car examiner

CarMax

<div>7124 - Canoga Park - 21300 Roscoe Boulevard, Canoga Park, California, 91304
CarMax, the way your career should be!
Provide an iconic customer experience
At CarMax, we make selling a car an easy and convenient process for our customers. You will be an essential part of our Purchasing team, collecting the information needed for Buyers to generate accurate appraisal offers. By communicating clearly with business partners and customers, you will help to ensure that each customer leaves satisfied with their car selling experience. We&rsquo;ve developed a reputation for being an honest and transparent place to sell a car, and those same traits will help you succeed, too.
Principle Duties and Responsibilities:<ul><li> Conduct accurate vehicle condition assessments by collecting, recording, and communicating all required information (including cosmetic, specific mechanical conditions, options, etc.) about customer appraisals for a Buyer, Senior Buyer, or Purchasing Manager&rsquo;s analysis.</li><li> Accurate optioning of vehicles during assessments and CarMax inventory.</li><li> Perform quality and timely imaging of Retail and Wholesale vehicles for CarMax websites.</li><li> Complete vehicle secures, including reading and verifying appraisal entry information for any discrepancies.</li><li> Complete vehicle walkarounds including communicating information accurately and in a timely manner.</li><li> Assist Merchandising Department with maintaining inventory and executing customer transfers.</li><li> Complete final condition verifications on inventory acquired through online customer channels.</li><li> Assist in the preparation and operation of the wholesale auction.</li><li> Partner with Inventory and Sales Departments to conduct lot merchandising, as needed.</li><li> Assist the Merchandising Department with various other projects and office duties, as needed.</li><li> Assist with on-boarding of new associates.</li><li> Complete assigned tasks independently and follow up after completion.</li></ul><div>
Job Specifications: 
<ul><li> Deliver exceptional customer service and work with other departments to create Iconic Customer experiences.</li></ul>
Ability to follow detailed, standardized processes to complete work. 
<ul><li> Read, interpret, and transcribe data to maintain accurate records.</li><li> Multi-task in a high energy, fast-pace work environment.</li><li> Speak and listen effectively when dealing with internal and external customers.</li><li> Function effectively within other departments in a team-oriented environment.</li><li> Successfully complete all required Workday training.</li><li> Position requires a valid driver&rsquo;s license.</li></ul></div><div>
Working Conditions: 
<ul><li> Requires walking, bending, kneeling or standing for extended periods of time.</li><li> Ability to work outdoors or in any inclement weather environment for several hours.</li><li> Flexible work hours with shifts that may include nights, weekends, holidays.</li><li> Requires CarMax work clothing to be worn when working in the store (acquired through CarMax World).</li><li> Adhere to all CarMax policies including, but not limited to, Attendance, Proper Recording of Time, Asset Protection, EH&amp;S (Environmental, Health &amp; Safety), and Standards of Professional Appearance.</li></ul></div>
Primarily working in an outdoor environment; may include working at times in noisy and/or inclement weather conditions
Disclaimer and Approvals: 
This document is intended to describe the general nature and level of work being performed by people assigned to this job. This information is current at the time of publication. Responsibilities may include other duties as assigned and may be amended at the discretion of CarMax with or without notice. This document has been reviewed and approved by management and Human Resources and cannot be modified without written consent by a member of management authorized to modify any such responsibilities. CarMax is an Equal Opportunity Employer and complies with federal and state laws which forbid discrimination because of race, color, age, religion, sex, national origin, disability and other protected characteristics. Employment at CarMax is at-will, and therefore, can be terminated, with or without cause, at any time, at the option of the associate or CarMax. This at-will employment relationship will remain in effect throughout an associate's employment with CarMax unless it is modified by a specific, express written employment contract that is signed by an officer of CarMax and the associate. This at-will employment relationship may not be modified by any oral or implied agreement. Specifically, this job description is not a contract of employment and does not create any contractual rights of any kind between the Company and its Associates.
The hourly rate for this position is:
$20.40 - $32.60
Benefits:
Except as otherwise required by state law, CarMax Associates are entitled to the following paid sick, vacation, and holiday time.
Associates that are considered full-time hourly or commission/incentive eligible:<ul><li>
To earn up to 48 hours of sick time per year accrued on a per pay period basis and between 80 hours and 200 hours per year of vacation time after a 90 day waiting period depending on years of continuous service with the Company.
</li><li>For 8 hours of pay for each of a total of 6 paid scheduled holidays per year plus 1 floating holiday. If such an Associate does work on a scheduled holiday due to business need, they are eligible for Holiday Premium Pay.
</li></ul>Associates considered full-time salaried are entitled to paid time away with no specified limit as needed for sick, vacation, bereavement, jury duty, holidays, floating holiday, etc. subject to manager approval.
For more details about benefits, please visit our CarMax Benefits website.
Upon an applicant's request, CarMax will consider reasonable accommodation to complete the CarMax Job Application.</div>

