Senior Claims Specialist

Overview

Title: Senior Claims Specialist

Company: Everest Insurance Company

Job Category: Claims

About Everest: Everest is a global leader in risk management with a 50+ year heritage, focused on disciplined capital allocation and long-term value creation for all stakeholders. We are underwriters of risk, growth, progress and opportunity, with a global team that cares about communities and the wider world.

Everest Insurance, a member of Everest Re Group, Ltd., has an opportunity for an experienced claims professional or attorney to join our Auto and GL TPA Oversight - Casualty Claims team in Warren, NJ/Walnut Creek, CA/New York, NY/Hartford, CT or Philadelphia, PA. This individual will handle TPA Oversight and quality assessment for general liability and commercial auto claims. This is a hybrid position working 3 days in office, 2 remote.

• Ensure compliance with Everest TPA Claim Handling Protocols
• Direct and report on focused claim reviews and file audits
• Maintain active diary system
• Actively manage and resolve claims when appropriate
• Participate in settlement conferences and mediation as needed
• Participate in meetings with policyholders and brokers as needed
• Analyze claims metrics including reserve accuracy, productivity, prompt communication; and expense management
• Develop and execute action plans to address deficiencies identified within quality reviews
• Conduct regular meetings with TPA adjusters and managers to discuss trends and claim handling strategy
• Develop and maintain relationships with underwriting groups and brokers/agents
• Work with business partners to address customer service issues

• 6-8 years of claims handling experience or related legal experience
• Past supervision experience
• B.A. or B.S. required
• Strong analytical and organizational skills
• Excellent verbal and written communication skills
• Strong negotiation and investigation skills
• Strong computer use skills across multiple claim system platforms
• Ability to think strategically
• Ability to influence others and resolve complex, disputed claims
• In-depth knowledge of the litigation, arbitration, and trial process
• Currently holds or readily can obtain all required adjuster licenses
• Ability to identify and use relevant data and metrics to best manage claims
• Collaborative mind-set and willingness to work with people outside immediate reporting hierarchy to improve processes and generate optimal departmental efficiency
• Ability and willingness to present to senior management and to others in other group settings
• Ability to compose summary reports of quality review findings
• Ability to obtain vendor compliance to Everest claim department standards
• Knowledge of the insurance industry, claims process and legal and regulatory environment

The base salary range for this position is $120,000 - $150,000 annually. The offered rate of compensation will be based on individual education, experience, qualifications and work location. All offers include access to a variety of benefits to employees, including health insurance coverage, an employee wellness program, life and disability insurance, 401k match, retirement savings plan, paid holidays and paid time off (PTO).

All offers include #LI-Hybrid.

What if I don’t meet every requirement? At Everest we are dedicated to building an inclusive and authentic workplace. If your past experience doesn’t align perfectly with every element in the job description, you are encouraged to apply. Please let us know if you need accommodations during the application or interview process.

At Everest, our purpose is to provide the world with protection. We help clients and businesses thrive, fuel global economies, and create sustainable value for our colleagues, shareholders and the communities we serve. We value an inclusive culture driven by a unified set of values and behaviors. Learn more about our culture by visiting our site.

• Our Values
  :
  Talent, thoughtful assumption of risk, execution, efficiency, humility, leadership, collaboration, inclusion and belonging.
• Our Colleague Behaviors
  :
  Respect everyone. Pursue better. Lead by example. Own our outcomes. Win together.

All colleagues are held accountable to upholding our values and behaviors across the company, including day-to-day interactions with colleagues and the communities we serve.

Type: Regular

Time Type: Full time

Primary

Location:

Warren, NJ

Additional Locations: Hartford, CT;
New York, NY;
Philadelphia, PA;
Walnut Creek, CA

Everest is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy), sexual orientation, gender identity or expression, national origin or ancestry, citizenship, genetics, physical or mental disability, age, marital status, civil union status, family or parental status, veteran status, or any other characteristic protected by law. Reasonable accommodations are…