Accident Claims Manager

1 week ago

London, Greater London, United Kingdom Everest Advisors (UK), Ltd. Full time

About the Role

We are seeking a highly skilled Accident Claims Manager to join our team at Everest Advisors (UK), Ltd. in London. The successful candidate will lead the strategy development and execution of Accident & Health Claims management within our International Claims Team across Europe, Asia, Pacific, and Latin America regions.

The primary purpose of this role is to investigate, evaluate, and resolve complex and high-value A&H claims, providing oversight and management to third-party administrators (TPAs) adjusters, lawyers, and other external experts with a wide degree of latitude for independent judgment.

This 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 influence 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.

Qualifications, Education & Experience:

  • A thorough understanding of A&H coverage and programmes.
  • A 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 organised.
  • 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.

Our Culture

At Everest Advisors (UK), Ltd., 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 behaviours.

Our Values are the guiding principles that inform our decisions, actions, and behaviours. 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 Behaviours 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.

Estimated Salary:£65,000 - £85,000 per annum, depending on experience.

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