Claims Adjuster I
Plano, USA
Job description
JOB SUMMARY
A Claims Adjuster I is responsible for the timely, good faith adjustment and disposition of self-administered claims. Responsibility extends to all aspects and phases of investigations, evaluations, negotiations, settlements and denials. He/she will manage a caseload ranging from 100-150 casualty claims (the acceptable caseloads vary based on the mix and complexity of Worker’s Compensation as determined by Claims Unit Manager.)
CANDIDATE PROFILE
Education and Experience
Required
High School Diploma or GED.
1+ years claims adjusting or equivalent/relevant experience.
Knowledge of claims processing.
Preferred
Applicable industry licensing.
Associate in Claims (AIC) or Associate in Risk Management (ARM).
Two or four year degree from an accredited college/business/technical school.
CORE WORK ACTIVITIES
Manage caseload ranging from 100 – 150 claims.
Investigate claims promptly – taking statements as necessary – to determine liability/compensability
Evaluate damages and pay benefits as prescribed by law and/or Marriott policies and procedures
Secure necessary documentation to facilitate timely loss adjustment and maintain primary responsibility for settlement decisions up to individual authority
Complete and monitor timely WC payments/state filings
Monitor and actively manage WC medical treatment with the goal of minimizing disability. Consult Occupational Health Services as necessary
Manage litigation cases including controlling/directing outside attorneys, assisting in discovery/trial preparation and strategy
Evaluate claims for potential third party or subrogation recovery
Participate in the Service Call Program and complete required Service Call reports detailing current case status
Actively participate in regularly scheduled unit meetings and department meetings
Comply with Marriott Casualty Claims Policy and Procedure Manual requirements
Effectively utilize the Valley Oaks System (iVOS) to manage all claims electronically
Enter action plan notes/website notes into iVOS
Participate in activities that foster teamwork and continuous quality improvement.
At Marriott International, we are dedicated to being an equal opportunity employer, welcoming all and providing access to opportunity. We actively foster an environment where the unique backgrounds of our associates are valued and celebrated. Our greatest strength lies in the rich blend of culture, talent, and experiences of our associates. We are committed to non-discrimination on any protected basis, including disability, veteran status, or other basis protected by applicable law.
All positions offer a 401(k) plan, stock purchase plan, discounts at Marriott properties, commuter benefits, employee assistance plan, and childcare discounts. Benefits are subject to terms and conditions, which may include rules regarding eligibility, enrollment, waiting period, contribution, benefit limits, election changes, benefit exclusions, and others. Click here to learn more.
Full-time positions also offer coverage for medical, dental, vision, health care flexible spending account, dependent care flexible spending account, life insurance, disability insurance, accident insurance, adoption expense reimbursements, paid parental leave and educational assistance.
Washington Applicants Only : Employees will accrue paid sick leave, 0.077 PTO balance for every hour worked and be eligible to receive a minimum of 9 holidays annually.
Marriott HQ is committed to a hybrid work environment that enables associates to Be connected. Headquarters-based positions are considered hybrid, for candidates within a commuting distance to Bethesda, MD; candidates outside of commuting distance to Bethesda, MD will be considered for Remote positions.
Marriott International is the world’s largest hotel company, with more brands, more hotels and more opportunities for associates to grow and succeed. Be where you can do your best work, begin your purpose, belong to an amazing global team, and become the best version of you.