Claims Adjuster

Carnival Corporation•Miami, FL

20h•Hybrid

About The Position

Holland America Line has been exploring the world since 1873. Our ships offer innovative features and enriching experiences focused on destination exploration and personalized travel, inviting guests to savor the journey. We are looking for a Claims Adjuster. This position will manage and adjust a caseload of guest claims for Princess, Holland America, Seabourn, and Cunard North America (guest claims only), and will negotiate pre-suit settlements directly with claimants, or their attorney, on behalf of the company to avoid litigation. Here’s a summary of what Holland America Line is looking for. Is this you? Responsibilities : Administrating Guest Claims: This position reviews the guest’s claim by analyzing shipboard records and the brand’s passage contract to determine the company’s position regarding liability before assessing appropriate reserves and settlement strategies. Challenges include missing shipboard records, difficulties in obtaining post cruise medical records, and unreasonable demands from claimants, their representatives, or attorneys that hinder negotiations. This role overcomes these challenges by reaching out to key information sources, preparing thoroughly for negotiations, and determining appropriate settlement reserves. Communicates effectively to explain claim decisions and settlement options or denials. Identifies potential risks and exposures, providing recommendations to mitigate risks and improve safety practices. Advises internal business partners on recommended measures to minimize future incidents and claims. Existing Claims: Continually reviews IRM claims system for accuracy and updates records as new information is presented. Assists fellow team members with their workload when necessary and as time permits. Financial Case Management: Sets and reviews reserves regularly and adjusts reserves as new information becomes available, ensuring that reserves accurately reflect the potential financial exposure of the claim. Requests cash settlements and submits all future cruise credits and onboard credits, and drafts release agreements. Reports all eligible settlements to Medicare before settlement payments are processed. SeaEvent Review: Review of newly downloaded SeaEvent reports to determine if any proactive measures are necessary based on the completed report as time permits. Other: Prepares and attends small claims hearings. Assists with handling personal property claims, including lost and damaged luggage and personal effects, as time permits. Responds to state Attorney General inquiries and other tasks and duties as assigned.

Requirements

High School Diploma/GED
Ability to conduct thorough investigations to determine the validity of claims, including reviewing documents, communicating with claimants, and assessing damages.
Capable of analyzing complex situations, data, and evidence to make fair and accurate claims assessments
Ability to negotiate fair and equitable settlements while adhering to company guidelines and legal requirements.
Empathy and understanding are crucial when dealing with claimants experiencing distress due to their situation/losses.
Ability to handle multiple claims simultaneously.
Effective time management and prioritization skills are essential to meeting deadlines and maintaining productivity.
Familiarity with relevant software and databases used for claims processing document management (IRM, Markview, Polar, Siebel, MAPS ).
Adherence to ethical guidelines and standards of conduct in all interactions with claimants and other stakeholders.

Nice To Haves

Bachelor’s Degree preferred (Business, Finance, Communications, Liberal Arts), not required

Responsibilities

Administrating Guest Claims: This position reviews the guest’s claim by analyzing shipboard records and the brand’s passage contract to determine the company’s position regarding liability before assessing appropriate reserves and settlement strategies.
Communicates effectively to explain claim decisions and settlement options or denials.
Identifies potential risks and exposures, providing recommendations to mitigate risks and improve safety practices.
Advises internal business partners on recommended measures to minimize future incidents and claims.
Continually reviews IRM claims system for accuracy and updates records as new information is presented.
Assists fellow team members with their workload when necessary and as time permits.
Sets and reviews reserves regularly and adjusts reserves as new information becomes available, ensuring that reserves accurately reflect the potential financial exposure of the claim.
Requests cash settlements and submits all future cruise credits and onboard credits, and drafts release agreements.
Reports all eligible settlements to Medicare before settlement payments are processed.
Review of newly downloaded SeaEvent reports to determine if any proactive measures are necessary based on the completed report as time permits.
Prepares and attends small claims hearings.
Assists with handling personal property claims, including lost and damaged luggage and personal effects, as time permits.
Responds to state Attorney General inquiries and other tasks and duties as assigned.