Claims Specialist I
About The Position
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. About the Role: Everest Insurance has an opportunity for a Claims professional to join our Commercial General Liability and Commercial Auto Fast Track Claims team. This individual should possess the ability to handle Commercial General Liability Claims and Commercial Auto claims in a high paced environment. The candidate will analyze basic insurance coverage issues, liability and damage exposures and resolve claims according to certain Best Practices and within stated authority limits. This position will report to an AVP of Casualty Claims.
Requirements
- A minimum of 2 years of third-party liability 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
Nice To Haves
- Insurance industry designation(s)/certification(s) preferred
Responsibilities
- 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 escalate 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
- Timely and appropriate setting of claim reserves
- Negotiation and resolution of claims
- Determining and resolving workload and assignment issues to ensure effective claims processing, expense management and claims disposition
- Comply with all relevant state and federal regulations, as well as company policies and procedures
Benefits
- health insurance coverage
- an employee wellness program
- life and disability insurance
- 401k match
- retirement savings plan
- paid holidays
- paid time off (PTO)
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
