Job Opening: TDI Claims Examiner

Position: Full-time, TDI Claims Examiner
Location: Honolulu
Industry: Insurance
Schedule: Monday through Friday from 8:00 am to 5:00 pm
Pay: $23.00 per hour
Candidates must be in-state to apply and be considered.

Benefits:

• Pay Cards, Direct Deposit & Weekly Pay
• Medical/Dental/Vision/Prescription (Note: Requires 20+ hours per week to qualify).
• Free Online Skill Classes, EAP, Discounts & many more

The TDI Claims Examiner processes Temporary Disability Insurance claims from start to finish. This includes setting up new claims, reviewing information for accuracy, determining eligibility, calculating benefit payments, and following up on required documentation. The role requires sound judgment when handling confidential information, strong customer service skills, and the ability to manage multiple claims while meeting deadlines.

Job Duties:

• Establish new TDI claims in the policy administration system
• Review claim forms and supporting documentation for accuracy, completeness, and eligibility
• Determine claimant eligibility in accordance with policy guidelines and regulations
• Calculate benefit amounts and issue payments as appropriate
• Follow up with claimants, employers, and providers to obtain missing or additional documentation
• Maintain accurate claim records and ensure timely updates throughout the life of the claim
• Communicate policy information clearly and professionally to the public, agents, and internal staff
• Exercise discretion and confidentiality when handling sensitive information
• Provide responsive and courteous customer service while resolving inquiries

#RemedyHIjobs

Job Requirements:

• Associate’s degree required; Bachelor’s degree preferred
• Insurance, claims, or general office experience related to claims processing preferred
• Prior claims examination experience is a plus
• Strong customer service skills with a professional and empathetic approach
• Excellent written and verbal communication skills
• Highly organized with strong attention to detail and the ability to meet critical deadlines
• Ability to work independently with minimal supervision and apply sound judgment
• Flexibility to adapt to changing priorities and handle high-pressure situations
• Proficiency with personal computers and standard office equipment

Equal Opportunity Employer