Vehicle Condition Assessor

<div>6035 - Ft Myers - 3000 Colonial Blvd, Ft. Myers, Florida, 33966
CarMax, the way your career should be!
Provide an iconic customer experience
At CarMax, we make selling a car an easy and convenient process for our customers. You will be an essential part of our Purchasing team, collecting the information needed for Buyers to generate accurate appraisal offers. By communicating clearly with business partners and customers, you will help to ensure that each customer leaves satisfied with their car selling experience. We&rsquo;ve developed a reputation for being an honest and transparent place to sell a car, and those same traits will help you succeed, too.
Principle Duties and Responsibilities:<ul><li> Conduct accurate vehicle condition assessments by collecting, recording, and communicating all required information (including cosmetic, specific mechanical conditions, options, etc.) about customer appraisals for a Buyer, Senior Buyer, or Purchasing Manager&rsquo;s analysis.</li><li> Accurate optioning of vehicles during assessments and CarMax inventory.</li><li> Perform quality and timely imaging of Retail and Wholesale vehicles for CarMax websites.</li><li> Complete vehicle secures, including reading and verifying appraisal entry information for any discrepancies.</li><li> Complete vehicle walkarounds including communicating information accurately and in a timely manner.</li><li> Assist Merchandising Department with maintaining inventory and executing customer transfers.</li><li> Complete final condition verifications on inventory acquired through online customer channels.</li><li> Assist in the preparation and operation of the wholesale auction.</li><li> Partner with Inventory and Sales Departments to conduct lot merchandising, as needed.</li><li> Assist the Merchandising Department with various other projects and office duties, as needed.</li><li> Assist with on-boarding of new associates.</li><li> Complete assigned tasks independently and follow up after completion.</li></ul><div>
Job Specifications: 
<ul><li> Deliver exceptional customer service and work with other departments to create Iconic Customer experiences.</li></ul>
Ability to follow detailed, standardized processes to complete work. 
<ul><li> Read, interpret, and transcribe data to maintain accurate records.</li><li> Multi-task in a high energy, fast-pace work environment.</li><li> Speak and listen effectively when dealing with internal and external customers.</li><li> Function effectively within other departments in a team-oriented environment.</li><li> Successfully complete all required Workday training.</li><li> Position requires a valid driver&rsquo;s license.</li></ul></div><div>
Working Conditions: 
<ul><li> Requires walking, bending, kneeling or standing for extended periods of time.</li><li> Ability to work outdoors or in any inclement weather environment for several hours.</li><li> Flexible work hours with shifts that may include nights, weekends, holidays.</li><li> Requires CarMax work clothing to be worn when working in the store (acquired through CarMax World).</li><li> Adhere to all CarMax policies including, but not limited to, Attendance, Proper Recording of Time, Asset Protection, EH&amp;S (Environmental, Health &amp; Safety), and Standards of Professional Appearance.</li></ul></div>
Primarily working in an outdoor environment; may include working at times in noisy and/or inclement weather conditions
Disclaimer and Approvals: 
This document is intended to describe the general nature and level of work being performed by people assigned to this job. This information is current at the time of publication. Responsibilities may include other duties as assigned and may be amended at the discretion of CarMax with or without notice. This document has been reviewed and approved by management and Human Resources and cannot be modified without written consent by a member of management authorized to modify any such responsibilities. CarMax is an Equal Opportunity Employer and complies with federal and state laws which forbid discrimination because of race, color, age, religion, sex, national origin, disability and other protected characteristics. Employment at CarMax is at-will, and therefore, can be terminated, with or without cause, at any time, at the option of the associate or CarMax. This at-will employment relationship will remain in effect throughout an associate's employment with CarMax unless it is modified by a specific, express written employment contract that is signed by an officer of CarMax and the associate. This at-will employment relationship may not be modified by any oral or implied agreement. Specifically, this job description is not a contract of employment and does not create any contractual rights of any kind between the Company and its Associates.
Upon an applicant's request, CarMax will consider reasonable accommodation to complete the CarMax Job Application.</div>

