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Segmentation Claims Specialist

$77k - $105k
Full-time

Everest Group

Title:

Segmentation Claims Specialist

Company:

Everest Insurance Company

Job Category:

Claims

Job Description:

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.

About the Role

Everest is seeking anearly careerClaims Professional to join our Casualty Claims this role you will investigate newly reported Casualty losses often with limitedinitialdetails by gathering critical facts clarifying the narrative of what occurred anddeterminingwhether each claim should be assigned to our Fast Track Mainstream or Complex claim teams.

You will work closely with insureds brokers other insurance carriers and attorneys often by phone to obtaintimelyandaccurateinformation and then summarize your findings for internal claim teams. This position provides exposure to a wide range of claim types injuries damages and legal scenarios. It is an excellent launchpad for recent graduates exploring careers in insurance legal services risk management or related professional fields.

As a Segmentation Claims Specialist You Will

Claim Intake and Communication

  • Serve as a primary point of contact for policyholders and brokers on newly reported claims
  • Review initial documentation and request any missing or clarifying information
  • Respond promptly and professionally to inquiries related to assigned claims

Information Gathering and Investigation

  • Make outbound calls to carriers attorneys insureds and claim professionals to obtain details not captured in written reports
  • Ask targetedfollow-upquestions and resolve incomplete or conflicting information
  • Conduct investigation and analysis to supportaccurateclaim evaluation
  • Review applicable insurance policies to confirm coverage limits and exposures

Analysis Narrative Development and Triage

  • Develop clear and concise claim narratives explaining what happened how the insured is involved and what injuries or damages are being alleged
  • Assess potential injury severity andidentifyissues requiring escalation
  • Use investigative findings to triage and route claims appropriately applying sound judgmentregardingcomplexity severity coverage or litigation indicators
  • Monitor incoming updates and reassess claim severity as necessary

Documentation and Administrative Responsibilities

  • Document key facts call outcomes and recommended next steps in internal systems to provide downstream teams with actionable information
  • Enter claim data accurately and prepare standard correspondence
  • Ensure compliance with all state and federal regulations as well as Everest policies and procedures

Qualifications

  • Bachelors degree in legal studies Criminal JusticePreLaw Political Science Business Finance or a related field (recent graduates andearly careercandidates encouraged to apply)
  • Strong written and verbal communication skills with the ability to translate complex information into clear and professional claim narratives
  • Analytical organizational and investigative strengths with curiosity and persistence in resolving missing or conflicting details
  • Comfort and professionalism on the phone including confidence making outbound calls to attorneys carriers and other stakeholders
  • Ability to interpret information summarize findings and draw logical andwell supportedconclusions
  • Strongtime managementskills with the ability to prioritize multiple tasks whilemaintainingattention to detail
  • Interest in pursuing a career in insurance risk management legal services or related fields; ideal for candidates seeking broad exposure and varied work
  • Curiosity and willingness to learn and responsibly use approved AI automation and emerging technologies to enhance productivity effectiveness and business outcomes.
  • Collaborative andteam-orientedmindset

The base salary range for this position is $77000- $105000 annually. The offered rate of compensation will be based on individual education experience qualifications and work location. All offers include access to a variety of benefits to employees including health insurance coverage an employee wellness program life and disability insurance 401k match retirement savings plan paid holidays and paid time off (PTO).

#LI-Hybrid

#LI-AS1

What if I dont 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 doesnt 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. Click here to learn more about our culture.

  • 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.

Type:

Regular

Time Type:

Full time

Primary Location:

Warren NJ

Additional Locations:

New York NY Philadelphia PA

Everest is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion or creed sex (including pregnancy) sexual orientation gender identity or expression national origin or ancestry citizenship genetics physical or mental disability age marital status civil union status family or parental status veteran status or any other characteristic protected by law. As part of this commitment Everest will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process to perform essential job functions and/or to receive other benefits and privileges of employment please contact Everest Benefits at

Required Experience:

IC

Vacancy posted 1 day ago
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