Current jobs related to Claims Adjuster - Ocoee, Florida - Westgate Resorts

Westgate Resorts is seeking a highly skilled General Liability Claims Adjuster to join our team. As a General Liability Claims Adjuster, you will be responsible for managing litigated claims, documenting files, discussing legal strategies, analyzing reserves, and negotiating settlements.

• Receive, investigate, and resolve claims in a timely and efficient manner.
• Review legal documents and claim files to provide recommendations for handling legal represented claims.
• Follow up on all new cases to communicate with involved parties and resolve claims.
• Coordinate with other departments to investigate claims, obtain documentation, and oversee safety programs to reduce guest-related claims.
• Maintain close contact with plaintiff and defense counsel to reduce claims litigation and improve claims resolution.
• Prepare files for mediations, present with defense counsel and VP of Risk Management, and manage litigated files.
• Write up settlement evaluations for all litigated cases and attend monthly Resort Safety meetings.
• Work with insurance carriers and agencies, run ISO reports when applicable, and attend hearings, mediations, and trials using proprietary defensible Westgate programs.
• Obtain, review, and evaluate medical information on guests to ensure treatment is causally related to the claim.
• Present files in round table format to obtain settlement authority and negotiate settlements.
• Assist in preparation for hearings and appeals with defense counsel, identify subrogation opportunities, and place responsible parties on notice.
• Coordinate scheduling of depositions and notify staff of key litigation dates on shared electronic calendars.
• Coordinate and assist with investigations of questionable claims, including pre-existing conditions and fraud.

• High school diploma or GED required.
• 5 years of related experience and/or training, or equivalent combination of education and experience in liability claims handling.
• Valid Florida adjuster's license required.
• Preference given for college degree and completion of AICPCU coursework, such as AIC, ARM, CPCU, and industry-specific continuing education.

• Comprehensive health benefits – medical, dental, and vision.
• Paid Time Off (PTO) – vacation, sick, and personal.
• Paid Holidays.
• 401K with generous company match.
• Get access to your pay as you need it with our Daily Pay benefit.
• Family benefits, including pregnancy, parental leave, and adoption assistance.
• Wellness Programs.
• Flexible Spending Accounts.
• Tuition Assistance.
• Military Leave.
• Employee Assistance Program (EAP).
• Life, Disability, Accident, Critical Illness & Hospital Insurance.
• Pet Insurance.
• Exclusive discounts for Team Members.
• Advancement & development opportunities.
• Community Involvement Programs.

Westgate Resorts is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, or any other protected status under federal, state, or local law.