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Title:
Claims Specialist

Company:
Everest Insurance Chile

Job Category:
Claims

Job 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 report

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📌 Claims Specialist (Santiago)
🏢 Everest Re Group
📍 Santiago