Claims Specialist Jobs

About The Position

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 translate 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.
• Collaborative and team-oriented mindset.

Nice To Haves

• Recent graduates and early-career candidates are encouraged to apply.
• Interest in pursuing a career in insurance, risk management, legal services, or related fields.
• Curiosity and willingness to learn and responsibly use approved AI, automation, and emerging technologies to enhance productivity, effectiveness, and business outcomes.

Responsibilities

• Serve as a primary point of contact for policyholders and brokers on newly reported claims.
• Review initial claim documentation 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 captured in written reports.
• Ask targeted follow-up questions and resolve incomplete or conflicting information.
• Conduct investigation and analysis to support accurate claim evaluation.
• Review applicable insurance policies to confirm coverage, limits, and exposures.
• Develop clear, concise claim narratives explaining the event, the insured’s involvement, and alleged injuries or damages.
• Assess potential injury severity and identify issues requiring escalation.
• Triage and route claims based on complexity, severity, coverage, and 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.
• Ensure compliance with state and federal regulations and Everest policies and procedures.

Benefits

• Health insurance coverage
• Employee wellness program
• Life and disability insurance
• 401(k) match
• Retirement savings plan
• Paid holidays
• Paid time off (PTO)