Risk Management Professional- Workers' Compensation - Full-time

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JOB SUMMARY

A Senior Claims Adjuster 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, evaluate and dispose of 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; attend/monitor trials when applicable.
• Evaluate claims for potential third party or subrogation recovery.
• Participate in and/or facilitate the Service Call Program and complete required Service Call reports detailing current case status.
• Manage increased settlement authority, beyond that of a Claims Adjuster II.
• Self-manage select cases as directed by immediate supervisor.
• Administer claims of a more complex/high exposure nature.

Other

• Assume supervisory responsibilities in unit supervisor's absence.
• Actively participate in regularly scheduled unit meetings and department meetings.
• Assist in staff training.
• Comply with Marriott Casualty Claims Policy and Procedure Manual requirements.
• Comply with Marriott's Corporate Policy Manual.
• Effectively utilize the Valley Oaks System (VOS) to manage all claims electronically.
• Enter action plan notes/website notes into VOS.
• Work toward and achieve claim's production objectives agreed upon by office.
• Oversee duties and responsibilities of Unit MO Claims Representative as directed by unit supervisor.
• Participate in activities that foster teamwork and continuous quality improvement.

CANDIDATE PROFILE

Experience

Minimum of 2 years claims adjusting experience.



Knowledge and Skills

• Exhibit leadership, management and teamwork skills.
• Ability to meet quality and production standards.
• Ability to grasp and apply technical knowledge, including litigation case management and adjusting skills.
• Effective reasoning and decision making skills.
• Effective influence skills.
• Maintain confidentiality.
• Strong negotiation skills.
• Strong organization skills.
• Exceptional time management skills.
• Strong hospitality skills.
• 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.
• Very good investigation skills.
• Advanced 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, department or region.
• 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.
• Applicable industry licensing.
• California Self Insured certification

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.