Claims Adjuster I

Marriott•Plano, TX

17h•Hybrid

About The Position

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.)

Requirements

High School Diploma or GED.
1+ years claims adjusting or equivalent/relevant experience.
General knowledge of claims.

Nice To Haves

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.

Responsibilities

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 as needed
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, including meeting all Key Performance Indicators (KPIs)
Effectively utilize Claims Enterprise (CE) to manage all claims electronically
Enter action plan notes/website notes into CE
Participate in activities that foster teamwork and continuous quality improvement.
Acquire required state adjuster licenses within each jurisdiction's specified timeframe.