Claims Representative
1 month ago
BASIC PURPOSE: Research, review, investigate and adjust claims for personal injury or other complaints made by passengers.
POSITION RESPONSIBILITIES:
- Performs in-house adjustment of passenger personal injury and other claims. Reviews documentation, conducts research/investigation, evaluates, negotiates and resolves claims in accordance with contracts, agreements, legal liability and corporate policies. Provides timely notification to P&I Clubs or insurance carriers of incidents, illnesses, accidents and injuries, claims and lawsuits.
- Assists in the handling of claims and cases in litigation including obtaining information/documentation necessary to defend lawsuits and giving testimony on behalf of the company.
- Establishes claim files; updates logs and other statistical data. Prepares correspondence and reports as necessary. Files medical reports, accident reports and other pertinent data in the respective claim files.
- Develops and implements calendar or diary system with established time frames for required procedures and tasks.
- Monitors trends as they relate to losses, complaints or incidents. Provides feedback on loss control measures, trends, ways to improve service and company policies and procedures.
- Perform other job related functions as assigned.
KNOWLEDGE AND EXPERIENCE:
EDUCATION: Bachelor's Degree or related field of study; or any equivalent combination of relevant background and work experience.
EXPERIENCE: Minimum 2 to 4 years corporate claims department experience. Understanding of liability/Jones Act requirements and P&I coverage.
KNOWLEDGE & SKILLS:
- Must be familiar with claims procedures and processes and have good negotiation and communication skills.
- Must be familiar with medical terminology and be able to read medical reports.
- Must be PC literate in Outlook, Word, and Excel. Prior legal experience a plus.
To Executive Search Firms & Staffing Agencies: NCLH does not accept unsolicited resumes from any agencies. All unsolicited resumes will be considered NCLH property, and NCLH will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting the NCLH Human Resources Talent Acquisition Department.
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