Job Description

Claims Adjuster I

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 of the following claims: workers' compensation, auto liability, no-fault uninsured motorist and general liability. He/she will manage a caseload ranging from 100-150 claims (the acceptable caseloads vary based on the mix and complexity 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.

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