Segmentation Claim Specialist

Everest • Warren Township, NJ

1d • $75,000 - $85,000 • Hybrid

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 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.

Requirements

• 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

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
• Comply with all relevant state and federal regulations, as well as company policies and procedures

Benefits

• 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)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level