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Claims Adjuster: Workers' Compensation (Associate to Senior) - FiRMS Claims Services

Job ID: 1006981
Date Posted: Jul 17, 2021
Department ID: F00615
Company: FICOH, LTD

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Job Description

Marketing Statement

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.

Duties

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

 Typical duties include but are not limited to:

  • Adjust a variety of workers compensation claims, both new and existing claims according to department guidelines   
  • Meet with injured workers, take recorded statements, conduct on-site investigation
  • Meet with clients and providers to develop rapport and formulate strategies for claims resolution
  • Service Major Accounts and handle TPA claims with special servicing requirements

Special Circumstances:

  • Occasional overtime and weekend work may be required.

Qualifications

Qualifications / Experience:

  • 2 year college degree or equivalent work experience
  • Limited Hawaii Workers Compensation (WC) license
  • Excellent oral and written communication skills
  • Excellent organizational and time management skills
  • Ability to work independently and within a team
  • Ability to prioritize assignments
  • Knowledge of Microsoft Office (Word, Excel, and Outlook)
  • Good working knowledge of State and United States Longshore and Harbor (USLH) WC statutes
  • Ability to assess liability, determine compensability and apply facts to the loss
  • Experienced in adjudicating WC claims at Disability Compensation Division (DCD) hearings, preparing hearing position statements and client/agency claims status reports
  • Able to conduct claim status reviews and service agent or agencies

 
Associate Adjuster (including above requirements):

  • 2 years of WC adjusting experience

 Adjuster (including above requirements):

  • 3 years of WC adjusting experience

 Sr. Adjuster (including above requirements):

  • 5 years of WC adjusting experience

 
Preferred Qualifications:

  • 4 year college degree
  • Hawaii State Independent Adjuster License
  • Professional Insurance Designations
  • Knowledgeable in Microsoft Excel formulas

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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