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Senior Accident
3 months ago
Senior Accident & Health Claims Adjuster
Company:
Everest Advisors (Uk), Ltd.
Job Category:
Claims
Job Description:
About Everest:
Everest Group, Ltd. (Everest), is a leading global reinsurance and insurance provider, operating for over 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 is looking for a Senior Accident & Health ("A&H") Claims Adjuster to join our Claims Team based in London.
Reporting to the Head of Claims UK&I, the primary purpose of this role is to lead the strategy development and execution of A&H Claims management within Everest Insurance International across Europe, Asia, Pacific and Latin America regions. The individual, will investigate, evaluate and resolve complex and high-value A&H claims, providing oversight and management to third party administrator (TPA) adjusters, lawyers and other external experts, with a wide degree of latitude for independent judgment. The individual will contribute across the organisation by providing input, advice and review to underwriters and actuaries, participate in onboarding and stewardship meetings with customers and influences operations.
Key Accountabilities:
- Ensure alignment of A&H Claims Strategy and Operating Models with business needs, partnering with underwriting leadership.
- Oversee outsourced service providers (Assistance Providers, TPA's etc.) for effective A&H claims management.
- Provide strategic data analysis, identifying trends and issues, and report findings to executive leadership.
- Collaborate with Country and Regional management to develop and monitor plans and targets.
- Manage and engage with various distribution channels, ensuring multi-territory capabilities.
- Support product development and profitability initiatives.
- Define and enhance Customer Experiences (journey mapping) for A&H customers, ensuring service excellence.
- Review and analyze complex coverage issues, prepare coverage letters, and case summary reports.
- Develop and execute claim and resolution strategies, including setting case reserves and preparing Large Claim Reports.
- Manage and oversee Third-Party Administrators (TPAs) and outside experts such as adjusters and legal professionals.
- Communicate and collaborate extensively with insureds, brokers, reinsurers, actuaries, and underwriters.
- Attend client meetings and industry functions to support client relationships and business development.
- Thorough understanding of A&H coverage and programmes.
- Good working understanding of London Market claims systems, i.e., ECF, IMR, Trax, etc.
- Knowledge of the insurance industry, claims process and legal and regulatory environment
- Prior claims handling experience gained at mid/senior level
- Experience working across multiple underwriting platforms, jurisdictions and markets
- Ability and willingness to present to senior management and to others in other group settings
- Strong analytical and organisational skills
- Excellent verbal and written communication skills
- Strong negotiation and investigation skills
- Ability to think strategically
- Self-directed and organized
- Ability to influence others and resolve complex, disputed claims
- In-depth knowledge of the litigation, arbitration, and trial process
- 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
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.
Type:
Regular
Time Type:
Full time
Primary Location:
London
Additional Locations:
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