Claims Specialist - Fast Track

Everest Group•Warren, NJ

2d•Hybrid

About The Position

Everest Insurance is hiring a Claims Specialist for its Commercial General Liability and Commercial Auto Fast Track Claims team. The role handles Commercial General Liability and Commercial Auto claims in a fast-paced environment, analyzing basic coverage issues, liability and damage exposures, and resolving claims according to established best practices and authority limits. The position is based in Warren, New Jersey, with remote work also listed as an additional location. The specialist serves as a contact for policyholders and brokers on recently reported claims, reviews submitted documentation and relevant policies, summarizes claim facts, and follows up with involved parties as needed. The specialist assesses the potential severity of alleged injuries, enters claim details into the claim system, sends template correspondence, monitors updates, and escalates urgent matters. The role also includes investigation, analysis, evaluation, reserving, negotiation, and resolution of assigned claims, along with workload and assignment management and compliance with applicable laws and company procedures. The successful candidate demonstrates curiosity and a willingness to learn, and responsibly uses approved AI, automation, and emerging technologies to improve productivity, effectiveness, and business outcomes. A bachelor’s degree or equivalent work experience is required; insurance designations or certifications are preferred. The role is regular, full-time employment. The listed annual base salary range is $77,000–$105,000, with compensation dependent on factors including education, experience, qualifications, and work location.

Requirements

At least 2 years of third-party liability claims or legal experience.
Working knowledge of the civil litigation legal process.
Strong oral and written communication skills.
Strong analytical, organizational, and investigation skills.
Currently hold or be able to readily obtain all required adjuster licenses.
Knowledge of the insurance industry, claims, and the legal and regulatory environment.
Collaborative mindset and willingness to work with people outside the immediate reporting hierarchy to improve processes and departmental efficiency.
Bachelor’s degree or equivalent work experience.

Nice To Haves

Insurance industry designation(s) or certification(s).

Responsibilities

Serve as a point of contact for policyholders and brokers on recently reported claims.
Review documentation submitted when claims are reported.
Summarize facts about what happened and the extent of alleged injuries; follow up with involved parties for clarification as needed.
Review policies to confirm coverage details and limits.
Enter loss details into the claim system and send template correspondence as needed.
Assess the potential severity of alleged injuries using collected facts.
Flag issues and escalate urgent matters to management.
Monitor incoming correspondence for material updates and reassess potential severity.
Respond to inquiries on assigned claims and accounts in a timely and professional manner.
Investigate, analyze, and evaluate assigned claims.
Set claim reserves in a timely and appropriate manner.
Negotiate and resolve claims.
Resolve workload and assignment issues to support effective claims processing, expense management, and claims disposition.
Comply with relevant state and federal regulations and company policies and procedures.
Responsibly use approved AI, automation, and emerging technologies to enhance productivity, effectiveness, and business outcomes.