<div>7130 - Virginia Beach - 3801 Bonney Rd, Virginia Beach, Virginia, 23452
CarMax, the way your career should be!
Provide an iconic customer experience
At CarMax, we make selling a car an easy and convenient process for our customers. You will be an essential part of our Purchasing team, collecting the information needed for Buyers to generate accurate appraisal offers. By communicating clearly with business partners and customers, you will help to ensure that each customer leaves satisfied with their car selling experience. We&rsquo;ve developed a reputation for being an honest and transparent place to sell a car, and those same traits will help you succeed, too.
Principle Duties and Responsibilities:<ul><li> Conduct accurate vehicle condition assessments by collecting, recording, and communicating all required information (including cosmetic, specific mechanical conditions, options, etc.) about customer appraisals for a Buyer, Senior Buyer, or Purchasing Manager&rsquo;s analysis.</li><li> Accurate optioning of vehicles during assessments and CarMax inventory.</li><li> Perform quality and timely imaging of Retail and Wholesale vehicles for CarMax websites.</li><li> Complete vehicle secures, including reading and verifying appraisal entry information for any discrepancies.</li><li> Complete vehicle walkarounds including communicating information accurately and in a timely manner.</li><li> Assist Merchandising Department with maintaining inventory and executing customer transfers.</li><li> Complete final condition verifications on inventory acquired through online customer channels.</li><li> Assist in the preparation and operation of the wholesale auction.</li><li> Partner with Inventory and Sales Departments to conduct lot merchandising, as needed.</li><li> Assist the Merchandising Department with various other projects and office duties, as needed.</li><li> Assist with on-boarding of new associates.</li><li> Complete assigned tasks independently and follow up after completion.</li></ul><div>
Job Specifications: 
<ul><li> Deliver exceptional customer service and work with other departments to create Iconic Customer experiences.</li></ul>
Ability to follow detailed, standardized processes to complete work. 
<ul><li> Read, interpret, and transcribe data to maintain accurate records.</li><li> Multi-task in a high energy, fast-pace work environment.</li><li> Speak and listen effectively when dealing with internal and external customers.</li><li> Function effectively within other departments in a team-oriented environment.</li><li> Successfully complete all required Workday training.</li><li> Position requires a valid driver&rsquo;s license.</li></ul></div><div>
Working Conditions: 
<ul><li> Requires walking, bending, kneeling or standing for extended periods of time.</li><li> Ability to work outdoors or in any inclement weather environment for several hours.</li><li> Flexible work hours with shifts that may include nights, weekends, holidays.</li><li> Requires CarMax work clothing to be worn when working in the store (acquired through CarMax World).</li><li> Adhere to all CarMax policies including, but not limited to, Attendance, Proper Recording of Time, Asset Protection, EH&amp;S (Environmental, Health &amp; Safety), and Standards of Professional Appearance.</li></ul></div>
Primarily working in an outdoor environment; may include working at times in noisy and/or inclement weather conditions
Disclaimer and Approvals: 
This document is intended to describe the general nature and level of work being performed by people assigned to this job. This information is current at the time of publication. Responsibilities may include other duties as assigned and may be amended at the discretion of CarMax with or without notice. This document has been reviewed and approved by management and Human Resources and cannot be modified without written consent by a member of management authorized to modify any such responsibilities. CarMax is an Equal Opportunity Employer and complies with federal and state laws which forbid discrimination because of race, color, age, religion, sex, national origin, disability and other protected characteristics. Employment at CarMax is at-will, and therefore, can be terminated, with or without cause, at any time, at the option of the associate or CarMax. This at-will employment relationship will remain in effect throughout an associate's employment with CarMax unless it is modified by a specific, express written employment contract that is signed by an officer of CarMax and the associate. This at-will employment relationship may not be modified by any oral or implied agreement. Specifically, this job description is not a contract of employment and does not create any contractual rights of any kind between the Company and its Associates.
Upon an applicant's request, CarMax will consider reasonable accommodation to complete the CarMax Job Application.</div>

