Casualty Claims Adjuster

Everest Advisors (Uk), Ltd.; Greater London; On-site; GBP 55,000 - 75,000; Full time

Job summary

Everest Insurance in London is seeking an experienced Claims Adjuster to join our Casualty Claims team. You will handle, investigate, evaluate, and resolve a portfolio of complex Casualty, Healthcare, and Medmal claims.

You will collaborate with underwriters and actuaries, guide external experts, and participate in stewardship meetings with customers and brokers to support risk management and business development.

Qualifications

• Extensive experience handling claims within a global insurance company across underwriting platforms and markets.
• Strong understanding of Casualty, Healthcare, and Medmal lines.
• ACII qualification or degree-level education preferred.

Responsibilities

• Investigate, analyse, and evaluate liability, damages, and cost exposures for complex claims; develop resolution plans.
• Review and analyse complex coverage matters and prepare clear coverage correspondence.
• Set and maintain timely, accurate case reserves.
• Prepare Case Summary Reports and Large Claims Reports for significant matters.
• Coordinate external experts, including adjusters and legal professionals, and oversee TPAs.
• Collaborate with underwriters on policy construction and risk insights.
• Communicate with insureds, brokers, and reinsurers; participate in client meetings and events.
• Participate in claim reviews, stewardship meetings, and audits.

Skills

Analytical skills

Negotiation

Communication

Problem solving

Data-driven

Team collaboration

Commercial acumen

Stakeholder management

Education

ACII or degree-level education

Tools

ECF

IMR

ClaimCenter

Job description

Description

About Everest:

Everest is a global leader in risk management, rooted in a rich, 50+ year heritage of enabling businesses to survive and thrive, and economies to function and flourish. We are underwriters of risk, growth, progress and opportunity. We are a global team focused on disciplined capital allocation and long‑term value creation for all stakeholders, who care deeply about our impact on communities and the wider world.

Role Purpose

Everest Insurance is seeking an experienced Claims Adjuster to join our Casualty Claims team in London. Reporting to the Head of Casualty Claims, you will handle, investigate, evaluate, and resolve a portfolio of complex Casualty, Healthcare, and Medmal claims.

You will play an important role within our collaborative Syndicate and Company platforms (UK), applying sound judgment to manage claims strategies while working closely with colleagues. This position involves partnership across the organisation, offering guidance to underwriters and actuaries, and representing Everest in stewardship meetings with customers and brokers.

Key Accountabilities

• Claims Management: Investigate, analyse, and evaluate liability, damages, and cost exposures for complex claims. Develop and implement well‑considered resolution plans, including negotiation and settlement.
• Coverage Analysis: Review and analyse complex coverage matters and prepare clear coverage correspondence.
• Reserving: Set and maintain timely, accurate case reserves in accordance with company policy.
• Reporting: Prepare Case Summary Reports and Large Claims Reports for matters with significant reserves or litigation activity.
• Vendor Management: Coordinate and oversee external experts, including adjusters and legal professionals. Provide oversight of Third‑Party Administrators (TPAs).
• Team Collaboration: Work closely with team members to share technical knowledge, contribute to peer reviews, and support a positive, cohesive team environment.
• Business Partnership: Collaborate with underwriters on policy construction and drafting. Share insight on claim trends, data, and risk considerations to support well‑informed business decisions.
• External Engagement: Communicate effectively with insureds, brokers, and reinsurers. Attend client meetings and relevant industry events to support strong relationships and business development.
• Strategy & Review: Participate in claim reviews, stewardship meetings, and claim audits.

Operational Excellence:

• Support the delivery and continuous improvement of claims data, performance metrics, and management information.
• Identify conduct, performance, or compliance issues and elevate appropriately in line with governance requirements.
• Ensure claims operations meet internal and external quality standards, audit expectations, regulatory obligations, and privacy standards.
• Maintain effective controls to support financial, operational, reputational, and compliance risk management.
• Ensure claims data, analytics, and reporting are accurate, timely, and relevant.

Qualifications, Education & Experience

• Industry Experience: Extensive experience handling claims within a global insurance company across multiple underwriting platforms, jurisdictions, and markets; or significant relevant legal experience.
• Technical Expertise: Strong understanding of Casualty, Healthcare, and Medmal lines.
• Systems Knowledge: Experience with London Market claims systems (e.g., ECF, IMR) and internal systems such as ClaimCenter.
• Legal & Regulatory Knowledge: Knowledge of claims processes, litigation, arbitration, trial procedures, and the wider regulatory environment.
• Education: ACII qualification or degree‑level education preferred.

Skills & Competencies

• Advanced analytical, organisational, and investigative skills.
• Clear, effective verbal and written communication skills, including presenting to senior stakeholders.
• High‑level negotiation skills with the ability to build consensus and resolve complex claim situations.
• Ability to work with data and metrics to support positive outcomes.
• Forward‑thinking, proactive, and well organised.
• Comfortable working closely with colleagues to enhance processes and strengthen team efficiency.
• Solutions‑focused mindset with strong problem‑solving capability.
• Excellent commercial acumen with an understanding of business models, underwriting strategies, and distribution channels.
• Strong interpersonal skills, demonstrating professionalism, respect, and integrity.

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 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. Inclusion and Belonging.
• 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.

All colleagues are held accountable to upholding and supporting our values and behaviors across the company. This includes day to day interactions with fellow colleagues, and the global communities we serve.

Type:

Regular

Time Type:

Full time

Primary Location:

London