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. 

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  Participate in activities that foster teamwork and continuous quality improvement.