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Claims Adjuster II
4 months ago
Job Category Finance & Accounting
Location Western Casualty Claims Office, 3100 Bristol Street Suite 425, Costa Mesa, California, United States VIEW ON MAP
Schedule Full-Time
Located Remotely? N
Relocation? N
Position Type Management
Job Summary
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. He/she will manage a caseload ranging from casualty claims (the acceptable caseloads vary based on the jurisdiction(s), mix and complexity of Worker's Compensation and General Liability cases as determined by Claims Unit Manager.)
Expected ContributionsInvestigate claims promptly – taking statements as necessary – to determine liability/compensabilityEvaluate 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 (iVOS) to manage all claims electronically
Enter action plan notes/website notes into iVOS
Participate in activities that foster teamwork and continuous quality improvement.
Perform other duties as business demands
Candidate ProfileExperienceAt least one year of claims adjusting experience with applicable industry licensing.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
Ability to organize work and other priorities to ensure timely completion of all deliverables/deadlines
Strong customer oriented/hospitality skills
Demonstrate strong leadership abilities
Ability to prioritize work
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
Working knowledge of Claims software platforms, Microsoft suite (Excel, Outlook,etc.)
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 CertificationHigh School Diploma or GED
Associate degree (or higher) in Claims or Associate in Risk Management or related field is desirable
California Experienced Claims Adjuster Designation and current on education hours.
California Self-Insured Administrator's Certificate required.
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. Marriott International considers for employment qualified applicants with criminal histories consistent with applicable federal, state and local law.
Marriott International 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, Begin your purpose, Belong to an amazing global team, and Become the best version of you.
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