Claims Operations Specialist

Title:

Claims Operations Specialist

Company:

Everest Global Services, Inc.

Job Category:

Claims

Job Description:

About Everest:
Everest Group, Ltd. (Everest), is a leading global reinsurance and insurance provider, operating for nearly 50 years through subsidiaries in North America, Latin America, the UK & Ireland, Continental Europe and Asia Pacific regions. Throughout our history, Everest has maintained its discipline and focuses on creating long-term value through underwriting excellence and strong risk and capital management. Our strengths include extensive product and distribution capabilities, a strong balance sheet, and an innovative culture. Our most critical asset is our people. We offer dynamic training & professional development to our employees. We also offer generous tuition/continuing education reimbursement programs, mentoring opportunities, flexible work arrangements, and Colleague Resource Groups.

Job Summary:

Everest has an opportunity for a Claims Operations professional to join our Ceded Reinsurance team. This individual should possess the ability to understand and apply reinsurance structures to claims, collaborate with organizations claim professionals, coordinate audits, resolve reinsurance inquiries and handle assigned ceded reinsurance operation tasks.

This is a hybrid position working 3 days in office, 2 remote in either our Warren, NJ or Chicago, IL office.

Duties and responsibilities include, but are not limited to:

• Serve as a ceded reinsurance claim point of contact for internal claim department.

• Report claims per reinsurance contract terms.

• Develop external relationships with reinsurers.

• Flag issues and escalate urgent matters to management.

• Monitor incoming correspondence for material updates, assess potential severity and advise internal placement team.

• Respond to reinsurance inquiries in a timely and professional manner.

• Create and maintain claim identification and diary reports for workflow management.

• Comply with all relevant state and federal regulations, as well as company policies and procedures.

Work Experience & Qualifications:

• A minimum of 4 years of claims or reinsurance operations experience.

• Proficient in MS Excel.

• Strong oral and written communication skills.

• Strong analytical, organizational and investigation skills.

• Collaborative mind-set and willingness to work with people outside immediate reporting hierarchy to improve processes and generate optimal departmental efficiency.

• Ability to create spreadsheets and enter information into database.

• Ability to calculate reinsurance based on contract terms.

• Knowledge of the insurance industry, claims and the legal and regulatory environment.

Education:

• Bachelor’s degree or equivalent work experience required.

• Insurance industry designation(s)/certification(s) preferred.

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 here 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. Diversity, Equity and Inclusion.  

• 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.  

#LI-KG1

#LI-Hybrid

Type:

Regular

Time Type:

Full time

Primary Location:

Warren, NJ

Additional Locations:

Chicago, IL - South Riverside

Everest is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy), sexual orientation, gender identity or expression, national origin or ancestry, citizenship, genetics, physical or mental disability, age, marital status, civil union status, family or parental status, veteran status, or any other characteristic protected by law. As part of this commitment, Everest will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Everest Benefits at [email protected].

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