Senior Claims Specialist
| Company | Everest |
|---|---|
| Location | Boston, MA, USA, Houston, TX, USA, San Francisco, CA, USA, Los Angeles, CA, USA, Chicago, IL, USA, Middlesex, NJ, USA, New York, NY, USA, Atlanta, GA, USA |
| Salary | $110000 – $175000 |
| Type | Full-Time |
| Degrees | Bachelor’s, JD |
| Experience Level | Senior |
Requirements
- 5+ years experience handling policies with limits of at least $2M+ and claims with value of at least $2M+
- 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
Responsibilities
- 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
Preferred Qualifications
- JD preferred