(include but not limited to):Strategic Level. Design support for and validation of QA controls, process, capabilities & performance tracking. Ensure work and projects align with the strategic goals of the organization. Process Development/performance reporting of claim handling & improvement activities. Identify business and automation opportunities. May be asked to manage projects or function as Subject Matter Expert. Audit Scheduling, Sample/ Scope Development, Validation of results. Power. BI... more details
Title:
AVP, Global Claims Technical Services
Company:
Everest Insurance Company
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.
About the Role:
As a member of the Global Claims Quality Assurance and Controls team within Everest Insurance, the purpose of this role is to provide functional support of, coordination, design and monitoring of programs and processes that support QA. Position focus is on QA, but may expand to other areas within Claims Technical Services. This individual will report to the Vice President – Global Claims QA & Controls. This position can be based in our office in Warren, NJ on a hybrid work schedule (3 days in office/2 days remote). Remote consideration will be given to candidates outside of commuting distance to an Everest office.
Role & Responsibilities (include but not limited to):
Strategic Level
Design support for and validation of QA controls, process, capabilities & performance tracking.
Ensure work and projects align with the strategic goals of the organization
Process Development/performance reporting of claim handling & improvement activities.
Identify business and automation opportunities
May be asked to manage projects or function as Subject Matter Expert
Audit Scheduling, Sample/Scope Development, Validation of results
PowerBI business intelligence (BI) system
Liaison with Operations and Data teams for data, process, and IT development. Perform data discovery and analysis
TeamThink Audit tool administration and support
Operational expectations
Undertake the analysis for business problems and translate them into requirements to ensure solution meets business requirements.
Perform gap and impact analysis between current and desired state
Effectively translate business problem into business requirements
Provide solution alternatives and recommendations.
Contribute to project definition, cost estimates/tracking
Manage the transition of business requirements into implementation (IT and otherwise)
Coordinate solution design with IT and Operations teams and be accountable for the technical design
Plan projects from start to finish, including identifying processes, deadlines, and milestones.
Timely and high-quality delivery of projects and work
MI and KPI development/delivery for reporting program effectiveness, efficiency, and performance
Execution of yearly business goals
People expectations
Highly collaborative and communicative stakeholder engagement with Claim teams, stakeholders, colleagues, and team members
Deliver objectives by leading and/or influencing teams who are not direct reports.
Adopting the communication and management style appropriate for a given situation
Evaluation of staff training needs and coaching.
Align, empower, and influence others through ideas, encouragement, teamwork, and insight
In future, position may require managing direct reports
Qualifications
3+ years of insurance claims experience in a business analysis or claims management
Project management or data analysis experience in the insurance field
Ability to work cross-functionally to resolve business issues
Strategic thinker, innovative and solution-oriented
Ability to adapt and embrace change, solutions driven, and ability to handle unexpected events
Ability to work independently on assignments of moderate to high complexity
Strong interpersonal skills and demonstrates respect for the opinions of others
Intermediate-level proficiency in MS Excel. Ability to work with formulas, prepare data for analysis using PivotTables and Pivot Charts, make use of WhatIf analysis and validation rules to control data.
Flexibility to work within global time zones, meetings while working remotely, including some travel (10%).
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-Hybrid
#LI-CK1
Type:
Regular
Time Type:
Full time
Primary Location:
Warren, NJ
Additional Locations:
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 everestbenefits@everestglobal.com.
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