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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong analytical and investigative skills to evaluate claims, ensuring compliance with regulations while effectively communicating with policyholders and stakeholders. Proficient in gathering and interpreting information to develop clear claim narratives and manage multiple tasks efficiently.
Highest-signal resume keywords
Claims InvestigationAnalytical SkillsWritten And Verbal CommunicationTime ManagementInsurance Policy Review
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims EvaluationData EntryDocumentation ReviewFact GatheringNarrative Development
Soft Skills
Organizational SkillsCuriosityCollaborationProfessionalismAttention To Detail
Tools & Technologies
Internal SystemsAIAutomation
Industry Keywords
InsuranceRisk ManagementLegal ServicesComplianceCasualty Losses
About the role
Key responsibilities & impact- Investigate newly reported Casualty losses, often with limited initial details
- Gather critical facts and clarify the narrative of what occurred
- Determine whether claims should be assigned to Fast Track, Mainstream, or Complex claim teams
- Serve as a primary point of contact for policyholders and brokers on newly reported claims
- Review initial documentation and request missing or clarifying information
- Respond to inquiries related to assigned claims
- Make outbound calls to carriers, attorneys, insureds, and claim professionals
- 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
- Develop clear and concise claim narratives
- Assess potential injury severity and identify issues requiring escalation
- Triage and route claims based on complexity, severity, coverage, or litigation indicators
- Monitor incoming updates and reassess claim severity as necessary
- Document key facts, call outcomes, and recommended next steps in internal systems
- Enter claim data accurately and prepare standard correspondence
- Ensure compliance with state and federal regulations and Everest policies and procedures
Requirements
What you’ll need- 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
- Analytical, organizational, and investigative strengths
- 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 and ability to prioritize multiple tasks while maintaining attention to detail
- Interest in pursuing a career in insurance, risk management, legal services, or related fields
- Curiosity and willingness to learn and responsibly use approved AI, automation, and emerging technologies
- Collaborative and team-oriented mindset
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