Ability Specialist Hawaii Team
Honolulu, Honolulu County, Hawaii, 96814, USA
Listed on 2026-06-23
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Healthcare
Medical Records
Ability Specialist - C409BN
We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.
This role requires a Hybrid work arrangement and an in‑office requirement at The Hartford's Hawaii office location. Remote work is available for candidates not living near an office, with occasional office visits as needed.
The Employee Benefits – Ability Specialist for the Hawaii team supports Paid Family and Medical Leave, Short Term Disability and Leave of Absence.
Key Responsibilities- Independently manage a caseload of Hawaii state disability, Short Term Disability and Leave of Absence claims from intake through resolution.
- Conduct thorough reviews of medical records, employment history, and policy provisions.
- Determine eligibility and benefit entitlement based on contractual language and supporting documentation.
- Serve as the main contact for claimants, providing clear, compassionate, and timely updates.
- Communicate with employers, physicians, and legal representatives to gather and clarify information.
- Educate claimants on the Hawaii state disability, Short Term Disability and Leave of Absence processes, timelines, and expectations.
- Make well‑reasoned decisions supported by evidence and aligned with policy terms.
- Document all claim activity, rationale, and communications in a clear and professional manner.
- Prepare written correspondence including approval, denial, and status letters.
- Collaborate with internal resources such as peers, CRO, SIU, CCXT and Team Leader.
- Escalate complex or high‑risk claims to senior team members or management as appropriate.
- Ensure all claims are handled in compliance with State regulations, HIPAA, and other applicable regulations.
- Participate in audits, quality reviews, and continuous improvement initiatives.
- High School Diploma or GED required;
Associate’s or Bachelor’s degree preferred. - 1+ year of claim experience a plus.
- Medical terminology knowledge is a plus.
- Strong organizational and prioritization skills.
- Exceptional problem‑solving and critical thinking skills.
- Professional verbal and written communication skills.
- Continuous improvement mindset.
- Detail oriented with the ability to maintain a high level of quality and accuracy while meeting productivity targets in a fast‑paced environment.
- Thrives in a structured team environment.
- Proficiency in Microsoft Office applications and the ability to navigate multiple systems simultaneously.
- 401(k)
- Medical, Dental, Vision, Life and Disability Insurance effective day 1.
- 25 days paid time off in first full year and paid holidays.
- Tuition reimbursement – up to $5,250 for undergraduate and $6,000 for graduate programs.
- Student Loan Paydown Program – eligible after 6 months of service. Direct contribution of $125 per month with a lifetime maximum up to $10,000.
The listed annualized base pay range for this role is $50,844 - $76,267. Actual base pay may vary based on performance, proficiency, and demonstration of required competencies. Other rewards may include short‑term or annual bonuses, long‑term incentives, and on‑the‑spot recognition.
Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age
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