- Daily handling, analysis and resolution of claims notified to Everest. Specialized knowledge of property claims is preferable.
- 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.
- 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 Mexico 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.
- Strong excel skills.
- Professional title (preferably law, accountancy & engineer). If lawyer, due knowledge of litigation, arbitration, and trial process.
- 5 to 6 years of claims handling experience.
- Language : Advanced or Intermediate 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.
- Collaboration : Open and transparent communication with customers and colleagues.
- Thoughtful 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 organization 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.
-
Claims Performance Specialist
hace 1 día
AXA MéxicoEn AXA Partners México nos encontramos en búsqueda de Claims Performance Specialist quien se encontrará de base en CDMX, MX. · **Un poco sobre el rol**: · El Claims Performance Specialist estaría a cargo de establecer una cultura de prevención antifraude, identificando y analizan ...
-
Claims Specialist
hace 1 hora
DSV Tlahuac, MéxicoIf you are a current DSV employee and interested in a position in another country, please contact your Human Resource representative to discuss the process and requirements of applying. · Job Req Number: 80002 · Time Type: Full Time · Claims Specialist · DSV esta en búsqueda un e ...
-
Claims Specialist
hace 2 semanas
Dsv Air & Sea Sau Xico, MéxicoJob Req Number: 80002 · Time Type: Full Time · Claims Specialist DSV esta en búsqueda un especialista del área de reclamos: Por favor considerar las siguientes caracteristocas a continuación: Misión del Cargo: Coordinar y manejar los reclamos que realizan los clientes de los país ...
-
Analyst I
hace 1 semana
Guy Carpenter Ciudad de México**Analyst I**: · **What's in it for you at Guy Carpenter?** · Guy Carpenter & Company, LLC is a leading global risk and reinsurance specialist with over 3,100 professionals in more than 60 offices worldwide. Guy Carpenter offers a powerful combination of brokerage expertise, trus ...
-
Accounts Payable Specialist
hace 2 días
Solera City, MéxicoAccounts Payable Specialist / Mexico · Who We Are · The Role · Solera is seeking a detail-oriented and organized Accounts Payable Specialist to join our finance team. The Accounts Payable Specialist will play a crucial role in ensuring accurate and timely processing of invoices, ...
-
HR Manager
hace 3 días
RGF City, México**Location**: City · **Salary**: SGD 8k to 9k · **Industry**: IT & Digital Media · **Function**: Human Resources & General Affairs · **Job Description**: · **Our client Service/Product**: · Managerial role for the HR team · **The Responsibilities**: · ・Review, revise, and ensure ...
-
Order Management Specialist
hace 2 días
Harman International Ciudad de MéxicoA Career at HARMAN · As a technology leader that is rapidly on the move, HARMAN is filled with people who are focused on making life better. Innovation, inclusivity and teamwork are a part of our DNA. When you add that to the challenges we take on and solve together, you'll disco ...
-
Marketing Specialist
hace 5 días
TD SYNNEX Ciudad de México**Overview**: · **The Vendor Marketing Specialist develops, coordinates, executes marketing campaigns and manages budgets for assigned vendor accounts. The core responsibilities include managing deadlines, projects requirements, vendor marketing activity implementation, and MDF c ...
-
Post Delivery Resolution Specialist-3
hace 1 semana
Sandvik MéxicoDate limite: · Non défini(e) · Pays: · Mexique · Localisation: · El Marqués · ID de poste: · R0056823 · Catégorie d'emploi: · Chaîne d'approvisionnement & Logistique · **POSTULER À CET EMPLOI** · Sandvik Coromant Mexico is looking for a: · POST DELIVERY RESOLUTION SPECIALIST - QU ...
-
Analyst I- Transactional Services
hace 1 semana
Guy Carpenter Ciudad de MéxicoHybrid 60/40 · **Analyst I- Transactional Services**: · **What's in it for you at Guy Carpenter?** · Guy Carpenter & Company, LLC is a leading global risk and reinsurance specialist with over 3,100 professionals in more than 60 offices worldwide. Guy Carpenter offers a powerful c ...
