Title:Claims SpecialistCompany:Everest Insurance ChileJob Category:ClaimsJob Description:Everest Compañía de Seguros Generales Chile S.A., a member of Everest Re Group, Ltd., has an opportunity for a professional (i.e., engineer, accountant, attorney), to join our Claims team in Santiago de Chile. This individual will handle and analyze mainstream and complex general insurance claims of all varieties, with special focus in property, financial lines, and liability claims.Responsibilities include but not limited to:Daily handling, analysis and resolution of claims notified to Everest Compañía de Seguros Generales S.A.Management of claim portfolio at all levels of the adjustment process, ensuring the correct reserving, technical analysis, settlement, and payment of claims. Monitoring reserve development of cases, and proper and timely update of reserves into the Claims System, ensuring appropriate reserves are registered at all times of the process.Keeping system updated with relevant claims communications, supporting documents, Preliminary Reports & FAR, payment and settlement/release documents.Preparation of Impugnation to the Final Adjustment Report (FAR), Observations to the Preliminary Report of Article 24 of DS 1055, analyzing and resolving coverage issues and preparing coverage position letters.Due drafting & handling of settlement/releases and revision of supporting payment documents, ensuring its proper signature as per policies, protocols and formalities defined.Daily assistance to insureds, brokers, Reinsurers & coinsurers on claim related matters.Monitoring adjustment actions and process, and legal adjustment terms as per SLA and applicable regulations, requesting further technical arguments and explanations when required and updated reports.Investigating, analyzing, and evaluating liability and damages.Evaluating, determining, and Monitoring trial development handled by panel counsel.Preparing case summary reports related to matters of significant reserve, involving new trends, trial activity, denial of coverage or contingencies, etc.Coordinating and monitoring recovery actions and salvage process, keeping the system updated.Working with underwriters to support policy construction and drafting, reporting policy contingencies, gaps, claim trends, data analysis, and risk assessments.Evaluation and definition of defense strategy on liability claims and monitoring of nominated counsel. Strict compliance of claim monetary and non-monetary authorizations.Strict compliance of Everest International Claims Standards and LCR, and all other internal guidelines.Strict compliance of Everest Macro Claims Process for Chile and all related guidelines.Collecting and monitoring payment from reinsurers and coinsurers & keep the system updated with actions & payment status.Monitoring and control of claim related costs & expenses.Developing and executing claim strategies as well as resolution strategies.Managing, directing and monitor outside counsel on claim related matters, such as coverage opinions, arbitrations, etc.Attending conferences and handling all necessary and relevant communications related to claims and complex matters with insureds, brokers, adjusters, experts, reinsurers & coinsurers, actuaries, underwriters, and vendors.Negotiating and resolving complex coverage issues as per claim authorities and guidelines.Monitoring relevant jurisprudence on Civil and Labor Cases.Performing similar work-related duties as assigned.Qualifications, Education & Experience:Professional title (preferably accountancy & engineer).4 to 6 years of claims handling experience.Language: Advanced English, written and oral.Strong analytical and organizational skills.Excellent verbal and written communication skills.Strong negotiation and investigation skills.Ability to think strategically.Ability to work under pressure.Ability to adapt to changes.Ability to work with a Team.Ability to identify and use relevant data and metrics to best manage claims.Collaborative mind-set and willingness to work with a Team.Ability and willingness to present to claims management and other members of the Company claim related topics.Knowledge of the insurance industry claims process, applicable regulations, and regulatory environment.Our CultureAt 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.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.Type:RegularTime Type:Full timePrimary Location:Santiago, ChileAdditional Locations:Privacy Notice | Everest (everestglobal.com) Nivel de antigüedad: Sin experienciaTipo de empleo: Jornada completaFunción laboral: Finanzas y VentasSectores: Seguros

