Associate Workers' Claims Adjuster

What You’ll Do

As an Associate Workers’ Compensation Claims Adjuster, you’ll manage a high-volume portfolio of medical-only claims from first report through closure. This role requires disciplined execution, sound judgment, and strong documentation practices to ensure regulatory compliance, appropriate reserving, and timely medical management. You’ll play a key role in controlling claim costs, preventing unnecessary escalation to indemnity status, and delivering a professional experience for both employers and injured workers.

• Investigate and manage medical-only workers’ compensation claims end-to-end, including three-point contact, compensability determinations, reserving, and action plan execution.
• Establish and maintain accurate claim reserves, ensure timely medical bill review and payment, and document all activity in compliance with Hawaii statutory requirements.
• Apply treatment guidelines to evaluate medical care, address unsupported treatment, and proactively mitigate risk of claim escalation.
• Maintain strict diary management and meet all regulatory deadlines, ensuring audit-ready files and zero missed compliance requirements.
• Provide clear, professional communication to clients and injured workers, setting expectations early and escalating complex exposures appropriately.

You’re organized, analytical, and comfortable managing a structured caseload in a metrics-driven environment. You balance speed with accuracy, make sound compensability decisions within defined authority, and maintain composure under pressure. You take pride in well-documented files, proactive follow-through, and doing what’s right—especially when decisions impact both employers and injured workers.

• Valid Hawaii Workers’ Compensation Adjuster license in good standing is required.
• Experience handling workers’ compensation claims, preferably medical-only or other low-complexity files.
• Working knowledge of Hawaii workers’ compensation statutes and reporting requirements.
• Ability to interpret medical records and apply evidence-based treatment guidelines.
• Proven ability to manage 100+ active claims while meeting strict deadlines and performance targets.
• Clear, structured written documentation and professional verbal communication skills.
• Strong judgment in reserving and compensability decisions within established authority levels.

At Pro Service Hawaii, we empower businesses and employees across the islands by delivering HR solutions that work. As Hawaii’s largest local HR partner, we support thousands of organizations with payroll, benefits, risk management, and more. With over 18 consecutive years as a Best Place to Work, we’re committed to fostering a purpose‑driven, inclusive, and high‑performing culture where people take ownership and do what’s right—for clients and for each other.

We Believe Great Work Happens When People Are Trusted, Supported, And Challenged To Grow. We’re Building a Workplace Where High Standards And a Strong Sense Of Purpose Go Hand‑in‑hand—and Where Your Contributions Directly Impact Hawaii’s Employers, Their Employees, And The Broader Communities We Serve.

Here’s What You Can Expect

• A Culture That Means Something:
  Our Core Values aren’t just words on a wall. They guide how we work, make decisions, and support one another.
• Trust and Autonomy:
  You’ll be empowered to manage your responsibilities with clarity and independence, backed by a team that shares your commitment to doing things right.
• Real Opportunities to Grow:
  Whether you're looking to deepen your expertise or step into leadership, you'll have access to feedback and coaching, development programs, mentorship, and clear paths forward.
• Flexibility with Accountability:
  For Hawaii-based employees, we offer hybrid work options. For those on the mainland, we offer fully remote roles, so long as you are ready to work on Hawaii Standard Time.
• Competitive Compensation and Benefits:
  We value your contributions and back that up with strong pay at $60,000.00 to $75,000.00 per year, full benefits, and resources to support your well‑being.