Entry-Level Segmentation Claims Specialist

Everest; New Jersey; On-site; USD 77,000 - 105,000; Full time

Benefits offered by this job

Health insurance coverage

Employee wellness program

Life and disability insurance

401k match

Retirement savings plan

Paid holidays and PTO

Job summary

Everest Insurance Company seeks an early career Segmentation Claims Specialist to investigate newly reported Casualty losses, gather critical facts, and determine appropriate claim routing to Fast Track, Mainstream, or Complex teams.

The role involves contacting insureds, brokers, and attorneys, summarizing findings for internal teams, and handling a variety of claim types while ensuring compliance with Everest policies and regulations.

Qualifications

• Strong written and verbal communication skills; ability to translate complex information into clear claim narratives.
• Analytical, organizational, and investigative strengths; resolve missing or conflicting details.
• Comfort and professionalism on the phone; confident outbound calls to attorneys and brokers.
• Ability to interpret information, summarize findings, and draw logical conclusions.
• Effective time management to prioritize multiple tasks with attention to detail.

Responsibilities

• Serve as a primary contact for policyholders and brokers on newly reported claims.
• Review initial documentation and request missing or clarifying information.
• Make outbound calls to carriers, attorneys, insureds, and claim professionals to obtain details.
• Develop clear claim narratives explaining what happened and injuries or damages.
• Assess injury severity and escalation indicators; triage and route claims accordingly.
• Document key facts, call outcomes, and recommended next steps in internal systems.

Skills

Communication

Phone etiquette

Investigation

Narrative development

Analytical thinking

Time management

Team collaboration

Education

Bachelor's degree in legal studies, Criminal Justice, PreLaw, Political Science, Business, Finance, or related field

Job description

Everest Insurance Company seeks an early career Segmentation Claims Specialist to investigate newly reported Casualty losses, gather critical facts, and determine appropriate claim routing to Fast Track, Mainstream, or Complex teams.

The role involves contacting insureds, brokers, and attorneys, summarizing findings for internal teams, and handling a variety of claim types while ensuring compliance with Everest policies and regulations.