Claims Adjuster I
Santa Ana, CA Santa Ana, CA Full-time Full-time $64,480 - $88,875 a year $64,480 - $88,875 a year 8 days ago 8 days ago 8 days ago Job Number 23133159 Job Category Finance & Accounting Location Western Casualty Claims Office, 3130 S Harbor Blvd Suite 550, Santa Ana, California, United States Schedule Full-Time Located Remotely? N Relocation? N Position Type Management JOB SUMMARY A Claims Adjuster I 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 Unit Manager.
Expected Contributions 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 disability.
Consult Occupational Health Services as necessary.
Participate in the Service Call program and complete required Service Call reports detailing current case status.
Evaluate claims for potential third party or subrogation recovery.
Obtain insurance licensing, where required Other Actively participate in regularly scheduled unit meetings and department meetings.
Comply with Marriott Casualty Claims Policy and Procedure Manual requirements.
Comply with Marriott's Corporate Policy Manual.
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.
CANDIDATE PROFILE Experience Entry-level position.
Demonstrated track record as a claims representative and/or demonstration of skills and potential to be a claims adjuster.
Knowledge and Skills Effective reasoning, analysis and decision-making skills.
Effective influence skills.
Strong negotiation skills.
Strong organization 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.
Good investigation skills.
Basic 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 College degree preferred The salary range for this position is $64,480.
00 to $88,875.
00 annually.
This position offers health care benefits, flexible spending accounts, 401(k) plan, accrued paid time off (including sick leave where applicable), life insurance, disability coverage, other life and work wellness benefits and may include incentive compensation.
Benefits and incentive compensation may be subject to generally applicable eligibility, waiting period, contribution, and other requirements and conditions.
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.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
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 Unit Manager.
Expected Contributions 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 disability.
Consult Occupational Health Services as necessary.
Participate in the Service Call program and complete required Service Call reports detailing current case status.
Evaluate claims for potential third party or subrogation recovery.
Obtain insurance licensing, where required Other Actively participate in regularly scheduled unit meetings and department meetings.
Comply with Marriott Casualty Claims Policy and Procedure Manual requirements.
Comply with Marriott's Corporate Policy Manual.
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.
CANDIDATE PROFILE Experience Entry-level position.
Demonstrated track record as a claims representative and/or demonstration of skills and potential to be a claims adjuster.
Knowledge and Skills Effective reasoning, analysis and decision-making skills.
Effective influence skills.
Strong negotiation skills.
Strong organization 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.
Good investigation skills.
Basic 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 College degree preferred The salary range for this position is $64,480.
00 to $88,875.
00 annually.
This position offers health care benefits, flexible spending accounts, 401(k) plan, accrued paid time off (including sick leave where applicable), life insurance, disability coverage, other life and work wellness benefits and may include incentive compensation.
Benefits and incentive compensation may be subject to generally applicable eligibility, waiting period, contribution, and other requirements and conditions.
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.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
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