<div>6002 - Murrieta - 25560 Madison Avenue, Murrieta, California, 92563
CarMax, the way your career should be!
Provide an iconic customer experience
At CarMax, we make selling a car an easy and convenient process for our customers. You will be an essential part of our Purchasing team, collecting the information needed for Buyers to generate accurate appraisal offers. By communicating clearly with business partners and customers, you will help to ensure that each customer leaves satisfied with their car selling experience. We&rsquo;ve developed a reputation for being an honest and transparent place to sell a car, and those same traits will help you succeed, too.
Principle Duties and Responsibilities:<ul><li> Conduct accurate vehicle condition assessments by collecting, recording, and communicating all required information (including cosmetic, specific mechanical conditions, options, etc.) about customer appraisals for a Buyer, Senior Buyer, or Purchasing Manager&rsquo;s analysis.</li><li> Accurate optioning of vehicles during assessments and CarMax inventory.</li><li> Perform quality and timely imaging of Retail and Wholesale vehicles for CarMax websites.</li><li> Complete vehicle secures, including reading and verifying appraisal entry information for any discrepancies.</li><li> Complete vehicle walkarounds including communicating information accurately and in a timely manner.</li><li> Assist Merchandising Department with maintaining inventory and executing customer transfers.</li><li> Complete final condition verifications on inventory acquired through online customer channels.</li><li> Assist in the preparation and operation of the wholesale auction.</li><li> Partner with Inventory and Sales Departments to conduct lot merchandising, as needed.</li><li> Assist the Merchandising Department with various other projects and office duties, as needed.</li><li> Assist with on-boarding of new associates.</li><li> Complete assigned tasks independently and follow up after completion.</li></ul><div>
Job Specifications: 
<ul><li> Deliver exceptional customer service and work with other departments to create Iconic Customer experiences.</li></ul>
Ability to follow detailed, standardized processes to complete work. 
<ul><li> Read, interpret, and transcribe data to maintain accurate records.</li><li> Multi-task in a high energy, fast-pace work environment.</li><li> Speak and listen effectively when dealing with internal and external customers.</li><li> Function effectively within other departments in a team-oriented environment.</li><li> Successfully complete all required Workday training.</li><li> Position requires a valid driver&rsquo;s license.</li></ul></div><div>
Working Conditions: 
<ul><li> Requires walking, bending, kneeling or standing for extended periods of time.</li><li> Ability to work outdoors or in any inclement weather environment for several hours.</li><li> Flexible work hours with shifts that may include nights, weekends, holidays.</li><li> Requires CarMax work clothing to be worn when working in the store (acquired through CarMax World).</li><li> Adhere to all CarMax policies including, but not limited to, Attendance, Proper Recording of Time, Asset Protection, EH&amp;S (Environmental, Health &amp; Safety), and Standards of Professional Appearance.</li></ul></div>
Primarily working in an outdoor environment; may include working at times in noisy and/or inclement weather conditions
Disclaimer and Approvals: 
This document is intended to describe the general nature and level of work being performed by people assigned to this job. This information is current at the time of publication. Responsibilities may include other duties as assigned and may be amended at the discretion of CarMax with or without notice. This document has been reviewed and approved by management and Human Resources and cannot be modified without written consent by a member of management authorized to modify any such responsibilities. CarMax is an Equal Opportunity Employer and complies with federal and state laws which forbid discrimination because of race, color, age, religion, sex, national origin, disability and other protected characteristics. Employment at CarMax is at-will, and therefore, can be terminated, with or without cause, at any time, at the option of the associate or CarMax. This at-will employment relationship will remain in effect throughout an associate's employment with CarMax unless it is modified by a specific, express written employment contract that is signed by an officer of CarMax and the associate. This at-will employment relationship may not be modified by any oral or implied agreement. Specifically, this job description is not a contract of employment and does not create any contractual rights of any kind between the Company and its Associates.
The hourly rate for this position is:
$18.70 - $29.90
Benefits:
Except as otherwise required by state law, CarMax Associates are entitled to the following paid sick, vacation, and holiday time.
Associates that are considered full-time hourly or commission/incentive eligible:<ul><li>
To earn up to 48 hours of sick time per year accrued on a per pay period basis and between 80 hours and 200 hours per year of vacation time after a 90 day waiting period depending on years of continuous service with the Company.
</li><li>For 8 hours of pay for each of a total of 6 paid scheduled holidays per year plus 1 floating holiday. If such an Associate does work on a scheduled holiday due to business need, they are eligible for Holiday Premium Pay.
</li></ul>Associates considered full-time salaried are entitled to paid time away with no specified limit as needed for sick, vacation, bereavement, jury duty, holidays, floating holiday, etc. subject to manager approval.
For more details about benefits, please visit our CarMax Benefits website.
Upon an applicant's request, CarMax will consider reasonable accommodation to complete the CarMax Job Application.</div>

