Casualty Claims Adjuster
5 months ago
Title:
Casualty Claims Adjuster
Company:
Everest Advisors (Uk), Ltd.
Job Category:
Claims
**Job Description**:
Everest Insurance, has an opportunity for Claims Adjuster to join our Casualty Claims Team in our London office.
Reporting to the Casualty Claims Manager, this individual will be responsible for the handling of Casualty and MedMal claims underwritten from the UK on our Syndicate and Company platforms. In addition, they will provide oversight and management of third-party administrators (TPA’s) adjusters, lawyers and other external experts, with a wide degree of latitude for independent judgment.
The individual will contribute across the organization by providing input, advice and review to underwriters and actuaries, participates in onboarding and stewardship meetings with customers and influences operations.
Key Accountabilities:
- Proactive handling of Casualty and MedMal claims from first notice to ultimate resolution.
- Highly developed analytical skills
- Reviewing and analysing complex coverage issues
- Investigating, analysing, and evaluating liability and damages
- Managing and directing outside experts including adjusters and lawyers
- Preparing case summary reports related to matters of significant reserve and litigation activity
- Setting timely and appropriate case reserves
- Preparation of Large Claim Reports in respect of significant reserve and litigation activity
- Developing and executing claim strategies as well as resolution strategies
- Negotiating and resolving cases
- Managing and overseeing TPAs
- Working with underwriters to support policy construction and drafting, reporting claim trends, data analysis, and risk assessments
- Participate in claim reviews, stewardship meetings and claim audits
- Extensive communication and collaboration 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
- 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
- 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
- 5-10 years of relevant claims handling or legal experience
- ACII qualified, lawyer or degree educated professional is preferrable
- Experience with a global insurance company working across multiple underwriting platforms, jurisdictions and markets
- Good working understanding of London Market claims systems, i.e. ECF, IMR, Trax, etc.
- Thorough understanding of Casualty coverage.
Knowledge, Skills & Competencies:
- Collaboration: Open and transparent communication with customers and colleagues
- Diversity, Equity, and Inclusion: Through a welcoming and open environment that values all individuals
- Thoughtful Assumption of Risk: Supporting the Everest goal of carefully writing profitable business by ensuring data quality, prompt and accurate feedback to Underwriters, and operational control throughout the enterprise
- Execution: Delivering outstanding support to the organisation through strong day-to-day business operations, effective project management, and careful oversight of vendors
- Humility: Caring and respectful approach to service colleagues, customers, and the community
- Leadership: By example, every day
The Everest Core Values are the foundation upon which we (a) conduct our work, and (b) conduct ourselves both internally with our colleagues, and externally with clients/customers. The Company's success and that of our employees begins with these values. All employees are expected to support and exhibit these values in their interactions with others and through their day-to-day responsibilities.
- 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 ass
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