AVP, Global Claims Controls & Programs

Overview

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.

Job Summary: As a member of the Global Claims Quality Assurance and Controls team within Everest Insurance, the role of this position is to evaluate, develop, and maintain a robust risk and control framework within global insurance claims, leveraging data analytics to enhance insights and decision-making, while also managing related projects.

Responsibilities:

• Strategic Level: Demonstrate an in-depth knowledge of claims operations and strategy, including financial and performance metrics, as well as the relevant regulatory landscape.
• Strategic Level: Develop and maintain Risk Control Matrices and Claims Process Narratives for each region within Global Claims to support a consistent and effective internal control framework.
• Strategic Level: Drive continuous improvement across systems, business processes, and operations by identifying enhancement opportunities and partnering with management to implement solutions—occasionally leading strategic projects to ensure successful execution.
• Strategic Level: Build strong relationships with key process owners and stakeholders across the organization, fostering trust and collaboration. Champion the importance of a strong first line of defense within the claims function.
• Strategic Level: Use data and analytics to contribute to greater efficiency in the execution of audits, control testing and greater insights into risk assessments.
• Operational expectations: Conduct control testing to evaluate process effectiveness, document findings, identify risks or non-compliance, and support remediation with stakeholders.
• Conduct periodic meetings/walkthroughs with process owners to ensure any changes to processes are made and controls are properly assessed for design effectiveness.
• Serve as point of contact for control audits, ensuring timely delivery and alignment with audit expectations. Support coordination of management responses and remediation plans.
• Collaborate with data teams to design, enhance, and maintain control reports and dashboards that support effective testing and monitoring of control execution.
• Collaborate with IT and Claims Operations to implement a centralized tool for storing and accessing control evidence, testing results, attestations, and reporting metrics.
• Consistently execute assigned tasks and meet performance metrics aligned with organizational OKRs and KPIs.
• Obtain, catalogue, manage, and retain internal control evidences in a structured manner, ensuring easy retrieval and effective version control.
• Lead and manage assigned projects by coordinating timelines, resources, and stakeholder communications to ensure successful execution and alignment with business objectives.
• Ensure timely and clear communication of results to relevant teams and leadership.

People expectations:

• Demonstrates a high level of initiative and independence, consistently taking ownership of responsibilities without the need for close supervision. Trusted to manage tasks effectively and drive progress, including those delegated by leadership.
• Must be able to manage multiple concurrent projects with competing priorities, effectively leveraging experience to optimize efficiency. Flexibility to work outside standard hours may be required during urgent or high-pressure situations.
• Use technology tools to automate and streamline work in a fast-paced environment.
• Demonstrate curiosity and persistence in learning operational processes by asking questions, exploring workflows, identifying pain points, and validating information through collaboration and documentation.
• Strong communication skills with the ability to collaborate across teams—Claims, Finance, Compliance, Internal Audit, and others—to build consensus.
• Adapt communication and management style to effectively engage diverse, global stakeholders.

Job Requirements:

• Minimum of 3 years of audit experience in the insurance industry, with a strong understanding of claims processes and internal controls.
• Strategic thinker, innovative and solution-oriented.
• Ability to work independently on assignments of moderate to high complexity.
• Project management and data analysis experience.
• Ability to adapt and embrace change, and to remain effective during unexpected events.
• Ability to work cross-functionally to resolve business issues.
• Strong interpersonal skills and demonstrate respect for the opinions of others.
• Must be proficient in Excel, MS Office and general computer applications.
• Ability to adapt communication and management style to effectively engage and influence a diverse, global stakeholder base across functions and regions.
• Willingness to work across global time zones, including outside standard business hours as needed, and travel domestically and internationally up to 10%.

What if I don’t meet every requirement? At Everest we are dedicated to building an inclusive and authentic workplace. So, 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. 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. 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.