Claims Specialist I
Posted 30+ Days Ago
Title:
Claims Specialist I
Company:
Everest National Insurance Company
Job Category:
Claims
Job Description:
About Everest:
Everest Group, Ltd. (Everest), is a leading global reinsurance and insurance provider, operating for nearly 50 years through subsidiaries in North America, Latin America, the UK & Ireland, Continental Europe and Asia Pacific regions. Throughout our history, Everest has maintained its discipline and focuses on creating long-term value through underwriting excellence and strong risk and capital management. Our strengths include extensive product and distribution capabilities, a strong balance sheet, and an innovative culture. Our most critical asset is our people. We offer dynamic training & professional development to our employees. We also offer generous tuition/continuing education reimbursement programs, mentoring opportunities, flexible work arrangements, and Colleague Resource Groups.
About the Role:
Everest Insurance, a member of Everest Re Group, Ltd., has an opportunity for a Claims professional to join our Commercial General Liability and Commercial Auto Fast Track Claims team. This individual should possess the ability to handle Commercial General Liability Claims and Commercial Auto claims in a high paced environment. The candidate will analyze basic insurance coverage issues, liability and damage exposures and resolve claims according to certain Best Practices and within stated authority limits. This position will report to an AVP of Casualty Claims. This position is based in our Warren, NJ or Philadelphia, PA office on a hybrid work schedule (3 days in office/2 days remote).
Role & Responsibilities (include but not limited to):
Review and analyze coverage and prepare appropriate coverage position letters
Investigation, analysis, and evaluation of assigned claims, including Collision, Auto and General Liability Property Damage and Bodily Injury, Med Pay and PIP if applicable
Extensive communication with insureds, brokers, reinsurers, actuaries, and business unit contacts
Attend client meetings and industry functions to support retention and development of client relationships and business
Effectively manage a portfolio of claims while maintaining a current diary
Management and direction of outside counsel as well as the review and approval of legal and/or expense budgets and bills
Preparation of case summary reports related to matters of significant reserve activity
Timely and appropriate setting of claim reserves
Development and execution of claim strategies as well as resolution strategies
Negotiation and resolution of claims
Ensure effective claims processing, expense management and claims disposition
Participate in mediations
Identify issues and trends in the portfolio and elevation of same to senior management; communicating trends to underwriters, insureds and brokers
Work Experience & Qualifications:
A minimum of 2-4 years of claims experience in Commercial General Liability and/or Auto claims
Current, working knowledge of jurisdictional laws and regulations
Strong oral and written communication skills
Strong analytical and organizational skills
Strong negotiation and investigation skills
Basic understanding of MCS 90 regulations
Ability to evaluate coverage issues involving a wide variety of loss scenarios
Ability to think strategically
Currently holds or readily can obtain all required Adjuster Licenses
Knowledge of the insurance industry, claims and the legal and regulatory environment
Knowledge of claims handling or insurance legal statutes and procedures
Ability to identify and use relevant data and metrics to best manage claims
Ability to and willingness to present to management and other group settings
Ability to influence others and resolve disputed claims
Minimal travel may be required
Education:
Bachelor’s degree or equivalent work experience required
Insurance industry designation(s)/certification(s) preferred
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. Click here to learn more about our culture.
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.
#LI-Hybrid
#LI-CK1
Type:
Regular
Time Type:
Full time
Primary Location:
Warren, NJ
Additional Locations:
Philadelphia, PA