Senior Claims Specialist

EVEREST REINSURANCE CO • Warren, NJ • 4h ago

Title:Senior Claims SpecialistCompany:Everest Insurance CompanyJob Category:ClaimsJob Description: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.Responsibilities include but not limited to: 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 issuesQualifications, Education & Experience: 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 environmentThe 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).#LI-Hybrid#LI-KG1What if I don't meet every requirement? At Everest we are dedicated to building an inclusive and authentic workplace. So, if you are excited about this role but your past experience doesn't align perfectly with every element in the job description, we still encourage you to apply. You may be just the right candidate for this or other roles. Please let us know if you need any accommodations throughout the application or interview process.Our CultureAt Everest, our purpose is to provide the world with protection. We help clients and businesses

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