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

Western Casualty Claims Office
Union City, California, 94587, United States
November 14, 2016

Claims Adjuster II, Risk Mgmt

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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.



• 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.


• 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.



• 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

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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.