Claims Representative

Job Description

Job Summary

The Claims Representative is responsible for the administration and disposition of medical only (MO) workers compensation (WC) claims. Caseload will be exclusively WC claims and responsibility is limited to non-litigated medical only and disability claims of limited duration. Claims involving continuous trauma, occupational disease or significant injuries are excluded from assignment. Work is generally varied and administrative or project oriented. Generally complete tasks under direction of supervisor.

Candidate Profile

Education and Experience

Required High School Diploma or GED. 1+ years relevant experience.

Preferred Two or four year degree from an accredited college or business/technical school. Strong knowledge of computer software and applications (e.g. Microsoft Office).

Core Work Activities

As appropriate, contact injured associates, unit managers or supervisors, and/or medical providers to confirm causal relationship or injury/condition to compensable occurrence. Answer routine questions from operations on case status (i.e. RTW status, transitional duty updates, medical updates). Handle between 150-300 claims on assignment; however, acceptable caseloads vary based on jurisdiction mix, incoming volume and administrative requirements. Upon supervisory (or designee's) written approval, calculate and pay temporary total, temporary partial, or permanent partial disability benefits per statutory requirements. Secure medical information and reports, provide for fee schedule or other appropriate bill review, and process for payment in accord with Marriott policies and procedures. Coordinate medical management aspects of file handling with the Nurse CARE Manager and Nurse Review Specialist. Prepare case overview(s) for department's Service Call Program Depending on case volume, perform other assigned tasks as assigned by unit supervisor, operations manager, or director. Maintain targeted closure ratio. Obtain insurance licensing, where required.

The hourly pay range for this position is $20.00 to $33.13. Marriott offers a bonus program, comprehensive health care benefits, 401(k) plan with up to 5% company match, employee stock purchase plan at 15% discount, accrued paid time off (including sick leave where applicable), life insurance, group disability insurance, travel discounts, adoption assistance, paid parental leave, health savings account (except for positions based out of or performed in Hawaii), flexible spending accounts, tuition assistance, pre-tax commuter benefits, and other life and work wellness benefits. Benefits may be subject to generally applicable eligibility, waiting period, contribution, and other requirements and conditions. The compensation and benefits information is provided as of the date of this posting. Marriott reserves the right to modify compensation and benefits at any time, with or without notice, subject to applicable law.

Marriott International is an equal opportunity employer. We believe in hiring a diverse workforce and sustaining an inclusive, people-first culture. We are committed to non-discrimination on any protected basis, such as disability and veteran status, or any other basis covered under applicable law.