First Party Claims Specialist

TN United Kingdom; London; On-site; GBP 40,000 - 80,000; Full time

Job summary

An established industry player is seeking an experienced 1st Party Claims Specialist to join their dynamic Claims Team. In this hybrid role, you will investigate and manage high-value claims across various sectors, including Property and Energy. This position offers the chance to develop technical skills while working with a collaborative team. The company fosters a culture of innovation and empowerment, allowing you to make impactful decisions. If you are driven, analytical, and possess strong negotiation skills, this opportunity to thrive in a supportive environment could be the perfect fit for you.

Qualifications

• 1st Party claims experience with knowledge of jurisdictional laws.
• Strong analytical, negotiation, and communication skills required.

Responsibilities

• Investigate and resolve high-value 1st party claims globally.
• Collaborate with underwriters and external experts on claims.

Skills

Analytical Skills

Claims Adjusting Skills

Negotiation Skills

Communication Skills

Strategic Thinking

Organizational Skills

Problem Solving

Education

Degree in relevant field

ACII qualification

Tools

London Market claims systems (ECF, IMR, Trax)

Job description

Social network you want to login/join with:

Everest Group, a NYSE listed S&P 500, is a leading global reinsurance and insurance provider, operating for nearly 50 years, now in over 15 countries. Everest is a growth company with over $16 Billion of Gross Written Premium offering Property, Casualty and Specialty products. We have extensive product and distribution capabilities backed by a strong balance sheet which is evident in our Financial Agency Ratings of: A+, A+ S and A1.

We take pride in being known in the industry as nimble, entrepreneurial and responsive. Our culture is innovative, we empower our employees to make business decisions within our risk framework at a local level.

Everest Insurance is looking for an experienced 1st Party Claims Specialist to join our Claims Team to help across a variety of business classes in a hybrid role.

Reporting to a Claims Manager, the individual will investigate, evaluate and resolve attritional and complex high-value 1st party claims across the globe, providing oversight and management to 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 organisation by providing input, advice and review to underwriters and actuaries, participate in onboarding and stewardship meetings with customers and influences operations.

Everest underwrite various classes of business and the successful candidate will have the opportunity to develop technical skills to adjust A&H, Cargo, Energy, Fine Art and Specie, Construction and Property.

Key Responsibilities include but not limited to:

• Experienced analytical and claims adjusting skills
• Experience of handling a variety of 1st Party claims such as Property, Cargo, Energy and other first party related claims
• Strong knowledge of 1st Party coverage and endorsements
• Ability to review and analyse coverage and prepare appropriate coverage position letters, and work collaboratively with underwriters to support policy construction and drafting, reporting claim trends, data analysis, and risk assessments
• Ability to review, analyse, investigate and evaluate property damage exposures, estimates, including physical damage, business interruption, subrogation and recovery.
• The management and direction of outside lawyers.
• Ability to manage, direct and audit independent vendors (loss adjusters, TPAs, assistance companies)
• Preparation of case summary reports related to matters of significant reserve activity, and effective communication to key stakeholders
• Timely and appropriate setting of claim reserves
• Development and execution of claim strategies as well as resolution strategies
• Negotiation and resolution of claims, including the attendance at trials, mediations and settlement discussions
• Participate in claim reviews, quarterly claims reserving meetings, claim audits and peer reviews, and stewardship meetings
• Identify issues and trends in the portfolio; take appropriate and/or corrective action where necessary; communicate insights and trends to underwriters, insureds, and brokers
• Effective communication and collaboration with internal stakeholders (Claims Leadership, Underwriters, Finance, Actuaries, Ceded Reinsurance), and externally with insureds, co-insurers, brokers, TPAs, reinsurers and vendors
• Attend client meetings and industry functions to support retention and development of client business and broker relationships
• Performing similar work-related duties as assigned

Qualifications, Education & Experience:

• The ideal candidate will have 1st Party claims experience and current, working knowledge of jurisdictional laws and regulations.
• Ability to evaluate coverage issues involving a wide variety of loss scenarios
• 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
• ACII qualified, degree educated professional is preferable
• Experience with a global insurance organisation or working across multiple underwriting platforms, jurisdictions and markets
• Good working understanding of London Market claims systems (ECF, IMR, Trax)

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

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

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.