Senior Claims Specialist

Title:

Senior Claims Specialist

Company:

Everest 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 an experienced claims professional or attorney to join our Casualty Claims team in Orange, CA or Walnut Creek, CA as a Senior Claims Specialist.  This individual will handle complex general liability and excess liability and umbrella claims of all varieties.

This position can be based in our office in Orange, CA or Walnut Creek, CA on a hybrid work schedule (3 days in office/2 days remote).

Responsibilities include but not limited to:

• Reviewing and analyzing complex coverage issues and preparation of coverage position letters

• Investigating, analyzing and evaluating liability and damages

• Managing and directing outside counsel

• Preparing case summary reports related to matters of significant reserve and trial activity

• Setting timely and appropriate case reserves

• Developing and executing claim strategies as well as resolution strategies

• Negotiating and resolving cases

• Attending trials, mediations and settlement conferences

• Managing and overseeing Third party administrators (TPAs)

• Working with underwriters to support policy construction and drafting, reporting claim trends, data analysis, and risk assessments

• Extensive communication with insureds, brokers, reinsurers, actuaries, and underwriters

• Attending client meetings and industry functions to support retention and development of client relationships and business

• Performing similar work-related duties as assigned

Qualifications, Education & 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

• 10 years of claims handling experience or legal experience

• B.A. or B.S. required; JD 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 cu