HEMIC is currently recruiting for a full-time Med-Only Claims Specialist. Main duties include developing and implementing claim strategies to facilitate resolution, and providing excellent customer service to policyholders, injured workers and medical providers as necessary to ensure courteous and prompt processing. Additional responsibilities include establishing and maintaining proper reserves, updating medical and legal correspondence, and consulting physicians about treatment plans. Additionally, the Med-Only Claims Specialist may recommend cases that may need to be reassigned or converted to indemnity.

Qualified applicants must have strong MS Office (or comparable) skills and possess strong communication skills when dealing with both internal and external customers. Applicants must be able to prioritize and pay close attention to detail in a time-sensitive and highly regulated environment.

Successful candidates will possess strong customer service and communication skills, and desire to grow their knowledge and experience. Must be capable of working in a fast-paced environment and will be expected to adhere to the company’s service standards and best practices. Must be punctual, dependable, organized, and detail-oriented.

Experience:

  • State of Hawaii Adjuster’s License
  • Minimum 2 years’ experience with minor WC medical claims and reporting
  • 1 year experience in medical terminology and WC billings and auditing
  • Working knowledge of the State of Hawaii Work Comp laws
  • Working knowledge of MS Word, Excel and Outlook
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