Casualty Claims Investigator - Early Career

Everest

New York (NY)

On-site

USD 77,000 - 105,000

Full time

3 days ago
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Benefits offered by this job

Health insurance
Wellness program
Life and disability insurance
401k match
Retirement savings plan
Paid holidays
Paid time off

Job summary

Everest Insurance Company is seeking an Segmentation Claims Specialist to join the Casualty Claims team. The role centers on investigating newly reported claims, gathering critical facts, and determining appropriate claim pathways from Fast Track to Complex teams.

You will interact with insureds, brokers, attorneys, and other carriers, explaining findings and supporting timely, accurate evaluations. This is an excellent launchpad for recent graduates exploring insurance or risk management

Qualifications

  • Bachelor's degree in legal studies, Criminal Justice, PreLaw, Political Science, Business, Finance, or related field (recent grads encouraged)
  • Strong written and verbal communication; translate complex info into clear narratives
  • Analytical, organizational, investigative strengths; resolve missing or conflicting details
  • Comfortable making outbound calls to attorneys, carriers, and other stakeholders
  • Interpret information, summarize findings, and draw logical conclusions
  • Strong time management with ability to handle multiple tasks with detail
  • Interest in insurance, risk management, or related fields; broad exposure
  • Curiosity and willingness to learn and responsibly use approved AI/automation technologies

Responsibilities

  • Serve as a primary contact for policyholders and brokers on newly reported claims
  • Review initial documentation and request missing or clarifying information
  • Respond promptly to inquiries related to assigned claims
  • Make outbound calls to carriers, attorneys, insureds, and claim professionals to obtain details
  • Ask targeted questions and resolve incomplete information
  • Conduct investigation and analysis to support accurate claim evaluation
  • Review policies to confirm coverage, limits, and exposures
  • Develop clear claim narratives explaining what happened and involved injuries/damages
  • Assess injury severity and escalation needs
  • Use findings to triage and route claims appropriately
  • Monitor updates and reassess severity as needed
  • Document key facts, call outcomes, and next steps in internal systems
  • Enter claim data accurately and prepare standard correspondence
  • Ensure compliance with regulations and Everest policies

Skills

Communication skills
Analytical skills
Investigation skills
Time management
Outreach calling
Narrative writing

Education

Bachelor's degree

Job description

Everest Insurance Company is seeking an Segmentation Claims Specialist to join the Casualty Claims team. The role centers on investigating newly reported claims, gathering critical facts, and determining appropriate claim pathways from Fast Track to Complex teams.

You will interact with insureds, brokers, attorneys, and other carriers, explaining findings and supporting timely, accurate evaluations. This is an excellent launchpad for recent graduates exploring insurance or risk management

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