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Everest

Claims Specialist II

Reposted Yesterday
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In-Office
5 Locations
100K-140K Annually
Mid level
In-Office
5 Locations
100K-140K Annually
Mid level
Manage Surety claims, investigate contract matters, assess liability, negotiate settlements, and produce reports while collaborating with various teams and stakeholders.
The summary above was generated by AI

Title:

Claims Specialist II

Company:

Everest Insurance Company

Job Category:

Claims

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.

Role Overview

This individual will primarily manage Surety claims and pre-claim matters, including investigating contract and commercial surety bond claims. They will work within defined authority limits on assignments that involve significant technical complexity and coordination. By applying claims policies and guidelines, they will review coverage, assess liability and compensability, identify and implement loss mitigation strategies, and negotiate and resolve claims. This is a hybrid role (3 days in office/2 days remote) based in in Warren NJ, Atlanta, Philadelphia, Boston, or Chicago office.

Key responsibilities include but are not limited to:

  • Performs a combination of duties in accordance with departmental guidelines.

  • Interprets complex bond coverages and determines if coverages apply to claims submitted, escalating issues as needed.

  • Sets reserves and authorizes payments within scope of authority.

  • Ensures issuance of disbursements while managing loss costs and expenses.

  • Coordinates and performs investigations and evaluates claims and suits through contact with principals, claimants, business partners, counsel, and experts.

  • Seeks early resolution opportunities; utilizes negotiation skills to develop complex settlement packages; identifies claims with recovery potential and coordinates with subrogation/salvage unit.

  • Partners with attorneys, account representatives, agents, underwriters, and principals to develop a focused strategy for timely and cost-effective resolution of more complex claims.

  • Analyses claims activities. Prepares and presents reports for management. May be responsible for special projects and presentations.

  • Responsible for input of data that accurately reflects claim circumstances and other information important to our business outcomes.

  • May provide guidance and assistance to other claims staff and functional areas.

  • Partners with the Underwriting teams with regards to marketing the Surety product.

  • Provide Underwriting teams with data and metrics regarding claims trends and market insights.

  • Stays up-to-date with state and territory regulations, industry activities, trends, and emerging issues.

Qualifications, Education & Experience:

  • 3+ years of experience managing specialty or surety claims or Juris Doctor with 2+ years of law firm experience.

  • Demonstrable technical expertise and product specific knowledge.

  • Strong interpersonal communication and negotiation skills. Ability to effectively interact with all levels of Everest’s internal and external business partners.

  • Ability to work independently managing time and resources to accomplish multiple tasks and meet deadlines.

  • Strong analytical and problem-solving skills enabling viable alternative solutions.

  • Ability to exercise independent judgement and make critical business decisions effectively assessing the merits of claims as well as evaluating claims based on a cost benefit analysis.

  • Solid knowledge of Microsoft Office suite as well as other business-related software.

  • Ability to adapt to change and value diverse opinions and ideas.

  • Ability to fully comprehend claim information; and to further articulate the analysis of claims in internal reports.

  • Ability to handle claims with a proactive long-term view of business goals and objectives

For NJ and IL only: The base salary range for this position is $100,000 - $140,000 annually. The offered rate of compensation will be based on individual education, experience, qualifications and work location.

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. 

Type:

Regular

Time Type:

Full time

Primary Location:

Warren, NJ

Additional Locations:

Atlanta, GA, Boston, MA, Chicago, IL - South Riverside, Philadelphia, PA

Everest is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy), sexual orientation, gender identity or expression, national origin or ancestry, citizenship, genetics, physical or mental disability, age, marital status, civil union status, family or parental status, veteran status, or any other characteristic protected by law. As part of this commitment, Everest will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Everest Benefits at [email protected].

Everest U.S. Privacy Notice | Everest (everestglobal.com)

Top Skills

MS Office

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