FLEX Claims Adjuster I
Costa Mesa, CA - USA
Job Summary
This is a temporary position.
JOB SUMMARY
A Claims Adjuster I 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 settlements and denials of the following claims: workers compensation auto liability no-fault uninsured motorist and general liability. He/she will manage a caseload ranging from 100-150 claims (the acceptable caseloads vary based on the mix and complexity as determined by Claims Unit Manager.)
CANDIDATE PROFILE
Education and Experience
Required
- High School Diploma or GED.
- 1 years claims adjusting or equivalent/relevant experience.
- General knowledge of claims.
Preferred
- Applicable industry licensing.
- Associate in Claims (AIC) or Associate in Risk Management (ARM).
- Two or four year degree from an accredited college/business/technical school.
CORE WORK ACTIVITIES
- Manage caseload ranging from 100 150 claims.
- 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 Occupational Health Services as necessary
- Manage litigation cases including controlling/directing outside attorneys assisting in discovery/trial preparation and strategy as needed
- 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 including meeting all Key Performance Indicators (KPIs)
- Effectively utilize 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.
- Acquire required state adjuster licenses within each jurisdictions specified timeframe.
At Marriott International we are dedicated to being an equal opportunity employer welcoming all and providing access to opportunity. We actively foster an environment where the unique backgrounds of our associates are valued and greatest strength lies in the rich blend of culture talent and experiences of our are committed to non-discrimination on any protected basis including disability veteran status or other basis protected by applicable law. Marriott International considers for employment qualified applicants with criminal histories consistent with applicable federal state and local law.
About Company
At Le Méridien, we are inspired by the era of glamorous travel, celebrating each culture through the distinctly European spirit of savouring the good life. Our guests are curious and creative, cosmopolitan culture seekers that appreciate moments of connection and slowing down to savou ... View more