Vice President, Head of Workers Compensation Claims

Title:

Vice President, Head of Workers Compensation Claims

Company:

Everest Insurance Company

Job Category:

Claims

Job Description:

Everest is a leading global reinsurance and insurance organization with extensive product and distribution capabilities, a strong balance sheet and an innovative culture. Throughout our history, Everest has maintained its discipline and focus on creating long term value through underwriting excellence and strong risk and capital management. 

At Everest, we believe that our future is determined by the actions we take today. Actions that go

beyond business strategy and encompass the values important to our employees and the communities in which we operate. Everest’s value commitments include providing an inclusive work environment that offers employees the opportunity to further their development, supporting our communities through the donation of time and financial resources, maintaining our integrity across all aspects of the group, and being an industry innovator to solve global complex risks.

About the Role:

The Head of Workers’ Compensation Claims will lead a team of claims professionals overseeing and managing Third Party Administrators (TPAs) adjusting claims on behalf of Everest Insurance®.  This position will report directly to the Chief Claims Officer of Everest Insurance®.

Responsibilities:

Duties and responsibilities include, but are not limited to:

• Accountable for developing the overall strategic and functional direction for the management of Workers’ Compensation claims

• Accountable for preparing and monitoring departmental budget

• Establish goals, objectives and metrics related to individual performance and operational health, ensuring that goals, objectives, and metrics are aligned with Everest business strategies

• Identify, forecast and present discernible claim trends, jurisdictional, or legal developments

• Development and execution of claims resolution strategies.  Collaboratively working with team members and guiding large loss process, providing strategic and substantive input and ensuring that internal quality control standards are met

• Implement processes to monitor and track status of key cases and associated expenses and develop protocols for the timely reporting and elevation of same within the team

• Advise and present significant cases to the Chief Claims Officer for North America Insurance, as well as the Group Chief Claims Officer and other executive management  

• Accountable for developing, conducting and/or facilitating training of Claims staff, ensuring the highest quality standards for content and presentation are met

• Leading the development, maintenance, sharing, and execution of Claims Handling Best Practices for Third Party Administrators (TPAs), as well as for the Everest Claims team responsible for the oversight and management of TPAs.

• Regular communication with TPA partners to identify trends, reinforce Best Practices, and drive continuous improvement

• Partner with vendor management to build and oversee relationships with third parties essential to the Workers’ Compensation claim process including TPAs, outside counsel, experts, and other consultants

• Extensive communication with insureds, brokers, reinsurers, underwriters, actuaries, and finance professionals 

• Supporting underwriting inquiries and information requests regarding loss trends, data analysis, risk assessments, and other needs

• Attending client meetings and industry functions to support retention and development of client and broker relationships

• Supporting Ceded Reinsurance Claims in audits and inquiries

Qualifications:

• Deep knowledge and experience in the Insurance industry with specialization in Workers’ Compensation claims

• Minimum of 15 years of claims handling and/or claims management experience with demonstrated progressive responsibility across multiple jurisdictions, experience leading organization change preferred

• Middle Market through National and Multinational Account experience preferred

• Four-year degree required; Advanced degrees and/or recognized insurance industry designations preferred

• Ability to work a hybrid work schedule (minimum of 3 days in office) at one of our Everest locations

Knowledge, Skills & Competencies: 

• Strong organizational skills with ability to effectively time manage and multi-task

• Highly effective verbal and written communication skills

• Highly developed interpersonal skills

• Extensive experience training on technical issues

• Excellent presentation and public speaking skills

• Facility with Microsoft Excel and PowerPoint

• Ability to evaluate coverage issues involving a wide variety of loss scenarios

• Ability to develop and execute on cost-effective claims resolution strategies

• Ability to identify and use relevant data and metrics to best manage claims and the operation

• Ability to collaborate effectively with other members of the NA Insurance and Claims leadership teams

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

Everest is committed to recruiting and retaining the most talented individuals in the industry. We offer a dynamic work environment and a competitive compensation and benefit package which includes a 401k plan, retirement/savings option, tuition reimbursement, medical, dental, vision, life and group legal plans.

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.

All considered applicants must be eligible to work in the U.S. with unexpired, acceptable employment eligibility verification documentation.

What if I don't 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 doesn’t 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. 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. 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.  

For CA and NY: The base salary range for this position is $300,000 - $350,000 annually. The offered rate of compensation will be based on individual education, experience, qualifications and work location. 

#LI-HYBRID

#LI-CA1

Type:

Regular

Time Type:

Full time

Primary Location:

Orange, CA

Additional Locations:

New York, NY, Warren, NJ

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].

Everest U.S. Privacy Notice | Everest (everestglobal.com)