Segmentation Claims Specialist

Everest Re; New Jersey; Hybrid; USD 77,000 - 105,000; Full time

Benefits offered by this job

Health insurance

Wellness program

Life insurance

Disability insurance

401k match

Retirement plan

Paid holidays

PTO

Job summary

Everest Insurance Company seeks a Segmentation Claims Specialist to join our Casualty Claims team, handling intake, investigation, and triage for a range of claim types.

You will contact insureds, brokers, carriers, and attorneys to gather facts, summarize findings, and route claims to Fast Track, Mainstream, or Complex teams.

This entry-level role offers training, exposure, and a benefits package; hybrid work arrangement and competitive compensation in the US market.

Qualifications

• Bachelor's degree in legal studies, Criminal Justice, PreLaw, Political Science, Business, Finance, or related field.
• Strong written and verbal communication; ability to translate complex information into clear narratives.
• Analytical, organizational, and investigative strengths with curiosity and persistence.
• Comfort with outbound communication to attorneys, carriers, and stakeholders.

Responsibilities

• Serve as primary contact for policyholders and brokers on new claims.
• Review initial documentation and request missing information.
• Conduct investigation and analysis to support accurate claim evaluation.
• Develop clear narratives explaining what happened and injuries or damages alleged.
• Enter data in internal systems and prepare standard correspondence.

Skills

Communication skills

Analytical skills

Investigative abilities

Verbal communication

Education

Bachelor's degree in Legal Studies or related field

Job description

Title: Segmentation Claims Specialist

Company: Everest Insurance Company

Job Category: Claims

Everest is a global leader in risk management, rooted in a rich, 50+ year heritage of enabling businesses to survive and thrive, and economies to function and flourish. We are underwriters of risk, growth, progress and opportunity. We are a global team focused on disciplined capital allocation and long-term value creation for all stakeholders, who care deeply about our impact on communities and the wider 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
• Curiosity and willingness to learn and responsibly use approved AI, automation, and emerging technologies to enhance productivity, effectiveness, and business outcomes.
• Collaborative and team-oriented mindset

The base salary range for this position is $77,000- $105,000 annually. The offered rate of compensation will be based on individual education, experience, qualifications and work location. All offers include access to a variety of benefits to employees, including health insurance coverage, an employee wellness program, life and disability insurance, 401k match, retirement savings plan, paid holidays and paid time off (PTO).

#LI-Hybrid #LI-AS1

What if I don't meet every requirement? At Everest we are dedicated to building an inclusive and authentic workplace. So, if you are excited about this role but your past experience doesn't align perfectly with every element in the job description, we still encourage you to apply. You may be just the right candidate for this or other roles. Please let us know if you need any accommodations throughout the application o