Workers' Compensation Claims Adjuster

About the role

ProService Hawaii is looking for a Workers' Compensation Claims Adjuster to own the full lifecycle of assigned indemnity claims — from first report through resolution. This is a high-visibility, client-facing role where you're trusted to make sound decisions, manage costs responsibly, and move claims forward with urgency and discipline. What makes this role distinct from a traditional carrier environment is the level of ownership expected. Our adjusters operate in a highly visible, client-facing model — every file is yours, and your results are visible.

This is a full-cycle indemnity claims role in a metrics-driven environment where performance standards are high and results are tracked closely. You'll be expected to manage a caseload of 90–100 active files, maintain a 1:1 or better new-to-closure ratio, and keep every diary current — all while staying ahead of statutory deadlines and delivering a strong client experience. You'll be given real responsibility and the room to exercise it — setting strategy, making decisions, and moving claims forward on your own terms within a team that supports your success.

Responsibilities

• Manage a full caseload of approximately 90–100 active indemnity/lost time claims, driving each toward timely and cost-effective resolution
• Conduct thorough investigations, determine compensability, establish accurate reserves within 48 hours of assignment, and document clear, forward-looking claim strategies
• Actively manage medical treatment plans using evidence-based guidelines (ODG), initiate IMEs when appropriate, and coordinate return-to-work and vocational strategies to reduce indemnity duration
• Ensure strict compliance with Hawaii workers' compensation statutes, regulatory deadlines, and benefit payments — maintaining zero missed deadlines and audit-ready files
• Prepare for and represent employer/carrier at hearings before the Hawaii DLIR, Disability Compensation Division
• Communicate proactively with employers, injured workers, attorneys, and medical providers — setting expectations early, explaining decisions clearly, and managing escalations with composure and authority

Requirements

• Proven success managing full-cycle workers' compensation claims, including indemnity and litigated files
• Experience managing full-cycle indemnity claims with demonstrable outcomes you drove
• Ownership of compensability decisions, reserve strategies, and guiding complex files to resolution — able to articulate judgment calls made along the way
• In-depth knowledge of Hawaii WC statutes, including statutory timelines, hearing procedures, and compliance requirements — able to apply them confidently and flag risks proactively
• Ability to analyze medical documentation, apply ODG and other treatment guidelines, challenge unsupported care, and determine when an IME is appropriate
• Strong documentation skills — files capture rationale, strategy, and next steps, ensuring audit-ready standards
• Maintain composure and professionalism under pressure with difficult claimants, frustrated employers, and opposing counsel

Work Location

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

Pay

The base compensation for this position is $76,000.00 – $98,000.00 per year depending on experience and qualifications.

Benefits

• Fully paid healthcare
• 401(k) matching
• Paid parental leave
• Student loan assistance
• Employee assistance programs
• Paid time off
• Reimbursement for certifications, conferences, and memberships
• Internal career advancement opportunities — roles post internally first

ProService is a Hawaii-based PEO combining payroll, HR, and benefits expertise with purpose-built technology. 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 the mission: Empowering Employers to Succeed in Hawaii.

Our culture is built on assuming the best in each other, giving feedback focused on what’s right, and showing up every day as a community. We offer a high-energy, value-driven environment with endless career advancement opportunities.