Claims Adjuster II- Workers' Compensation

Job description

Marriott International is the world's largest hotel company, with more brands, more hotels and more opportunities for associates to grow and succeed. We believe a great career is a journey of discovery and exploration. So, we ask, where will your journey take you?

Desired profile

Qualifications :

Job Summary

A Workers' Compensation Claims Adjuster II is responsible for the timely, good faith adjustment and disposition of self-administered claims. Responsibility extends to all aspects and phases of investigations, evaluations, negotiations and settlements/denials of the following claims: workers' compensation.

SCOPE/BUSINESS CONTEXT/EXPECTED CONTRIBUTIONS

Scope
·  Manage 110-125 California worker's compensation claims on assignment.
·  Acceptable caseloads vary based on the jurisdiction(s), mix and complexity of Worker's Compensation cases as determined by Claims Supervisor.
Expected Contributions
·  Investigate, evaluate and dispose of claims promptly – taking statements as necessary – to determine compensability.
·  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 Workers' Compensation indemnity payments/state filings.
·  Monitor and actively manage Workers' Compensation 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
·  Demonstrate commitment and support to management team and department goals.
·  Actively participate in regularly scheduled unit meetings and department meetings.
·  Comply with Marriott Casualty Claims Policy and Procedure Manual requirements.
·  Handle claims of a more complex nature.
·  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.
·  Maintain confidentiality.
·  Strong negotiation skills.
·  Strong organization skills.
·  Strong time-management 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.
·  Intermediate 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 required.
·  Two or four-year degree from an accredited college/business/technical school preferred.
·  California Experienced Claims Adjuster Designation and current on education hours.
·  California Self-Insured Administrator's Certificate required.

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.