TEEMA

<div>Job Summary
Workers Compensation Claims Examiner III
TeemaGroup
Full-time
In-Office | Kapolei, HI, United States 
POSITION SUMMARY
At the direction of the Claims Supervisor and/or Claims Manager, the Claims Examiner II / III manages all aspects of workers&rsquo; compensation indemnity, medical-only, future medical, and litigated claims from inception through resolution, within established authority and company/client guidelines.
This role requires frequent interaction with clients, claimants, medical providers, attorneys, vendors, nurse case managers, vocational case managers, and internal staff.
The level of complexity, litigation exposure, settlement authority, and leadership responsibility will be commensurate with the examiner&rsquo;s experience and designation (Level II or Level III).
DUTIES AND RESPONSIBILITIES
Core Responsibilities (Applies to Examiner II &amp; III)<ul><li>Manage a full caseload of workers&rsquo; compensation claims, including complex indemnity claims.</li><li>Initiate, conduct, and document timely and thorough claim investigations.</li><li>Determine compensability and administer benefits in accordance with state laws, rules, and company/client handling instructions.</li><li>Manage medical treatment and medical billing; authorize services as appropriate.</li><li>Communicate effectively with claimants, medical providers, vendors, and clients regarding claim issues.</li><li>Compute and set reserves in accordance with Company and Client guidelines.</li><li>Maintain an organized diary system and document claim files to reflect status, strategy, and action plans.</li><li>Settle and/or finalize claims and obtain appropriate settlement authority.</li><li>Conduct scheduled file reviews and respond to client inquiries.</li><li>Identify injury trends, safety concerns, and other claim-related issues and communicate proactively to clients.</li><li>Adhere to all TRISTAR company policies, procedures, and best practices.</li><li>Utilize office systems and technology efficiently to manage caseload responsibilities.</li><li>Perform other related duties as assigned.</li></ul>
Advanced / Senior Responsibilities (Primarily Examiner III)<ul><li>Manage very complex, catastrophic, and litigated indemnity claims from inception to conclusion.</li><li>Refer cases to outside defense counsel and actively participate in litigation strategy, hearings, mediations, and settlements.</li><li>Identify and manage:</li><li>Subrogation opportunities</li><li>Apportionment potential</li><li>Excess reporting criteria and reimbursement</li><li>Prepare and assist with state audits, regulatory reporting, and client-specific reporting requirements.</li><li>Develop and execute proactive claim strategies to drive timely and cost-effective resolution.</li><li>Conduct detailed client file reviews and participate in client meetings as needed.</li><li>Mentor and provide technical guidance to less experienced Claims Examiners.</li><li>Handle multi-jurisdictional workers&rsquo; compensation claims as assigned.</li></ul>
Essential job functions.
QUALIFICATIONS REQUIRED
Education &amp; Experience<ul><li>Claims Examiner II:</li><li>Bachelor&rsquo;s degree in a related field (preferred)</li><li>Minimum 3+ years of workers&rsquo; compensation claims experience, or equivalent combination of education and experience</li><li>Claims Examiner III:</li><li>Minimum 5+ years of progressive workers&rsquo; compensation claims experience</li><li>Demonstrated experience handling complex and litigated indemnity claims</li></ul>
#Workwolf</div>

