Claims Adjuster- Workers Compensation (Medical Only)

Job description

Marriott International is the world’s largest hotel company, with more brands, more hotels and more opportunities for associates to grow and succeed. We believe a great career is a journey of discovery and exploration. So, we ask, where will your journey take you?

Desired profile

Qualifications :

JOB SUMMARY

A Workers’ Compensation Medical Only Claims Adjuster is responsible for the timely, good faith adjustment and disposition of claims with no attorney involvement or compensable disability exceeding the statutory waiting period and where ratable permanency is not anticipated.

SCOPE/BUSINESS CONTEXT/EXPECTED CONTRIBUTIONS
Scope
·  Manage 100-125 California worker’s compensation claims on assignment.
·  Acceptable caseloads vary based on the jurisdiction(s), mix and complexity of Worker’s Compensation cases as determined by Claims Supervisor.

Business Context

Describe in bullet format, the operational challenges and business issues that the individual in the position will face now and/or in the future. Complex jurisdictional issues? Complex customer situations? Aggressive office goals?

Expected Contributions
·  Pay medical benefits as prescribed by law and/or Marriott policies and procedures.
·  Actively manage Workers’ Compensation 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.
Other
·  Demonstrate commitment and support to management team and department goals.
·  Actively participate in regularly scheduled unit meetings and department meetings.
·  Comply with Marriott Casualty Claims Policy and Procedure Manual requirements.
·  Effectively utilize the iVOS System 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

·  Claims adjusting or claims administrative experience a plus.
Knowledge and Skills
·  Ability to grasp and apply technical knowledge
·  Effective reasoning, analysis and decision making skills.
·  Effective influence skills.
·  Maintain confidentiality.
·  Strong organization skills.
·  Strong 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).
·  Beginner 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.
·  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 preferred. 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.