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Claims Adjuster II, Risk Mgmt - Western Casualty Claims (160018PB)

Company:
Western Casualty Claims Office
Location:
Union City, California, 94587, United States
Salary:
DOE
Posted:
November 14, 2016
Description:

Claims Adjuster II, Risk Mgmt

It’s a powerful feeling, to belong. It’s inspiring people to do more than they thought they could. It’s leading the way by rolling up your sleeves to accomplish a common goal. It’s taking a passion and turning it into your vision. Belonging is what it feels like to work at Marriott. If this sounds like the place for you, join us.

The Western Casualty Claims Office located at 3130 S Harbor Blvd Suite 550, Santa Ana, CA, 52924 is currently hiring a Claims Adjuster II, Risk Mgmt.

Responsibilities include: A Claims Adjuster II is responsible for the timely, good faith adjustment and disposition of self-administered casualty claims in multiple jurisdictions. Responsibility extends to all aspects and phases of investigations, evaluations, negotiations and settlements/denials of the following claims: workers’ compensation, auto liability, no-fault uninsured motorist and general liability.

SCOPE/BUSINESS CONTEXT/EXPECTED CONTRIBUTIONS

Scope

• Manage 100-150 casualty claims on assignment.

• Acceptable caseloads vary based on the jurisdiction(s), mix and complexity of Worker’s Compensation and General Liability cases as determined by Claims Supervisor.

Expected Contributions

• 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.

• 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.

Other

• Actively participate in regularly scheduled unit meetings and department meetings.

• Comply with Marriott Casualty Claims Policy and Procedure Manual requirements.

• Effectively utilize the Valley Oaks System (VOS) to manage all claims electronically.

• Enter action plan notes/website notes into VOS.

• Participate in activities that foster teamwork and continuous quality improvement.

CANDIDATE PROFILE

Experience

• Minimum of 18 months claims adjusting experience.

Knowledge and Skills

• Ability to grasp and apply technical knowledge, including litigation case management and adjusting skills.

• Effective reasoning, analysis and decision making skills.

• Effective influence skills.

• Strong negotiation skills.

• Strong organization skills.

• Strong hospitality skills.

• Demonstrate strong leadership abilities.

• Ability to prioritize work.

• Ability to meet deadlines and follow up in a timely manner.

• Good communication skills (verbal, listening, writing), including the ability to deliver difficult messages to customers and/or claimants.

• Good investigation skills.

• Basic knowledge of claims process.

• Strong computer skills.

• Ability to work well in a team, providing assistance to fellow associates and representing the mission of the unit.

• Possess a willingness to accept and respond positively to constructive criticism.

• Present oneself with a positive, professional demeanor.

• Communicate often with supervisor keeping him/her informed.

• Show dependability.

Education or Certification

• High School Diploma or GED preferred.

• Two or four year degree from an accredited college/business/technical school preferred.

• Applicable industry licensing.

• Associate in Claims or Associate in Risk Management preferred.

To submit your application for this job, please go to online

Marriott International is consistently recognized as an employer of choice around the globe by FORTUNE and Working Mother magazines, DiversityInc, Great Places to Work Institute, and the CRF institute among others.

Marriott International is an equal opportunity employer committed to hiring a diverse workforce and sustaining an inclusive culture. Marriott International does not discriminate on the basis of disability, veteran status or any other basis protected under federal, state or local laws.