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Review and process FMLA and paid leave claims: determine eligibility, calculate benefits, make payments/adjustments, communicate with claimants and clients, and maintain documentation per policies and regulations.

Adjudicate complex California workers' compensation claims including litigated and high-exposure matters. Investigate claims, determine benefits, set reserves, negotiate settlements, manage litigation and regulatory filings, and ensure timely, cost-effective resolution per client and statutory requirements.

Analyze and adjudicate California workers compensation claims by investigating exposures, determining benefits, developing action plans, negotiating settlements, communicating with claimants and clients, and reporting claims to excess carriers. The role requires at least three years of claims management experience and California workers compensation jurisdiction knowledge, with SIP certification required or obtainable within one year.

Analyze and adjudicate California workers' compensation claims: investigate exposures, determine benefits, negotiate settlements within authority, communicate with claimants and clients, report to excess carriers, and meet service and client requirements.

Analyzes and adjudicates low-level workers compensation claims under supervision, determining compensability and benefits due. Processes medical-only and minor lost-time claims, maintains accurate reserves, documentation, coding, payments, prescriptions, and required state filings. Communicates with claimants, clients, and medical contacts; supports senior claims staff, maintains professional relationships, and contributes to quality programs. This is an in-office role in Honolulu, Hawaii.

Collects, analyzes, and reports data to ensure data integrity and accuracy. Prepares and distributes reports, creates exception and custom reports, supports clients and internal users, and assists with client setup and quality programs.

Analyzes and manages FMLA, state, military, and company-specific leave claims. Establishes claims, tracks documentation, evaluates eligibility and certifications, determines benefits, makes timely case decisions, communicates outcomes with claimants and clients, maintains professional relationships, and meets quality and service standards.

Analyze FMLA and paid leave claims, establish and track documentation, determine eligibility and benefit payments, calculate adjustments, make timely case decisions, and communicate outcomes with claimants and clients while maintaining service standards and compliance with policies and regulations.

Adjudicate California workers' compensation claims by investigating case details, determining benefits due, negotiating settlements within authority, communicating with claimants/clients, reporting to excess carriers, and resolving claims within service expectations and client requirements.

Provide clerical and claims support: enter and update claims, process payments and mail, prepare correspondence and reports, schedule appointments, answer phones, and assist claims staff with administrative tasks.