Senior Accident Claims Manager

4 weeks ago

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

About the Role:

Everest Insurance is seeking a Senior Accident & Health Claims Adjuster to join our Claims Team in London. As a key member of our team, you will be responsible for leading the strategy development and execution of A&H Claims management within Everest Insurance International across Europe, Asia, Pacific, and Latin America regions.

Key Responsibilities:

  • Investigate, evaluate, and resolve complex and high-value A&H claims.
  • Provide oversight and management to third-party administrator (TPA) adjusters, lawyers, and other external experts.
  • Contribute to the development of A&H Claims Strategy and Operating Models in partnership with underwriting leadership.
  • Collaborate with Country and Regional management to develop and monitor plans and targets.
  • Manage and engage with various distribution channels to ensure multi-territory capabilities.
  • Support product development and profitability initiatives.
  • Define and enhance Customer Experiences (journey mapping) for A&H customers.
  • 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.

Requirements:

  • Thorough understanding of A&H coverage and programs.
  • Good working understanding of London Market claims systems.
  • 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 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.

About Us:

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 pride ourselves on having a unique and inclusive culture driven by a unified set of values and behaviors.

Our Values:

  • Talent.
  • Thoughtful assumption of risk.
  • Execution.
  • Efficiency.
  • Humility.
  • Leadership.
  • Collaboration.
  • Diversity, Equity, and Inclusion.

Our Colleague Behaviors:

  • Respect everyone.
  • Pursue better.
  • Lead by example.
  • Own our outcomes.
  • Win together.

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