Claims Adjuster II

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. This role will manage a caseload ranging from 100-150 causality claims (the acceptable caseloads vary based on the jurisdiction(s) mix and complexity of cases as determined by the Claims Unit Manager).

CANDIDATE PROFILE

Education and Experience

Required

• High School Diploma or GED.

• Minimum of 18 months claims adjusting or equivalent/relevant experience.

• Knowledge of claims processing.

Preferred

• Applicable industry licensing.

• Associate in Claims (AIC) or Associate in Risk Management (ARM) preferred.

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

CORE WORK ACTIVITIES

• Manage 100-150 casualty claims on assignment.

• 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.

• 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 Claims Enterprise (CE) to manage all claims electronically.

• Enter action plan notes/website notes into CE

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

• Perform other duties as business demands.

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

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