Title:
Claims Specialist I (TPA Oversight)
Company:
Everest Insurance Company
Job Category:
Claims
Job Description:
Everest Group, a NYSE listed S&P 500, is a leading global reinsurance and insurance provider, operating for nearly 50 years, now in over 15 countries. Everest is a growth company offering Property, Casualty and Specialty products. We have extensive product and distribution capabilities backed by a strong balance sheet which is evident in our Financial Agency Ratings of: A+ A. M. Best, A+ S&P Global and A1 Moody’s Investor Service.
We take pride in being known in the industry as nimble, entrepreneurial and responsive. Our culture is innovative, we empower our employees to make business decisions within our risk framework at a local level.
At Everest, we are committed to the development of our people. We offer dynamic training & professional development to our employees. You will benefit from career development and learning opportunities that will let you set career goals and fulfill them, including:
- Generous tuition/continuing education reimbursement
- Mentoring opportunities
- Flexible work arrangements
- Talent development initiatives
- Networking groups
Everest Insurance, a member of Everest Re Group, Ltd., has an opportunity for an experienced claims professional to join our Auto and GL TPA Oversight - Casualty Claims team as a Claims Specialist I. This is a hybrid role (3 days in office/2 days remote). This individual will handle TPA Oversight for general liability and commercial auto claims.
Responsibilities:
- Ensure compliance with Everest TPA Claim Handling Protocols
- Perform focused claim reviews
- Actively manage and resolve claims where 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
- 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
Qualifications, Education & Experience:
- 2+ years of commercial claims handling experience
- Experience with litigation management and bodily injury claims is required
- Prior commercial TPA oversight experience is strongly preferred
- B.A. or B.S. or equivalent work experience
- Strong analytical and organizational skills
- Excellent verbal and written communication skills
- Strong negotiation and investigation skills
- 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
- Knowledge of the insurance industry, claims process and legal and regulatory environment
Our Culture:
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 that we serve. We also pride ourselves on having a unique and inclusive culture which is driven by a unified set of values and behaviors.
- Our Values are the guiding principles that inform our decisions, actions and behaviors. They are an expression of our culture and an integral part of how we work: Talent. Thoughtful assumption of risk. Execution. Efficiency. Humility. Leadership. Collaboration. Diversity, Equity and Inclusion.
- Our Colleague Behaviors define how we operate and interact with each other no matter our location, level or function: Respect everyone. Pursue better. Lead by example. Own our outcomes. Win together.
All colleagues are held accountable to upholding and supporting our values and behaviors across the company. This includes day to day interactions with fellow colleagues, and the global communities we serve.
Type:
Regular
Time Type:
Full time
Primary Location:
Warren, NJ
Additional Locations:
Boston, MA, Chicago, IL - South Riverside, Hartford, CT, Philadelphia, PA
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. As part of this commitment, Everest will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Everest Benefits at everestbenefits@everestglobal.com.
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