Segmentation Claim Specialist

EVEREST REINSURANCE CO • Warren, NJ • 5h ago

Title:Segmentation Claim SpecialistCompany:Everest Insurance CompanyJob Category:ClaimsJob Description:About Everest Everest is a global leader in risk management, built on more than 50 years of enabling businesses to survive and thrive, and economies to function and flourish. We underwrite risk, growth, progress, and opportunity. As a global team, we are committed to disciplined capital allocation and longterm value creation for all stakeholders, while caring deeply about our impact on communities and the broader world. About the Role Everest is seeking an early career Claims Professional to join our Casualty Claims team. In this role, you will investigate newly reported Casualty losses, often with limited initial details, by gathering critical facts, clarifying the narrative of what occurred, and determining whether each claim should be assigned to our Fast Track, Mainstream, or Complex claim teams.You will work closely with insureds, brokers, other insurance carriers, and attorneys, often by phone, to obtain timely and accurate information, and then summarize your findings for internal claim teams. This position provides exposure to a wide range of claim @types, injuries, damages, and legal scenarios. It is an excellent launchpad for recent graduates exploring careers in insurance, legal services, risk management, or related professional fields. As a Segmentation Claims Specialist, You Will Claim Intake and Communication Serve as a primary point of contact for policyholders and brokers on newly reported claims Review initial documentation and request any missing or clarifying information Respond promptly and professionally to inquiries related to assigned claims Information Gathering and Investigation Make outbound calls to 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 Analysis, Narrative Development, and Triage Develop clear and concise claim narratives explaining what happened, how the insured is involved, and what injuries or damages are being alleged Assess potential injury severity and identify issues requiring escalation Use investigative findings to triage and route claims appropriately, applying sound judgment regarding complexity, severity, coverage, or litigation indicators Monitor incoming updates and reassess claim severity as necessary Documentation and Administrative Responsibilities Document key facts, call outcomes, and recommended next steps in internal systems to provide downstream teams with actionable information Enter claim data accurately and prepare standard correspondence Ensure compliance with all state and federal regulations, as well as Everest policies and procedures Qualifications Bachelor's degree in legal studies, Criminal Justice, PreLaw, Political Science, Business, Finance, or a related field (recent graduates and early career candidates encouraged to apply) Strong written and verbal communication skills, with the ability to translate complex information into clear and 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 and well supported conclusions Strong time management skills with the ability to prioritize multiple tasks while maintaining attention to detail Interest in pursuing a career in insurance, risk management, legal services, or related fields; ideal for candidates seeking broad exposure and varied work * Collaborative and tea

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