Claims Adjuster I Jobs

A Claims Adjuster I is responsible for the timely, good faith adjustment and disposition of self-administered casualty claims in multiple jurisdictions. Responsibility extends to all aspects and phases of investigations, evaluations, negotiations, and settlements/denials of the following claims: workers’ compensation, auto liability, no-fault uninsured motorist and general liability.

SCOPE/BUSINESS CONTEXT/EXPECTED CONTRIBUTIONS

• Acceptable caseloads vary based on the jurisdiction(s), mix and complexity of Worker’s Compensation and General Liability cases as determined by Claims Unit Manager.
• Manage 100 -150 casualty claims on assignment.

Describe in bullet format, the operational challenges and business issues that the individual in the position will face now and/or in the future. Complex jurisdictional issues? Complex customer situations? Aggressive office goals?

• Secure necessary documentation to facilitate timely loss adjustment and maintain primary responsibility for settlement decisions up to individual authority.
• Investigate claims promptly – taking statements as necessary – to determine liability/compensability.
• Complete and monitor timely WC payments/state filings.
• Participate in the Service Call program and complete required Service Call reports detailing current case status.
• Obtain insurance licensing, where required
• Monitor and actively manage WC medical treatment with the goal of minimizing disability. Consult Occupational Health Services as necessary.
• Evaluate damages and pay benefits as prescribed by law and/or Marriott policies and procedures.
• Evaluate claims for potential third party or subrogation recovery.

Other

• Enter action plan notes/website notes into iVOS.
• Comply with Marriott’s Corporate Policy Manual.
• Comply with Marriott Casualty Claims Policy and Procedure Manual requirements.
• Participate in activities that foster teamwork and continuous quality improvement.
• Actively participate in regularly scheduled unit meetings and department meetings.
• Effectively utilize the Valley Oaks System (iVOS) to manage all claims electronically.

CANDIDATE PROFILE

Experience

• Entry-level position. Demonstrated track record as a claims representative and/or demonstration of skills and potential to be a claims adjuster.

Knowledge and Skills

• Ability to work well in a team, providing assistance to fellow associates and representing the mission of the unit, department or region.
• Present oneself with a positive, professional demeanor.
• Strong hospitality skills.
• Strong organization skills.
• Strong negotiation skills.
• Effective reasoning, analysis and decision-making skills.
• Effective influence skills.
• Ability to prioritize work.
• Strong computer skills.
• Good communication skills (verbal, listening, writing), including the ability to deliver difficult messages to customers and/or claimants.
• Show dependability.
• Basic knowledge of claims process.
• Communicate often with supervisor keeping him/her informed.
• Possess a willingness to accept and respond positively to constructive criticism.
• Ability to meet deadlines and follow up in a timely manner.
• Good investigation skills.

Education or Certification

• College degree preferred