Bilingual General Liabilities Claim Adjuster
Company Description
ABOUT WESTGATE RESORTS
Westgate Resorts provides a diverse range of vacation experiences. From sandy beaches on the Atlantic Ocean to snow-covered Utah mountains, families can affordably experience the country's most desirable vacation destinations.
A world leader in the timeshare and hospitality industry, Westgate has resorts in Florida, Tennessee, South Carolina, Missouri, Utah, Nevada, and Arizona.
Westgate meets every vacation expectation, for every family, for every budget. As we continue growing, we will continue offering the best and most-affordable vacation options out there!
Westgate just got safer! For the safety of our team members, all candidates must be fully vaccinated against COVID-19 prior to joining the Westgate family*.
Job Description
SUMMARY :
Responsible for the receipt, investigation and successful resolution of guest liability claims. Strong experience with litigations required
Bilingual is a plus!
ESSENTIAL DUTIES AND RESPONSIBILITES :
- Receive, investigate and successfully resolve claims for guests.
- Review of all new claims entered into Origami RMIS
- Follow-up on all new cases to communicate with involved parties and resolve.
- Coordinate with other departments to investigate claims, obtain documentation and oversee successful safety programs to reduce guest related claims.
- Maintain close contact with plaintiff and defense counsel and demonstrate an ability to reduce claims litigation, improve claims resolution and the defense of guest claims.
- Position requires the ability to effectively communicate and emphasize our commitment to safety and service through our Floor Safety Program, Water Safety Program, Note and Float Pool Safety, Personnel Protective Equipment program, Pest Control Program, Golf cart and Fleet Safety program and attend monthly Resort Safety meetings.
- Work with insurance carriers and agencies.
- Run ISO reports when applicable
- Prep files for mediations, present with defense counsel and VP of Risk Management.
- Attend hearings, mediations and trials utilizing proprietary defensible programs
- Obtain, review and evaluate medical information on the guest to make sure treatment is casually related to the claim.
- Present files in round table format to obtain settlement authority and Negotiate settlements.
- Assist in preparation for hearings and or appeals with our defense counsel
- Identify possible subrogation opportunities, place responsible party on notice, follow-up and document any recoveries.
- Coordinate scheduling of depositions of parties to the litigation and notify staff of key litigation dates on shared electronic E-Calendar.
- Coordinate and assist with investigations of questionable claims in the event of a pre-existing condition and / or fraud.
- Write up settlement evaluations for all litigated cases
- Gather and report on data, industry patterns, and insurance related topics
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Prioritization, organization, effective time management, creativity and self-discipline are needed to successfully perform in this position.
Setting and achieving goals set is essential, along with the ability to work closely with defense counsel, and effectively manage litigation.
The requirements listed below are representative of the knowledge, skill, and / or ability required.
EDUCATION and / or EXPERIENCE :
High school diploma or GED; and 10 years related experience in liability claims handling. A valid Florida adjusters license is required.
Preference given for college degree and completion of AICPCU course work, such as AIC, ARM, CPCU and industry specific continuing education.
Must provide proof of being fully vaccinated against COVID-19 prior to start of employment.
Bilingual is a plus!
- Comprehensive health benefits medical, dental and vision
- Paid Time Off (PTO) vacation, sick, personal
- Paid Holidays
- 401K with generous company match
- Get access to your pay as you need it with our Daily Pay benefit
- Wellness Programs
- Tuition Assistance
- Fun, family culture
- Employee Assistance Program (EAP)
- Exclusive discounts for Team Member (i.e., hotels, resorts, restaurants, entertainment, etc.)
- Advancement & development opportunities
- Community Involvement Programs
- Safe working environment where all Team members are COVID19 vaccinated
Job Location
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