Claims Specialist II

Everest Madrid, Community of Madrid, Spain

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About Everest

Everest is a global leader in risk management, rooted in a rich, 50+ year heritage of enabling businesses to survive and thrive, and economies to function and flourish. We are underwriters of risk, growth, progress and opportunity. We are a global team focused on disciplined capital allocation and long-term value creation for all stakeholders, who care deeply about our impact on communities and the wider world.

Role

Title : Claims Specialist II

Company : Everest Insurance (Ireland) Spain

Job Category : Claims

Location : Madrid, Spain (Hybrid : 3 days in office / 2 days remote)

Role Purpose

You will provide effective claims handling in accordance with the Claims Department’s guidelines and procedures. As a Claims Specialist, you will investigate and evaluate Casualty and MedMal claims. You’ll be involved in all aspects of a claim file, including gathering data, conducting investigations, developing claims summaries and timelines, and assigning vendors. A key part of your role will be preparing documentation, maintaining appropriate databases and systems, and preparing claims reports while communicating updated claims information.

Key Accountabilities

• You assist with and / or directly handle all aspects of a claim file from start to finish, including investigation, determining liability, confirming coverage, assessing damages, and drafting claim evaluations with recommended actions.
• You investigate claims, gather relevant data, and compile information and facts, including evaluating external provider reports, securing internal reviews, and developing case summaries and timelines.
• You use litigation and claims management systems to maintain, organize, and retain relevant claims data and files.
• You review claims for investigation status, liability assessment, damage documentation, reserve adequacy, expert witness evaluation, recent developments, and resolution plans, all within Everest’s Best Practices.
• You manage relationships and provide support to internal and external customers, serving as a primary contact for individuals named or involved in claims and lawsuits.
• You maintain collaborative working relationships with other departments and entities to ensure quick responses to internal and external customers.
• You participate in problem-solving and resolution in line with company policies, guidelines, statutes, and regulatory requirements.
• You identify trends and opportunities in claims handling and contribute to reporting and communication efforts.
• You may assist in educating clients and brokers about risk issues identified through claims data to help mitigate future liabilities.
• You perform miscellaneous job-related duties as assigned.
• You conduct salvage, subrogation, or other recovery proceedings through close monitoring. You investigate fraud and ensure timely advice, relevant supporting documents, and responses to inquiries are provided to coinsurers / reinsurers for prompt settlement of their share.

Your Qualifications

What’s it like working at Everest Claims Team in Madrid? Watch this video to learn more.

What if I don’t meet every requirement? At Everest we are dedicated to building an inclusive and authentic workplace. 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. Our values are the guiding principles that inform our decisions, actions and behaviors : 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.

Type : Regular

Time Type : Full time

Primary Location : Madrid, Spain

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