Everest

Claims Specialist

• Ensure compliance with Everest TPA Claim Handling Protocols
• Direct and report on focused claim reviews and file audits
• Maintain active diary system
• Actively manage and resolve claims when appropriate
• Participate in settlement conferences and mediation as needed
• Participate in meetings with policyholders and brokers as needed
• Analyze claims metrics including reserve accuracy, productivity, prompt communication; and expense management
• Develop and execute on 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

Senior Casualty Claims Specialist – TPA Oversight

Cloud Engineer

• Design, implement, and manage secure cloud-based infrastructure
• Ensure robust networking, security, automation, and operational excellence across multi-cloud environments
• Develop and enforce cloud security policies
• Architect and optimize cloud networking solutions
• Lead container security efforts, integrating Kubernetes security policies
• Manage automation infrastructure provisioning, configuration, continuous security, and vulnerability management
• Collaborate with development teams to design secure microservices architectures
• Conduct network forensics, traffic analysis, and incident response for cloud security events
• Define and maintain cloud governance, identity and access controls, PAM

Senior Cloud Engineer III

Research Analyst

• transform complex datasets into actionable insights that help drive strategic decision-making across the Claims organization
• develop and maintain control structures to ensure data accuracy and quality across upstream and downstream systems
• conduct data integrity gap analyses and partner with business and IT teams to resolve discrepancies
• prepare monthly and quarterly claims analytics reports for leadership
• analyze key performance indicators and support data-driven decision-making across the Claims organization
• perform ad hoc reporting and deep-dive trend analysis using large, complex datasets
• assist with forecasting, strategic planning, and operational analytics
• support fraud detection, subrogation analysis, medical management reviews, and legal analytics
• manage and maintain various claims-related databases
• partner with business stakeholders to understand requirements and develop tailored data solutions
• present findings in a clear, concise, and visually compelling format

Insurance Claims Data Research Analyst

Insurance

• Develop and apply predictive models to assess portfolio performance, risk metrics, and profitability.
• Conduct scenario analysis to support strategic decision-making and capital allocation.
• Identify trends, outliers, and opportunities for portfolio improvement using advanced analytics.
• Collaborate with underwriting leadership to translate insights into actionable strategies.
• Prepare and structure underwriting data (treaty, facultative, exposure, premium, loss) for use in a web-based portfolio management tool.
• Design stored procedures, data pipelines, and APIs to support front-end development.
• Ensure data integrity, consistency, and usability across systems.
• Evaluate and enhance existing data workflows and reporting processes.
• Automate data validation, cleansing, and transformation tasks.
• Support the development of scalable data infrastructure for underwriting strategies.

Quantitative Reinsurance Analyst

• Reviewing and analyzing complex coverage issues and preparing coverage positions letters
• Investigating, analyzing, and evaluating liability and damages
• Managing and directing outside counsel; reviewing & approving legal budgets and fee statements
• Preparing Large Claim Reports related to matters of significant reserve and trial activity
• Timely and appropriately setting case reserves
• Developing and executing negotiation and resolution strategies
• Monitoring and attending trials, mediations and settlement conferences
• Engaging with underwriting supporting policy construction and drafting, reporting claim trends, data analysis and risk assessment
• Extensive communications with insureds, brokers, reinsurers and other business contacts
• Attending client meetings and industry functions to support retention and development of client relationships and business.

Senior Professional Liability Claims Specialist

• Intake, investigate, determine coverage, manage and resolve Cyber, Privacy, Media and Tech E&O claims
• Review and analyze complex coverage issues and preparation of coverage position letters
• Handle demanding and complex first party Cyber Claims, including Data Breaches, Business Interruption, Contingent Business Interruption, and Extortion claims
• Handle third party privacy liability, PCI, Regulatory, Media and Tech E&O claims, resolving claims effectively and efficiently
• Assist with emergencies on a rotational on-call schedule
• Management and review of budgets, restoration plans and Business Interruption Income Proofs of Loss
• Investigation, analysis and evaluation of liability and damages
• Management and direction of outside counsel as well as reviewing & approving legal budgets and bills
• Preparation of case summary reports related to matters of significant reserve and trial activity
• Timely and appropriate setting of case reserves
• Development and execution of claim strategies as well as resolution strategies
• Negotiation and resolution of cases
• Attend mediations
• Working with underwriters supporting policy construction and drafting, reporting claim trends, data analysis and risk assessment
• Extensive communication with insureds, brokers, reinsurers and business unit contacts
• Attend client meetings and industry functions to support retention and development of client relationships and business

Cyber Claims Specialist

• Handle mainstream and moderately complex auto, general liability, and excess/umbrella liability claims across a broad range of exposures
• Reviewing and analyzing complex coverage issues and preparation of coverage position letters
• Investigating, analyzing and evaluating liability and damages
• Managing and directing outside counsel
• Preparing case summary reports related to matters of significant reserve and trial activity
• Setting timely and appropriate case reserves
• Developing and executing claim strategies as well as resolution strategies
• Negotiating and resolving cases
• Attending trials, mediations and settlement conferences
• Working with underwriters to support policy construction and drafting, reporting claim trends, data analysis, and risk assessments
• Extensive communication with insureds, brokers, reinsurers, actuaries, and underwriters
• Attending client meetings and industry functions to support retention and development of client relationships and business
• Performing similar work-related duties as assigned.