Title:Head of Claims, LATAMCompany:Everest Insurance ChileJob Category:ClaimsJob 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 its history, Everest has maintained its discipline and focus on creating long term value through Underwriting excellence and strong risk and Capital Management.Everest Insurance is a growing division of Everest Group. In Latin America (LatAm) it writes multiple lines including Financial Lines, Property, Energy, Marine, Casualty and A&H.Role Purpose: The role leads the LatAm Claims organization across all Lines of Business. The primary purpose of this role is to support the development and execution of Everest’s business strategy through the creation and delivery of Claims solutions, capabilities, and services. The role holder is a member of the Global Claims Executive team and and partners closely with the Head of LatAm Insurance, senior underwriters and country leadershipKey Accountabilities: StrategicLeadership of Claims within LatAmProvision of claims management services within LatAm.Develop and execute strategies to ensure that the LatAm Claims function meets business targets and plansContribute to the development of Global Claims StrategyPersonal oversight of large and complex losses and systemic claims issuesPartner with Regional and Product leadership to ensure effective communication and integration of Claims capabilities and insights to drive business plans and outcomesLead, build and manage Claims teams which will enhance the delivery of strategic goalsMarket facing role, promoting Everest brand and capabilities within LatAmBusiness development and execution of annual business planningProvide services and Claims solutions to support client’s most complex risks and challengesBroker and customer relationship management for LatAm to support the retention and acquisition of businessOperationalProvide management and oversight of LatAm Claims working closely with the Global Head of Claims and central Claims support functionsEnsure that team performance meets or exceeds corporate standards and customer needsEnsure the capture, creation and analysis of data to ensure that claims performance and trends are understood and effectively communicated to all stakeholdersEffective management of expenses to ensure that Everest maintains its competitive advantageCreation of annual Claims budget and forecast based on claim forecasts and staffing modelsMonitor, report, and analyse Claims performance against plan / budget / forecastCarry out Claim Quality Assurance processes as necessary to ensure policies and procedures are being followedManage the performance of TPAs and panel service providers and ensure that an audit strategy is in place and executed for service providersEnsure all claims handlers are operating within their authoritiesEnsure compliance with policies, procedures and controls to meet all regulatory and corporate governance requirements, whether internal or externalPeopleBuild and develop a team which can deliver strategic goals outlined either above or by executive managementAlign, empower, and influence others through ideas, encouragement, and insightGoal setting, performance evaluation and management of direct reportsEvaluation of training needsRemuneration recommendationsKeep leadership and HR apprised of any HR issues that arise, including any disciplinary actions that may be necessarySkills & AbilitiesA highly credible Claims leaderExperience of building and executing strategic plans to develop a Claims organizationExtensive knowledge and experience in managing claims portfolios across multiple lines of businessExceptional oral and written communication, with the ability to provide concise executive summaries to senior managementHighly collaborative and able to work effectively across the organisation as well as with external stakeholdersAbility to adapt and embrace change, solutions drivenTenacity and decisiveness, with the courage to take risksStrong interpersonal skills and demonstrates respect for the opinions of othersProfessional qualifications and experience:A degree educated professional, preferably with Insurance or other qualifications relevant to the role.Demonstrable experience in commercial and specialty claims of multiple classes within LatAmDemonstrable experience in progressive and innovative Claim solutionsExtensive knowledge and experience in managing and building Claims teams and competencies across multiple product linesCompetencies:As a leader of Claims must champion the Everest Insurance Culture:Collaboration: Open and transparent communication with customers and colleaguesDiversity, Equity, and Inclusion: Through a welcoming and open environment that values all individualsThoughtful Assumption of Risk: Supporting the Everest goal of carefully writing profitable business by ensuring data quality, prompt and accurate feedback to Underwriters, and operational control throughout the enterprise.Execution: Delivering outstanding support to the organisation through strong day-to-day business operations, effective project management, and careful oversight of vendors.Humility: Caring and respectful approach to service colleagues, customers, and the community.Leadership: By example, every day. The Everest Core Values are the foundation upon which we (a) conduct our work, and (b) conduct ourselves both internally with our colleagues, and externally with clients/customers. The Company's success and that of our employees begins with these values. All employees are expected to support and exhibit these values in their interactions with others and through their day-to-day responsibilities.Our CultureAt 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.Type:RegularTime Type:Full timePrimary Location:Santiago, ChileAdditional Locations:Bogotá, Colombia, Mexico City, Mexico, Miami, FLGDPR Privacy Notice | Everest (everestglobal.com) Nivel de antigüedad: DirectorTipo de empleo: Jornada completaFunción laboral: Ventas y Desarrollo empresarialSectores: Seguros