Workers Compensation Claims Examiner III

Cala Sourcing Solutions LLC

<div><h2 class="jobSectionHeader">Workers&rsquo; Compensation Claims Adjuster (Level II or III) &ndash; Hawaii</h2>
Location: Kapolei, HI (Hybrid for local candidates | Remote for candidates outside the island but must be in Hawaii)<h3 class="jobSectionHeader">
Position Summary</h3>
A leading Third Party Administrator is seeking an experienced Workers&rsquo; Compensation Claims Adjuster to manage a diverse caseload of Hawaii workers&rsquo; compensation claims. Reporting to Claims Leadership, this role is responsible for end-to-end claim ownership&mdash;from intake and investigation through resolution&mdash;while operating within established authority levels and client guidelines.
This position involves regular collaboration with injured workers, employers, medical providers, attorneys, vendors, and internal partners. Claim complexity, litigation exposure, settlement authority, and leadership expectations will align with the Adjuster&rsquo;s level (Examiner II or Examiner III).<h3 class="jobSectionHeader">
Core Responsibilities (Examiner II &amp; III)</h3><ul><li>
Oversee a full inventory of workers&rsquo; compensation claims, including medical-only, indemnity, future medical, and litigated files</li><li>
Conduct prompt and comprehensive claim investigations; document findings thoroughly and accurately</li><li>
Evaluate compensability and administer benefits in compliance with Hawaii statutes and applicable claim-handling instructions</li><li>
Coordinate medical care, authorize treatment, and manage medical billing activity</li><li>
Serve as the primary point of contact for claimants, employers, providers, vendors, and clients</li><li>
Establish, review, and adjust claim reserves in accordance with company and client standards</li><li>
Maintain detailed claim notes, action plans, and diary entries reflecting claim strategy and progress</li><li>
Negotiate, resolve, and close claims within assigned settlement authority</li><li>
Perform regular file reviews and respond to client inquiries in a timely manner</li><li>
Identify emerging trends, risk indicators, and safety concerns; communicate insights proactively</li><li>
Utilize claims systems and internal technology to manage workload efficiently</li><li>
Comply with all internal policies, procedures, and best practices</li><li>
Complete additional duties as assigned</li></ul><h3 class="jobSectionHeader">
Advanced / Senior-Level Responsibilities (Primarily Examiner III)</h3><ul><li>
Independently manage highly complex, catastrophic, and litigated workers&rsquo; compensation claims</li><li>
Retain and collaborate with defense counsel; actively participate in hearings, mediations, and settlement negotiations</li><li>
Evaluate and pursue:<ul><li>
Subrogation opportunities</li><li>
Apportionment considerations</li><li>
Excess coverage reporting and reimbursement</li></ul></li><li>
Support regulatory compliance through audit preparation and state-required reporting</li><li>
Develop proactive claim strategies focused on timely, cost-effective resolution</li><li>
Participate in client file reviews and meetings as requested</li><li>
Provide mentoring and technical support to junior Claims Examiners</li><li>
Handle multi-jurisdictional claims when assigned</li></ul><h3 class="jobSectionHeader">
Qualifications</h3><h4 class="jobSectionHeader">
Education &amp; Experience</h4>
Claims Examiner II<ul><li>
Bachelor&rsquo;s degree in a related discipline preferred</li><li>
3+ years of workers&rsquo; compensation claims experience, or an equivalent combination of education and experience</li></ul>
Claims Examiner III<ul><li>
5+ years of progressive workers&rsquo; compensation claims experience</li><li>
Proven experience managing complex and litigated indemnity claims</li></ul><h3 class="jobSectionHeader">
Knowledge, Skills &amp; Abilities</h3><ul><li>
Strong working knowledge of workers&rsquo; compensation laws, regulations, and medical terminology</li><li>
Ability to independently assess risk, analyze complex issues, and manage claims strategically</li><li>
Clear, professional written and verbal communication skills</li><li>
Strong organizational, analytical, and time-management capabilities</li><li>
Ability to communicate effectively with diverse stakeholders at all organizational levels</li><li>
Proficiency with Microsoft Word and Excel preferred</li></ul><h3 class="jobSectionHeader">
Licensure</h3><ul><li>
Active Hawaii Workers&rsquo; Compensation Adjuster License required</li></ul>
#Workwolf</div>

