Associate Workers' Compensation Claims Adjuster

About the role

ProService Hawaii is seeking an Associate Workers' Compensation Claims Adjuster to join our Claims & Compliance team. In this role you'll manage a high-volume portfolio of medical-only claims from first report through closure — ensuring regulatory compliance, accurate reserving, timely medical management, and a professional experience for both employers and injured workers. This role sits at the intersection of legal compliance, medical oversight, and client service. What makes it challenging — and rewarding — is that success requires disciplined execution across all three simultaneously, at volume, without missing a deadline.

Responsibilities

• 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 within 48 hours of assignment and ensure timely, accurate medical bill review and payment
• Apply evidence-based treatment guidelines (e.g., ODG) to evaluate medical care, address unsupported treatment, and proactively mitigate risk of claim escalation to indemnity status
• 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 to senior adjusters appropriately
• Identify red flags such as lost time exposure, attorney involvement, or treatment complexity, and partner with senior adjusters to transition files when appropriate

Requirements

• Prior workers' compensation experience is required
• A valid Hawaii WC Adjuster license in good standing is preferred, and we'll help support you in obtaining proper licensing

Qualifications

• Thrives under structure, owns their caseload without being managed to it, and holds themselves to a standard most people don't
• Has managed a high-volume WC caseload combined with tight deadlines and diary management
• Makes sound compensability and reserving decisions—and can explain them clearly
• Knows Hawaii WC statutes and can apply them accordingly
• Stays current on reporting requirements and flag compliance risks before they become problems
• Brings calm, composure, and professionalism to difficult conversations; setting expectations clearly and following through

Role expectations

This is a high-volume, process-driven, deadline-critical role where precision and documentation are non-negotiable. You'll be managing 110–130 active medical-only claims at any given time—each with its own statutory timeline, reserve adequacy requirement, and client expectation. The work is structured by design, and performance is tracked closely. You own your caseload, your diary, and your files. We expect adjusters who stay ahead of their files, not behind them.

Work location

Hawaii Kai, Oahu — Hybrid. This role is based out of our Hawaii Kai office. We offer a flexible hybrid schedule that gives you the structure of in-person collaboration with the flexibility of remote work. In office: Tuesday – Thursday | Remote: Monday & Friday

Compensation

The base compensation for this position is $60,000.00 – $75,000.00 per year depending on experience and qualifications.

Why ProService

ProService is a Hawaii-based PEO combining payroll, HR, and benefits expertise with purpose-built technology — all backed by the best local service in Hawaii. Backed by Silver Lake and recognized as one of Hawaii's Best Places to Work for 20 consecutive years, we're a team of high performers united by one mission: Empowering Employers to Succeed in Hawaii.

• A PROhana unlike any other. We assume the best in each other, give feedback focused on what's right—not who's right—and show up every day. This isn't just a workplace. It's a community.
• Do work that matters. You'll see exactly how your contributions move the needle—meaningful problems, real decisions, and a seat at the table.
• Grow without a ceiling. Internal roles post first, and we reimburse certifications, conferences, and memberships. Your growth is our growth.
• Compete, collaborate, and win together. High expectations, real accountability, and a team of experts ready to help you push through any obstacle.
• Total rewards built around your whole life. Fully paid healthcare, 401(k) matching, paid parental leave, student loan assistance, employee assistance programs, and paid time off—just to name a few.