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Claims WC Adjuster (Trainee to Senior Adjuster) - Claims, Workers' Compensation

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Job ID: 1007080
Date Posted: Oct 21, 2021
Department ID: F00611
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 insureds, agents and providers to develop rapport and formulate strategies for claims resolution

 

Special Circumstances:

  • Occasional overtime and weekend work may be required
  • Neighbor Island travel may be required to attend hearings and claims status reviews

 

Qualifications

Qualifications / Experience:

Claims Trainee I

  • 4 year college degree or equivalent work experience (customer service or insurance related)
  • 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)

 

Adjuster I through Senior Adjuster (Including the above requirements plus the following):

  • Limited Hawaii Workers Compensation (WC) license or Independent Adjuster License
  • Good working knowledge of State WC statutes with the ability to assess liability, determine compensability and apply facts to the loss
  • Experienced in adjudicating WC claims at Disability Compensation Division (DCD) hearings and completing client/agency claim status reports
  • Able to conduct claim status reviews and present the complexity of issues based on prior claim handling experience

 

Claims Trainee II (including above Claims Trainee I requirements)

  • 6 months of medical only adjusting experience

 

Adjuster I (including above requirements):

  • 1 year of medical and indemnity adjusting experience

 

Adjuster II (including above requirements):

  • 2 years of medical and indemnity adjusting experience

 

Adjuster III (including above requirements):

  • 3 years of medical and indemnity adjusting experience

 

Adjuster IV (including above requirements):

  • 4 years of medical and indemnity adjusting experience

 

Sr. Adjuster (including above requirements):

  • 5 years of medical and indemnity adjusting experience

 

Preferred Qualifications:

  • Professional Insurance Designations

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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