Claims Program Manager

Job Description

Job Description

WHAT YOU’LL DO

As our Claims Program Manager, you’ll transform how we manage workers' compensation claims through data, strategy, and process excellence. Your mission is to drive measurable improvement in claim outcomes—faster resolution, lower costs, and better compliance—by uncovering actionable insights and influencing cross-functional execution. This is a high-impact, analytics-forward role that requires both strategic thinking and operational rigor.

Develop and maintain dashboards, KPIs, and reporting tools that give claims leaders real-time visibility into performance and bottlenecks

Analyze claim trends to surface high-risk patterns, reduce wasteful medical spend, and drive faster attainment of maximum medical improvement

Recommend and implement initiatives that reduce claim duration, cost, or exposure—turning data into action with clear ROI

Evaluate workflows and provider performance to improve segmentation, optimize resolution processes, and enforce medical best practices

Collaborate with legal, operations, and compliance teams to align on key strategies and eliminate process gaps

Produce regular reporting and insights for senior leaders to spotlight progress, risks, and areas for improvement

WHAT YOU BRING

You’re a data-savvy problem solver with a proven ability to drive operational performance through strategic insight. You know how to turn metrics into meaningful action, influence stakeholders across teams, and raise the bar on execution—all without needing authority to lead.

Proven ability to translate complex claims data into clear, strategic recommendations that influence decision-making

Hands-on experience improving claims processes through workflow optimization, reporting, and automation

Advanced proficiency with BI tools like Tableau, Power BI, or Looker to identify trends, track KPIs, and uncover early risks

Collaborative mindset with experience partnering across legal, operations, and compliance functions

Track record of independently managing high-impact projects that improve performance and meet business goals

WHY PROSERVICE

At ProService Hawaii, we empower businesses and employees across the islands by delivering HR solutions that work. As Hawaii’s largest local HR partner, we support thousands of organizations with payroll, benefits, risk management, and more. With over 18 consecutive years as a Best Place to Work, we’re committed to fostering a purpose-driven, inclusive, and high-performing culture where people take ownership and do what’s right—for clients and for each other.

We believe great work happens when people are trusted, supported, and challenged to grow. We’re building a workplace where high standards and a strong sense of purpose go hand-in-hand—and where your contributions directly impact Hawaii’s employers, their employees, and the broader communities we serve. Here’s what you can expect :

A Culture That Means Something : Our Core Values aren’t just words on a wall. They guide how we work, make decisions, and support one another.

Trust and Autonomy : You’ll be empowered to manage your responsibilities with clarity and independence, backed by a team that shares your commitment to doing things right.

Real Opportunities to Grow : Whether you're looking to deepen your expertise or step into leadership, you'll have access to feedback and coaching, development programs, mentorship, and clear paths forward.

Flexibility with Accountability : For Hawaii-based employees, we offer hybrid work options. For those on the mainland, we offer fully remote roles, so long as you are ready to work on Hawaii Standard Time.

Competitive Compensation and Benefits : We value your contributions and back that up with strong pay at $99,670.00 to $137,046.00 per year, full benefits, and resources to support your well-being.