- Junior
- Bureau à Honolulu
Join 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 business is founded on caring for Hawai`i workers, Hawai`i businesses, and each other.
- Professional Growth
We’re passionate about your development. Whether it’s achieving a formal certification or attending a workshop to improve your communication skills, we will support and encourage you to grow.
- Benefits & Perks
We offer competitive salary and best-in-class benefits, including a 401k match, flex-time, generous PTO, 15 paid holidays, and so much more!
- Opportunity to Give Back
Giving back to our community is our kuleana and we offer numerous opportunities for our employees to take part - whether it be volunteering for a fundraiser, attending a charity walk, or getting a match for your charitable contributions.
Why our Claim Intake Specialist is Important:
A company buys insurance for financial security in exchange for a promise on coverage. When an injury or loss occurs, the injured worker expects to receive medical treatment and disability compensation in a timely manner. Timely delivery is the heart of the claims function and process. Our Claim Intake Specialist carries out our promise, "Proudly Taking Care of Hawai`i" and plays a vital role in supporting our internal staff and policyholders. Training will be provided.
Essential Duties
- Conduct timely 3-point contact with injured employees, employers, and medical providers to gather key information.
- Set-up and document new workers' compensation claims in the claim system, ensuring accuracy and compliance with internal and regulatory standards.
- Track records-only claims, including data entry, documentation, and provide follow-up as necessary.
- Provide claim intake and setup support during Adjuster PTO or high-volume periods (overflow).
- Learn and apply the company’s reserve philosophy, including initiating reserves based on intake findings.
- Calculate average weekly wages and compensation rates. Assist in processing initial compensation payments, under supervision, once trained.
- Obtain and maintain required State Adjuster licenses within a designated timeframe.
- Communicate professionally and empathetically with all stakeholders, maintaining high standards of customer service.
- Work closely with Claim Adjusters to ensure a smooth transition from intake to ongoing claim management.
- Participate in ongoing training and development to gain technical competency in workers' compensation laws and internal processes.
- Document and work within all Claim-related systems including but not limited to Guidewire, Image Right, My Matrix (Express Scripts), and IQ Review (AMC Bills).
- Maintain current diary.
- Other duties as assigned.
Requirements
- Basic understanding of workers’ compensation laws, rules, and regulations (preferred).
- Current Hawaii Workers’ Comp Adjusters License (preferred).
- Familiarity with medical and legal terminology (preferred).
- Willingness to learn and develop professionally.
- Excellent customer service skills, accuracy, attention to detail, and communication (written and verbal).
- Ability to maintain confidential information.
- Able to work independently as well as collectively as a team.
- Proficiency with Microsoft Office Suite.
- Self-directed and flexible.
