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Everest

Claims Specialist

Everest

. Serve as point of contact for policy holders and brokers on recently reported claims .

Posted 11/6/2026full-timeWarren • New Jersey • United StatesJuniorMid-Level💰 $77,000 - $105,000 per yearWebsite

Core Competencies

Role fit
Core Competencies

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Demonstrates expertise in third-party liability claims management, including investigation, analysis, and negotiation, while ensuring compliance with state and federal regulations. Proficient in utilizing AI and automation technologies to enhance claims processing and productivity.

Highest-signal resume keywords
Third-Party Liability Claims ExperienceCivil Litigation Legal Process KnowledgeAdjuster LicensesInsurance Industry DesignationAnalytical and Investigation Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Claims AnalysisClaims NegotiationClaims Documentation ReviewClaims ProcessingClaims Reserve SettingRegulatory ComplianceInsurance Policy ReviewSeverity AssessmentCorrespondence ManagementIssue Escalation
Soft Skills
Strong Communication SkillsOrganizational SkillsCollaborative MindsetProblem-Solving SkillsAttention to Detail
Tools & Technologies
Claims SystemAI TechnologiesAutomation ToolsEmerging Technologies
Certifications & Qualifications
Adjuster LicensesInsurance Industry Certifications
Industry Keywords
Insurance IndustryClaims ManagementLegal EnvironmentRegulatory EnvironmentThird-Party Liability

About the role

Key responsibilities & impact
  • Serve as point of contact for policy holders and brokers on recently reported claims
  • Review documentation submitted when claims are reported
  • Summarize claim facts, injuries alleged and required clarifications
  • Review policies to confirm coverage details and limits
  • Enter loss details into the claim system and send template correspondence
  • Assess the potential severity of alleged injuries
  • Flag issues and escalate urgent matters to management
  • Monitor correspondence for material updates and reassess potential severity
  • Respond to inquiries on assigned claims and accounts
  • Investigate, analyze and evaluate assigned claims
  • Set claim reserves timely and appropriately
  • Negotiate and resolve claims
  • Resolve workload and assignment issues to ensure effective claims processing, expense management and claims disposition
  • Comply with relevant state and federal regulations and company policies and procedures
  • Use approved AI, automation and emerging technologies to enhance productivity, effectiveness and business outcomes

Requirements

What you’ll need
  • A minimum of 2 years of third-party liability claims/legal experience
  • 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
  • Bachelor’s degree or equivalent work experience required
  • Insurance industry designation(s)/certification(s) preferred
  • Ability to responsibly use approved AI, automation, and emerging technologies

Benefits

Comp & perks
  • Health insurance coverage
  • Employee wellness program
  • Life and disability insurance
  • 401k match
  • Retirement savings plan
  • Paid holidays
  • Paid time off (PTO)
  • Reasonable accommodations for persons with disabilities