Claims Specialist - Fast Track
About The Position
Everest Insurance is seeking a Claims professional to join 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 Claims Specialist serves as a point of contact for policyholders and brokers on recently reported claims; reviews submitted documentation and relevant policies; summarizes claim facts and alleged injuries; and follows up with involved parties as needed. The role records loss details, sends template correspondence, assesses the potential severity of injuries, flags urgent matters for management, and monitors incoming correspondence for material updates. The position also involves investigating, analyzing, evaluating, reserving, negotiating, and resolving assigned claims; addressing workload and assignment issues to support effective claims processing and expense management; responding to inquiries professionally and promptly; and complying with applicable regulations and company procedures. The successful candidate is expected to remain curious and responsibly use approved AI, automation, and emerging technologies to improve productivity and business outcomes.
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, and follow up with involved parties for 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 collected facts to assess the potential severity of alleged injuries.
- 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.
Benefits
- Health insurance coverage
- Employee wellness program
- Life and disability insurance
- 401(k) match
- Retirement savings plan
- Paid holidays
- Paid time off (PTO)
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