-
Servicio Al Cliente
hace 2 días
FREIGHT ESSENTIALS, LLC México**Job Title**:Logistics Support Specialist · **Schedule**: Mon-Friday 9AM-6PM · **Starting Salary**: $750-$850 USD/Month · **Location**: Cancun, MX · **Description**: · This position is a support role for a large brokerage in the US, providing logistics services throughout the U. ...
-
Employee Relations Specialist
hace 1 semana
Petco MéxicoCreate a healthier, brighter future for pets, pet parents and people · If you want to make a real difference, create an exciting career path, feel welcome to be your whole self and nurture your wellbeing, Petco is the place for you. · Our core values capture that spirit as we wor ...
-
Analyst Ii- Transactional Services
hace 2 días
Guy Carpenter Ciudad de MéxicoHybrid 60/40 · **Analyst II- Transactional Services**: · **What's in it for you at Guy Carpenter?** · Guy Carpenter & Company, LLC is a leading global risk and reinsurance specialist with over 3,100 professionals in more than 60 offices worldwide. Guy Carpenter offers a powerful ...
-
Business Development Specialist
hace 1 semana
FOREO Ciudad de México**Business Development/ Key Account Specialist** · **Location: Mexico City** · **REQUIREMENTS** · - Minimum bachelor's degree · - Proven experience in sales · - 1-3 years of experience in the same or similar job key activities and responsibilities · - Beauty Industry experience i ...
-
Freight Analyst
hace 1 semana
Resideo MéxicoThe ADI North America leadership team is seeking an Operations Specialist to join our growing team which addresses key strategic areas of Transportation operations for ADI. You will be responsible for driving data collection, process mapping, and financial data analysis, to help ...
-
Apoyo Oficina
hace 3 días
FREIGHT ESSENTIALS, LLC México**Título del Puesto**: Soporte logistico · **Horario**: Lunes a Viernes 9AM-6PM · **Salario Inicial**: $750-$850 USD/Mes · **Ubicación**: Cancún, MX · **Descripción**: · Esta posición es para una correduría de logística que proporciona servicios de gestión y programación de envío ...
-
Junior Buyer
hace 5 días
Siemens Energy MéxicoEarly Professional · **A Snapshot of Your Day** · As a Procurement Specialist you will focus on tactical execution of procurement strategies set forth by corporate commodity management and based on commodity also act as strategic buyer to develop and implement sourcing strategies ...
-
Lar Customer Service Coordinator
hace 1 hora
AIG Ciudad de MéxicoWho we are · American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial service ...
-
Supervisor Plant Warehouse Night Shift
hace 4 días
Ball Corporation México**Avance en su carrera en Ball, líder mundial en la fabricación de envases de aluminio sostenibles. Logre cosas extraordinarias cuando se una a nuestro equipo y marque la diferencia en su desarrollo profesional, la comunidad y en todo el mundo** · **Horario de Trabajo: De Jueves ...
-
Junior Procurement Specialist
hace 3 días
Siemens Mobility Ciudad de México**Job Description**: · **Job ID**: · **Company**: · - Siemens, S.A. de C.V.**Organization**: · - Siemens Real Estate**Job Family**: · - SCM-Procurement / Supply Chain Logistics**Experience Level**: · - Mid-level Professional**Full Time / Part Time**: · - Full-time**Remote vs Offi ...
Claims Specialist I - Ciudad de México - Tiger Text
Descripción
Description
Everest, a member of Everest Re Group, Ltd., has an opportunity for a professional (i.e., engineer, accountant, attorney), to join our Claims team in Mexico.
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 :
Qualifications, Education & Experience :
As an effective team member, employees at Everest must champion the Everest Insurance Culture :
Type : Regular
Regular
Time Type : Full time
Full time
Primary Location : Mexico City, Mexico
Mexico City, Mexico
Additional Locations :
#J-18808-Ljbffr