Claims Supervisor - Workers Compensation

<div>Overview: 
Our client, the largest Third Party Administrator in North America is looking for an experienced Claims Adjuster to handle Workers Compensation Claims. At the direction of the Claims Supervisor and/or Claims Manager, the Claims Adjuster/Examiner II / III manages all aspects of workers&rsquo; compensation indemnity, medical-only, future medical, and litigated claims from inception through resolution, within established authority and company/client guidelines. This role requires frequent interaction with clients, claimants, medical providers, attorneys, vendors, nurse case managers, vocational case managers, and internal staff. The level of complexity, litigation exposure, settlement authority, and leadership responsibility will be commensurate with the examiner&rsquo;s experience and designation (Level II or Level III). 
 
What you will be doing: 
Applies to Examiner II &amp; III<ul><li>
Manage a full caseload of workers&rsquo; compensation claims, including complex indemnity claims.</li><li>
Initiate, conduct, and document timely and thorough claim investigations.</li><li>
Determine compensability and administer benefits in accordance with state laws, rules, and company/client handling instructions.</li><li>
Manage medical treatment and medical billing; authorize services as appropriate.</li><li>
Communicate effectively with claimants, medical providers, vendors, and clients regarding claim issues.</li><li>
Compute and set reserves in accordance with Company and Client guidelines.</li><li>
Maintain an organized diary system and document claim files to reflect status, strategy, and action plans.</li><li>
Settle and/or finalize claims and obtain appropriate settlement authority.</li><li>
Conduct scheduled file reviews and respond to client inquiries.</li><li>
Identify injury trends, safety concerns, and other claim-related issues and communicate proactively to clients.</li><li>
Adhere to all company policies, procedures, and best practices.</li><li>
Utilize office systems and technology efficiently to manage caseload responsibilities.</li><li>
Perform other related duties as assigned.</li></ul>
Advanced / Senior Responsibilities (Primarily Examiner III)<ul><li>
Manage very complex, catastrophic, and litigated indemnity claims from inception to conclusion.</li><li>
Refer cases to outside defense counsel and actively participate in litigation strategy, hearings, mediations, and settlements.</li><li>
Identify and manage:<ul><li>
Subrogation opportunities</li><li>
Apportionment potential</li><li>
Excess reporting criteria and reimbursement</li></ul></li><li>
Prepare and assist with state audits, regulatory reporting, and client-specific reporting requirements.</li><li>
Develop and execute proactive claim strategies to drive timely and cost-effective resolution.</li><li>
Conduct detailed client file reviews and participate in client meetings as needed.</li><li>
Mentor and provide technical guidance to less experienced Claims Examiners.</li><li>
Handle multi-jurisdictional workers&rsquo; compensation claims as assigned.</li></ul> 
What you will be doing: 
Education &amp; Experience 
Claims Examiner II:<ul><li>
Bachelor&rsquo;s degree in a related field (preferred)</li><li>
Minimum 3+ years of workers&rsquo; compensation claims experience, or equivalent combination of education and experience</li></ul>
Claims Examiner III:<ul><li>
Minimum 5+ years of progressive workers&rsquo; compensation claims experience</li><li>
Demonstrated experience handling complex and litigated indemnity claims</li></ul>
Knowledge, Skills &amp; Abilities<ul><li>
Strong technical knowledge of workers&rsquo; compensation statutes, regulations, and medical terminology</li><li>
Ability to independently analyze and manage complex claims</li><li>
Excellent written and verbal communication skills</li><li>
Ability to convey technical information to claimants, clients, and internal stakeholders</li><li>
Strong organizational, analytical, and time-management skills</li><li>
Ability to interact professionally with individuals at all levels of the business environment</li><li>
Proficiency in Microsoft Word and Excel (preferred)</li></ul>
Certifications / Licenses<ul><li>
Hawaii Workers Compensation Adjusters License</li></ul> 

#Workwolf</div>

Workers Compensation Claims Examiner II/III - Hybrid

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Claims Supervisor - Workers Compensation

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