Senior Claims Specialist

Everest Group•Warren, NJ

8h•Hybrid

About The Position

About Everest: Everest is a global leader in risk management, rooted in a rich, 50+ year heritage of enabling businesses to survive and thrive, and economies to function and flourish. We are underwriters of risk, growth, progress and opportunity. We are a global team focused on disciplined capital allocation and long-term value creation for all stakeholders, who care deeply about our impact on communities and the wider world. Job Summary: 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.

Requirements

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
Knowledge of the insurance industry, claims process and legal and regulatory environment

Responsibilities

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 on 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