Segmentation Claim Specialist

Title:

Segmentation Claim 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.

Everest is a leading global reinsurance and insurance organization with extensive product and distribution capabilities, a strong balance sheet and an innovative culture. Throughout our history, Everest has maintained its discipline and focus on creating long term value through underwriting excellence and strong risk and capital management. But the most critical asset in this organization is our people.

Everest is seeking an entry-level Claims professional to join our Casualty Claims team at our Warren, NJ headquarters. In this role, you will evaluate Casualty claims and litigation to determine whether they should be escalated to our Fast Track, Mainstream, or Complex claim teams.

• Serve as point of contact for policy holders and brokers on recently reported claims
• Review documentation submitted when the claim was reported
• Summarize the facts that support what happened and the extent of the injuries alleged. Follow up with involved parties for additional clarification as needed
• Review relevant policies to confirm coverage details and limits
• Enter loss details into the claim system and send template correspondence as needed
• Use the facts collected to assess the potential severity of alleged injuries
• Flag issues and elevate urgent matters to management
• Monitor incoming correspondence for material updates to reassess potential severity
• Respond to inquiries on assigned claims and accounts in a timely and professional manner
• Investigation, analysis and evaluation of assigned claim
• Comply with all relevant state and federal regulations, as well as company policies and procedures

• A minimum of 2 years of claims/legal experience and working knowledge of the civil litigation legal process
• Strong oral and written communication skills
• Strong analytical, organizational and investigation skills
• Currently holds or readily can obtain all required Adjuster Licenses
• Knowledge of the insurance industry, claims and the legal and regulatory environment
• Collaborative mind-set and willingness to work with people outside immediate reporting hierarchy to improve processes and generate optimal departmental efficiency

• Bachelor’s degree or equivalent work experience required

• Insurance industry designation(s)/certification(s) preferred

The base salary range for this position is $75,000 - $85,000 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).

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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.

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.  to learn more about our culture.

• Our Values are the guiding principles that…