Casualty Claims Adjuster

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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 wellconsidered 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 ThirdParty 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 wellinformed 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 escalate 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 degreelevel education preferred.

Skills & Competencies

• Advanced analytical organisational and investigative skills.

• Clear effective verbal and written communication skills including presenting to senior stakeholders.

• Highlevel negotiation skills with the ability to build consensus and resolve complex claim situations.

• Ability to work with data and metrics to support positive outcomes.

• Forwardthinking proactive and well organised.

• Comfortable working closely with colleagues to enhance processes and strengthen team efficiency.

• Solutionsfocused mindset with strong problemsolving capability.

• Excellent commercial acumen with an understanding of business models underwriting strategies and distribution channels.

• Strong interpersonal skills demonstrating professionalism respect and integrity.

What if I dont meet every requirement At Everest we are dedicated to building an inclusive and authentic workplace. So if you are excited about this role but your past experience doesnt align perfectly with every element in the job description we still encourage you to apply. You may be just the right candidate for this or other roles. Please let us know if you need any accommodations throughout the application or interview process.

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. Clickhereto learn more about our culture.

• Our Valuesare 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 Behaviorsdefine 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.

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