Title: Claims Specialist I (Auto) – TPA Oversight Company: Everest Insurance Company Job Category: Claims Job Description: Everest is a leading global reinsurance and insurance provider, operating for nearly 50 years through subsidiaries in the Europe, Bermuda, Canada, Singapore, US, and other territories. Our strengths include extensive product and distribution capabilities, a strong balance sheet, and an innovative culture. Throughout our history, Everest has maintained its discipline and focuses on creating long-term value through underwriting excellence and strong risk and capital management. But the most critical asset in this organization is our people. 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 or attorney to join our Auto TPA Oversight – Casualty Claims team in Warren, NJ/Walnut Creek, CA. This individual will handle TPA Oversight for commercial auto claims. Responsibilities include but not limited to: * 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: * 3+ years of claims handling experience or legal experience * Third party claim handling experience is preferred * 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 For CA and NYC Only: The base salary range for this position is $70,000-$120,000 annually. The offered rate of compensation will be based on individual education, experience, qualifications and work location. 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: New York, NY, Walnut Creek, CA As an effective team member, employees at Everest Insurance must champion the Everest Insurance Culture: * Collaboration: Open and transparent communication with customers and colleagues * Thoughtful Assumptio To view the full job description, click here>
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