General Liability Claim Adjuster

Job Description

As a General Liability Claims Adjuster, you will be responsible for daily management of liability claims, documenting the files over the course of litigation, discussing legal strategies, analyzing reserves, assisting with settlement negotiations, and conveying pertinent information to management. The role requires regular collaboration with defense counsel and VP of Risk Management for strategic planning and negotiating damage settlements.

To perform this job successfully, an individual must be able to perform each essential duties and responsibilities satisfactorily. Additionally, the person must possess and adhere to the following core company values:

• Integrity

• Passion

• Work Ethic

Essential Duties and Responsibilities:

• Receive, investigate, and successfully resolve claims.

• Review legal documents and claim files and provide recommendations for the handling of legal represented claims

• 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.

• Prep files for mediations, present with defense counsel and VP of Risk Management.

• Manage litigated files

• Write up settlement evaluations for all litigated cases

• Attend monthly Resort Safety meetings.

• Work with insurance carriers and agencies.

• Run ISO reports when applicable

• Attend hearings, mediations and trials utilizing proprietary defensible Westgate 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