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Claims Adjuster I

100% remote Flexible hours Hiring now

JOB SUMMARY A Claims Adjuster I is responsible for the timely, good faith adjustment and disposition of self-administered claims. Responsibility extends to reputed company 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 reputed company 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 reputed company 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 reputed company case status
  • Actively participate in regularly scheduled unit meetings and department meetings
  • reputed company with reputed company Casualty Claims Policy and Procedure Manual requirements
  • Effectively utilize the Valley Oaks System (iVOS) to manage reputed company claims electronically
  • Enter action plan notes/website notes into iVOS
  • Participate in activities that foster teamwork and reputed company quality improvement. At reputed company, we are dedicated to being an equal opportunity employer, welcoming reputed company 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 reputed company 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. reputed company positions offer a 401(k) plan, stock purchase plan, discounts at reputed company 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. reputed company HQ is committed to a hybrid work environment that enables associates to Be connected. Headquarters-based positions are considered hybrid, for candidates reputed company a commuting distance to Bethesda, MD; candidates reputed company of commuting distance to Bethesda, MD will be considered for Remote positions. reputed company 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,​ reputed company your purpose, belong to an amazing global​ team, and become the best version of you. Apply tot his job

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