Claims Specialist

Job Description

Job Description

Description :

Please Note : This is an in-person role based at our Altamonte Springs, FL office and handles moderate-to-complex bodily injury and property damage claims. Prior experience with BI / PD investigations, detailed analysis, evaluations, and settlements is required.

Why Everstory

At Everstory Partners, our mission is to create supportive spaces where individuals and families can find solace, meaning, and hope in the midst of loss. At the heart of our mission is a deep understanding of the profound and complex nature of grief. Every person’s journey through loss is unique, and we are committed to providing compassionate and personalized support.

We also believe that grief is not a problem to be solved or a burden to manage alone, but rather a natural and beautiful part of the human experience. Backed by our national strength and our local partners’ role is to be a steady presence, a source of comfort and guidance, and a partner in celebrating the life and legacy of the person who has passed.

The Impact You Will Make

The Claims Specialist at Everstory will handle insurance claims for the Company, including general liability, auto and property damage claims, and assist with worker’s compensation claims. The role reports to the Senior Litigation Counsel and works closely with the Legal Operations Manager.

Essential Duties and Responsibilities :

• Investigate reported incidents to determine exposure and provide recommended action plans to manage incident or report the claim to Company’s insurance carrier.
• Responsible for communicating with brokers and adjusters, facilitating contact with employees involved in a claim, gathering, and securing all needed information to effectively evaluate, investigate and resolve a claim.
• Making recommendations to members of the Everstory legal department with respect to reserves and excess authority.
• Responsible for evaluating claims, reviewing reserves, identifying and acting upon claims resolution opportunities within an assigned level of authority.
• Ensuring claims are properly documented and audited regularly.
• Work closely with internal counsel on General Liability claims by serving as the primary liaison between Everstory and the insurance carrier. The Claims Specialist will report incidents to the insurance carrier as directed by internal counsel and serve as the day-to-day point of contact with adjusters.
• Independently investigate and document claims by gathering statements, photos, and other evidence; coordinate with site operations to obtain necessary documentation; and provide detailed updates to internal counsel and Risk Management.
• Prepare and deliver written status reports on open General Liability claims; meet one-on-one with internal counsel to review strategy and progress; and participate in quarterly claim reviews with the insurance carrier and regular meetings with the broker.
• Analyze data from current incidents and claim trends to identify patterns, recommend corrective actions, and develop strategies to reduce losses and mitigate future risk exposure.
• Monitoring and reporting on trends in claims. The ideal candidate must have the ability and confidence to present on data, trends and recommendations to Everstory leadership team.
• Reviewing and evaluating claims-related expenses for reasonableness and necessity, and tracking / organizing broker and carrier invoices.
• Assisting with new vendor approvals by reviewing Certificates of Insurance (COI) for compliance with Everstory’s coverage requirements.
• Providing administrative support to Legal Operations Manager on Workers’ Compensation claims.
• Annually, working with departments to gather and secure all needed information to renew Everstory’s insurance program, serving as the primary point of contact for Everstory’s insurance broker.
• Adhering to Everstory’s incident and claims reporting processes and procedures.
• Providing feedback and support to other departments.

Requirements :

Core Competencies :

Role Competencies :

Work Environment :

Our Investment in You

Everstory Partners is proud to provide our employees with a quality work environment and opportunity for both personal and professional growth. As part of our ongoing commitment, we offer a competitive benefits package for our Full-Time Employees including :

Everstory Partners is an Equal Opportunity Employer and is committed to employing a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, national origin, age, sex, religion, disability, sexual orientation, marital status, military or veteran status, gender identity or expression, or any other basis protected by local, state, or federal law.

The pay range for this role is based on a wide range of factors that are considered in making compensation decisions regardless of race, gender, age, religion, or any other protected characteristic. They include skill set, experience and training, licensure and certification, and other business and organizational needs. This range estimate has been adjusted for the applicable geographic differential associated with the location at which the position may be filled. Compensation decisions are dependent on the circumstances of each hire.