Segmentation Claims Specialist

Everest•Warren Township, NJ

1d•$77,000 - $105,000•Hybrid

About The Position

Everest Insurance Company is seeking an early-career Claims Professional to join its Casualty Claims team. The role investigates newly reported casualty losses, often with limited initial information, by gathering facts, clarifying what occurred, and determining whether claims should be routed to Fast Track, Mainstream, or Complex claim teams. The specialist works with insureds, brokers, other insurance carriers, and attorneys—often by phone—to obtain accurate information and summarize findings for internal claim teams. The position offers exposure to varied claim types, injuries, damages, and legal scenarios, and is presented as an entry point into insurance, legal services, risk management, or related fields. The position is based primarily in Warren, New Jersey, with additional locations in New York, New York, and Philadelphia, Pennsylvania. The job posting identifies the role as hybrid. The base salary range is $77,000–$105,000 annually; compensation depends on education, experience, qualifications, and work location.

Requirements

Bachelor’s degree in legal studies, Criminal Justice, PreLaw, Political Science, Business, Finance, or a related field.
Strong written and verbal communication skills, including the ability to turn complex information into clear, professional claim narratives.
Analytical, organizational, and investigative strengths, with curiosity and persistence in resolving missing or conflicting details.
Comfort and professionalism on the phone, including confidence making outbound calls to attorneys, carriers, and other stakeholders.
Ability to interpret information, summarize findings, and draw logical, well-supported conclusions.
Strong time-management skills and ability to prioritize multiple tasks while maintaining attention to detail.
Interest in pursuing a career in insurance, risk management, legal services, or a related field.
Collaborative and team-oriented mindset.

Nice To Haves

Recent graduates and early-career candidates are encouraged to apply.
Curiosity and willingness to learn and responsibly use approved AI, automation, and emerging technologies to improve productivity, effectiveness, and business outcomes.

Responsibilities

Serve as a primary contact for policyholders and brokers regarding newly reported claims.
Review initial claim documents and request missing or clarifying information.
Respond promptly and professionally to inquiries about assigned claims.
Call carriers, attorneys, insureds, and claim professionals to obtain details not included in written reports.
Ask follow-up questions and resolve incomplete or conflicting information.
Conduct investigations and analysis to support accurate claim evaluation.
Review applicable insurance policies to confirm coverage, limits, and exposures.
Develop clear claim narratives explaining what happened, the insured’s involvement, and alleged injuries or damages.
Assess potential injury severity and identify matters requiring escalation.
Triage and route claims based on complexity, severity, coverage, or litigation indicators.
Monitor incoming updates and reassess claim severity as needed.
Document key facts, call outcomes, and recommended next steps in internal systems.
Enter claim data accurately and prepare standard correspondence.
Comply with state and federal regulations and Everest policies and procedures.