Segmentation Claims Specialist

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

Job summary

Everest Insurance Company is seeking an early career Claims Professional to join our Casualty Claims team in Warren, NJ. You will investigate newly reported Casualty losses, gather critical facts, and determine claim routing to Fast Track, Mainstream, or Complex teams.

You will work with insureds, brokers, attorneys, and other carriers to obtain information, develop concise narratives, and triage claims based on severity and coverage.

Qualifications

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

Responsibilities

• Investigate newly reported Casualty losses, often with limited initial details, by gathering critical facts and clarifying the narrative.
• Determine whether each claim should be assigned to Fast Track, Mainstream, or Complex teams.
• Work with insureds, brokers, other carriers, and attorneys to obtain timely information and summarize findings.
• Review applicable policies to confirm coverage, limits, and exposures and develop clear claim narratives.
• Triage and route claims based on complexity and potential litigation indicators; monitor updates on severity.

Skills

Strong communication

Analytical thinking

Investigative skills

Time management

Phone etiquette

Summarization ability

Teamwork

Curiosity about AI

Education

Bachelor's degree in related field

Job description

Company:Everest Insurance CompanyJob Category:ClaimsJob Description: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 RoleEverest 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 WillClaim Intake and CommunicationServe as a primary point of contact for policyholders and brokers on newly reported claimsReview initial documentation and request any missing or clarifying informationRespond promptly and professionally to inquiries related to assigned claimsInformation Gathering and InvestigationMake outbound calls to carriers, attorneys, insureds, and claim professionals to obtain details not captured in written reportsAsk targeted follow-up questions and resolve incomplete or conflicting informationConduct investigation and analysis to support accurate claim evaluationReview applicable insurance policies to confirm coverage, limits, and exposuresAnalysis, Narrative Development, and TriageDevelop clear and concise claim narratives explaining what happened, how the insured is involved, and what injuries or damages are being allegedAssess potential injury severity and identify issues requiring escalationUse investigative findings to triage and route claims appropriately, applying sound judgment regarding complexity, severity, coverage, or litigation indicatorsMonitor incoming updates and reassess claim severity as necessaryDocumentation and Administrative ResponsibilitiesDocument key facts, call outcomes, and recommended next steps in internal systems to provide downstream teams with actionable informationEnter claim data accurately and prepare standard correspondenceEnsure compliance with all state and federal regulations, as well as Everest policies and proceduresQualificationsBachelor'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 narrativesAnalytical, organizational, and investigative strengths with curiosity and persistence in resolving missing or conflicting detailsComfort and professionalism on the phone, including confidence making outbound calls to attorneys, carriers, and other stakeholdersAbility to interpret information, summarize findings, and draw logical and well supported conclusionsStrong time management skills with the ability to prioritize multiple tasks while maintaining attention to detailInterest in pursuing a career in insurance, risk management, legal services, or related fields; ideal for candidates seeking broad exposure and varied workCuriosity and willingness to learn and responsibly use approved AI, automation, and emerging technologies to enhance productivity, effectiveness, and business outcomes.Collaborative and team-oriented mindsetThe 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-AS1What 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 or interview process.Our CultureAt Everest, our purpose is to provide the world with protection. We help clients and businesses thrive, fuel global economies, and create sustainable value for our colleagues, shareholders and the communities that we serve. We also pride ourselves on having a unique and inclusive culture which is driven by a unified set of values and behaviors.Our Values are the guiding principles that inform our decisions, actions and behaviors. They are an expression of our culture and an integral part of how we work: Talent. Thoughtful assumption of risk. Execution. Efficiency. Humility. Leadership. Collaboration. Inclusion and Belonging.Our Colleague Behaviors define how we operate and interact with each other no matter our location, level or function: Respect everyone. Pursue better. Lead by example. Own our outcomes. Win together.All colleagues are held accountable to upholding and supporting our values and behaviors across the company. This includes day to day interactions with fellow colleagues, and the global communities we serve.Type:RegularTime Type:Full timePrimary Location:Warren, NJAdditional Locations:New York, NY, Philadelphia, PAEverest is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy), sexual orientation, gender identity or expression, national origin or ancestry, citizenship, genetics, physical or mental disability, age, marital status, civil union status, family or parental status, veteran status, or any other characteristic protected by law. As part of this commitment, Everest will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Everest Benefits at [e-mail] U.S. Privacy Notice | Everest (everestglobal.com)