Senior Casualty Claims Specialist - TPA Oversight

Title Senior Casualty Claims Specialist – TPA Oversight Company Everest Insurance Company Job Category Claims Job Summary Everest Insurance, a member of Everest Re Group, Ltd., invites an experienced claims professional or attorney to join our Auto and General Liability TPA Oversight – Casualty Claims team in Warren, NJ, New York, NY or Philadelphia, PA. The role focuses on TPA Oversight and quality assessment for general liability and commercial auto claims. This hybrid position requires working in office 3 days and remotely 2 days. Responsibilities Ensure compliance with Everest TPA Claim Handling Protocols Direct and report on focused claim reviews and file audits Maintain an active diary system Actively manage and resolve claims when appropriate Participate in settlement conferences and mediation when needed Participate in meetings with policyholders and brokers when needed Analyze claims metrics including reserve accuracy, productivity, prompt communication, and expense management Develop and execute action plans to address deficiencies identified within quality reviews Conduct regular meetings with TPA adjusters and managers to discuss trends and claim handling strategy Develop and maintain relationships with underwriting groups and brokers/agents Work with business partners to address customer service issues Qualifications 6–8 years of claims handling experience or related legal experience Past supervision experience B.A. or B.S. required Strong analytical and organizational skills Excellent verbal and written communication skills Strong negotiation and investigation skills Strong computer skills across multiple claim system platforms Ability to think strategically Ability to influence others and resolve complex, disputed claims In-depth knowledge of litigation, arbitration, and trial process Currently holds or can readily obtain all required adjuster licenses Ability to identify and use relevant data and metrics to manage claims Collaborative mindset and willingness to work with people outside immediate reporting hierarchy to improve processes and maximize departmental efficiency Ability and willingness to present to senior management and others in group settings Ability to compose summary reports of quality review findings Ability to obtain vendor compliance with Everest claim department standards Knowledge of the insurance industry, claims process, and legal and regulatory environment Salary & Benefits Base salary range: $120,000 – $150,000 annually. Compensation is based on individual education, experience, qualifications, and location. All offers include access to health insurance coverage, an employee wellness program, life and disability insurance, a 401(k) match, a retirement savings plan, paid holidays, and paid time off (PTO). Location Primary Location: Warren, NJ. Additional Locations: New York, NY; Philadelphia, PA. Equal Opportunity Employer 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, or to receive other benefits and privileges of employment, please contact Everest Benefits at View email address on click.appcast.io. #J-18808-Ljbffr Everest