TDI Claims Representative
About The Position
The TDI Claims Representative processes assigned new TDI claims within required statutory timelines. The role involves contacting insureds, employees, and physicians; determining eligibility for TDI benefits; calculating payments owed; setting payment diaries; and requesting timely payments to employees or claimants. This is a fast-paced position with substantial communication and deadline requirements, and requires comfort with multitasking. The position has no supervisory responsibilities. It is full-time, Monday through Friday, with a flexible work shift within the company’s flex schedules, subject to department manager approval. Travel is rare and may be required for a hearing appearance on an outer island.
Requirements
- High school diploma or GED.
- Accurate typing at 40 words per minute and 10-key by touch.
- Ability to read and understand medical reports.
- Strong analytical and critical-thinking skills.
- Excellent verbal and written communication skills.
- Ability to work well with internal and external customers and in a team setting.
- Organized and detail-oriented, with the ability to manage multiple tasks and a high-volume workload.
- Ability to work independently and efficiently while meeting required deadlines.
- Good mathematical skills and comfort working with figures.
- Demonstrated proficiency in Microsoft Office programs.
- Ability to apply common sense, think reasonably, and make sound decisions.
- Skills in de-escalating challenging situations.
Responsibilities
- Process assigned new TDI claims within required statutory timelines.
- Contact insureds, employees, and physicians regarding claims.
- Determine eligibility for TDI benefits.
- Process benefits in accordance with Hawaii law.
- Calculate benefits owed, set payment diaries, and request timely payments to employees or claimants.
- Maintain contact with involved parties.
- Investigate potential third-party claims.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
