, documentation, evaluation, negotiation and settlement.
  • Ensures all claims eligible or ineligible for payment conform to quality, production standards, and specifications.
  • Ensures claims processing is consistent with applicable policies, procedures and department guidelines.
  • Analyzes and approves workers’ compensation claims.
  • Completes regular quality audits of staff’s work, records results and counsels staff to bring work to or above standards.
  • Prepares regular periodic reports and monitors system reports to ensure adherence to corporate and regulatory standards.
  • Establishes and executes controls to assure that the quality of work meets or exceeds standards.
  • Reviews and analyses processes, procedures, and workflows to identify opportunities for process improvements and efficiency.
  • Work with VP of Claims and other Claims Manager to establish budget, department objectives and other projects as requested.

Special Circumstances:

  • May require periodic overtime and travel


Qualifications / Experience:

  • Bachelor’s degree or equivalent work experience
  • 7+ years of claims experience in Workers’ Compensation insurance industry
  • 5+ years serving in a formal supervisory role with input into hiring and compensation decisions, managing workflow and resource allocation, and conducting performance evaluations
  • Proficiency in common MS Office applications such as Outlook, Word, and Excel
  • Basic understanding of laws, principles of coverage, liability, and insurance industry in general, with specific emphasis on workers’ compensation
  • Leadership skills: ability to plan, organize, delegate, and develop corporate human resources
  • Adaptable and open to constructive criticism

 Preferred Qualifications:

  • Active Independent Adjuster’s License or Limited WC Adjuster’s License

EEO Statement

Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer.  In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status,  sexual orientation and/or any other status protected by law. 

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