Claims Specialist

Posted 5 Days Ago
Be an Early Applicant
4 Locations
Junior
Insurance
The Role
As a Claims Specialist, you will evaluate casualty claims, serve as the contact for policy holders and brokers, review documentation and coverage details, assess the severity of claims, and ensure compliance with regulations. You will also communicate with involved parties, document findings, and escalate urgent matters when necessary.
Summary Generated by Built In

Title:

Claims Specialist

Company:

Everest Global Services, Inc.

Job Category:

Claims

Job Description:

About Everest

Everest Group, Ltd. (Everest), is a leading global reinsurance and insurance provider, operating for nearly 50 years through subsidiaries in North America, Latin America, the UK & Ireland, Continental Europe and Asia Pacific regions. Throughout our history, Everest has maintained its discipline and focuses on creating long-term value through underwriting excellence and strong risk and capital management. Our strengths include extensive product and distribution capabilities, a strong balance sheet, and an innovative culture. Our most critical asset is our people. We offer dynamic training & professional development to our employees. We also offer generous tuition/continuing education reimbursement programs, mentoring opportunities, flexible work arrangements, and Colleague Resource Groups.   

Everest is a growth company offering Property, Casualty, and specialty products among others, through its various operating subsidiaries located in key markets around the world. Everest has been a global leader in reinsurance with a broad footprint, deep client relationships, underwriting excellence, responsive service, and customized solutions. Our insurance arm draws upon impressive global resources and financial strength to tailor each policy to meet the individual needs of our customers.

Everest has an opportunity for an entry level Claims professional to join our Casualty Claims team in one of our Everest offices.  This individual should possess the ability to evaluate Casualty claims and litigation for potential escalation to our Fast Track, Mainstream or Complex claim teams. 

Duties and responsibilities include, but are not limited to:

  • Serve as point of contact for policy holders and brokers on recently reported claims.
  • Review documentation submitted when the claim was reported.
  • Summarize the facts that support what happened and the extent of the injuries alleged. Follow up with involved parties for additional clarification as needed.
  • Review relevant policies to confirm coverage details and limits.
  • Enter loss details into the claim system and send template correspondence as needed.
  • Use the facts collected to assess the potential severity of alleged injuries.   
  • Flag issues and escalate urgent matters to management.
  • Monitor incoming correspondence for material updates to reassess potential severity.
  • Respond to inquiries on assigned claims and accounts in a timely and professional manner.
  • Investigation, analysis and evaluation of assigned claim.
  • Comply with all relevant state and federal regulations, as well as company policies and procedures.

Work Experience & Qualifications:

  • A minimum of 2 years of claims/legal experience and working knowledge of the civil litigation legal process.
  • Strong oral and written communication skills.
  • Strong analytical, organizational and investigation skills.
  • Currently holds or readily can obtain all required Adjuster Licenses.
  • Knowledge of the insurance industry, claims and the legal and regulatory environment.
  • Collaborative mind-set and willingness to work with people outside immediate reporting hierarchy to improve processes and generate optimal departmental efficiency.

Education:

• Bachelor’s degree or equivalent work experience required.
• Insurance industry designation(s)/certification(s) preferred.

Our Culture 

At 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. Click here to learn more about our culture. 

  

  • 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. Diversity, Equity and Inclusion.  
  • 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.  

#LI-Hybrid

#LI-VP1

Type:

Regular

Time Type:

Full time

Primary Location:

Warren, NJ

Additional Locations:

Boston, MA, Chicago, IL - South Riverside, Hartford, CT

Everest 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 [email protected].

Everest U.S. Privacy Notice | Everest (everestglobal.com)

The Company
HQ: Warren, NJ
3,485 Employees
On-site Workplace
Year Founded: 1973

What We Do

Everest Group, Ltd. (“Everest”) is a global underwriting leader providing best-in-class property, casualty, and specialty reinsurance and insurance solutions that address customers’ most pressing challenges. Known for a 50-year track record of disciplined underwriting, capital and risk management, Everest, through its global operating affiliates, is committed to underwriting opportunity for colleagues, customers, shareholders, and communities worldwide. Everest is in over 100 countries across 6 continents. We provide the world with protection, we underwrite more than risk, we underwrite opportunity.

Everest Group, Ltd. is listed on the New York Stock Exchange (NYSE: EG) and is a component of the S&P 500 index.

FINANCIAL STRENGTH RATINGS
A+ by A.M. Best
A+ by S&P
A1 by Moody's

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