Multiline Claims Specialist

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Job Description:

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.

Overall, role Purpose:

To provide effective claims handling in accordance with the Claims Department’s guidelines and procedures.  The claims specialist will investigate and evaluate claims.

This will involve participation in all aspects of a claim file, including data gathering, investigation, and development of claim summaries and timelines.

A key part of the role is also preparing documentation and maintaining appropriate databases and system, in addition to preparing claims reports and communicating updated claims information to entitled entities wherever applicable.

Nota Bene: Everest is currently undergoing rapid growth, and with it, the claims teams. The Multi Line Claims, specialist could be called upon to help manage casualty, professional indemnity, A&H.

Duties and Responsibilities

Assists with and/or directly handles all aspects of a claim file from beginning to conclusion, including the investigation, determination of liability, confirmation of coverage, assessment of damages, and drafting of claim evaluation for recommended action. Investigates claims, obtains appropriate data, and assembles appropriate information and facts regarding claims, including evaluation of external providers reports, securing internal reviews, and developing case summaries and timelines. Utilizes claims management information systems to maintain, organize, and retain relevant claims data and files. Reviews all claims for status of investigation, coverage analysis, documentation of damages, adequacy of reserves, evaluation of expert witnesses, documentation of recent developments and current plan for claim resolution. Manages relationships and provides support for internal and external customers, serving as a primary source of contact and support for individuals named and/or involved in claims and lawsuits. Maintains cooperative working relationships with other departments and entities in order to facilitate quick responses to internal and external customers. Participates in problem solving and problem resolution, in accordance with Company policy, guidelines and statutes, and regulatory agency requirements. Identifies trends and opportunities in claims and participates in reporting and communication, as directed. May assist with efforts to educate clients and brokers regarding risk issues identified through claims data to mitigate future risks. Performs miscellaneous job-related duties as assigned. Negotiate settlements efficiently, balancing customer satisfaction with cost-effective claims resolution. Provide technical expertise and guidance to junior claims handlers and support staff. Collaborate with underwriters and risk management teams to improve claims processes and reduce future exposure. Ensure claims are handled in a timely and professional manner, maintaining high standards of accuracy and service. Stay up to date with industry trends, legal developments, regulatory changes affecting the claims landscape.

Candidate Profile:

• Strong relevant Casualty and PI claims expertise is essential, minimum of 6-8 years of experience preferably on international insurance companies. Additionally A&H experience and TPA auditing and supervising is an advantage.

• Fluent level of Italian and English, both written and spoken (additional languages are an advantage).

• Bachelor's degree or equivalent preferred

• An inquisitive and entrepreneurial mindset with a desire to share new ideas.

• Strong investigative and problem resolution skills.

• Strong interpersonal skills and the ability to work effectively with a wide range of constituencies in a diverse community.

• Ability to use independent judgment and to manage and impart confidential information.

• Ability to develop and maintain recordkeeping systems and procedures.

• Knowledge of the judicial system and procedures.

• Ability to analyse, interpret and draw inferences from research findings, and prepare reports.

• Knowledge of current and emerging developments and trends within area of expertise.

• Interviewing and data collection skills.

• Ability to work independently and as a member of a team.

• Ability to gather and organize external vendors services.

• Proficiency in the use of computers and Microsoft Office software.

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What 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 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. Inclusion and Belonging.
• 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. 

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