Senior Claims Examiner

Hiscox Ltd

$80K — $125K *
Finance & Insurance
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 3-5 years of claims handling experience in commercial general liability within an insurance carrier
  • Advanced knowledge of claims analysis, adjusting practices, and standards for documentation
  • Proven ability to negotiate settlements for moderate to complex claims effectively
  • Experience in mentoring and training junior claims examiners
  • Strong analytical, verbal, and written communication skills
  • Active insurance adjuster's license
  • B.A./B.S degree from an accredited institution preferred

Responsibilities

  • Adjudicate assigned claims within given authority and provide operational support to the claims team
  • Adjust and resolve moderate to complex claims involving all phases of litigation
  • Document claim files accurately in compliance with policies and regulatory standards
  • Draft coverage and denial letters with minimal supervision
  • Review and analyze claim documentation to set reserves and identify needs for upward segmentation
  • Identify emerging exposures and claims trends
  • Manage defense counsel deployment and litigation best practices
  • Track suspected fraudulent claims in collaboration with the special investigations unit

Benefits

  • 401(k) with competitive company matching
  • Comprehensive health, vision, dental insurance, and FSA plans
  • Company paid life insurance, short-term, and long-term disability coverage
  • Generous paid time off policy with additional Hiscox days and floating holidays
  • Paid parental leave and 4-week paid sabbatical after every 5 years of service
  • Financial adoption assistance and medical travel reimbursement
  • Annual reimbursement for health club membership or fitness program fees
  • Company paid Headspace subscription for employee mental health support
  • Recognition as a Gold level recipient of Cigna's Healthy Workforce Designation
  • Dynamic values-driven culture and modern office spaces with complimentary drinks
  • Commitment to community involvement and charitable donations matching through Hiscox USA Foundation
Full Job Description

Job Type:

Permanent

**Please Note: This position is primarily hybrid and requires in-office attendance at least two (2) days per week for candidates that are located near one of our office locations. However, qualified remote candidates will also be considered**

The Position Can Be Based In:

  • Atlanta, GA

  • Boston, MA

  • Chicago, IL

  • Manhattan, NY

  • Scottsdale, AZ

  • West Hartford, CT

                  

The Role:

The Senior Claims Examiner adjudicates assigned claims within given authority and provides operational support to the claims team. This person also:

  • Adjusts and resolves moderate to complex claims that includes all phases of litigation

  • Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities

  • With minimal supervision, drafts coverage letters, including reservation of rights and denial letters

  • Reviews and analyses claim documentation and legal filings to set timely and accurate a reserves and notify the manager if upward segmentation is needed

  • Identifies emerging exposures and claims trends

  • Drives litigation best practices to manage deployment and utilization of defense counsel

  • Identifies suspected fraudulent claims and tracks with special investigations unit

  • Participates in Claims Projectsas needed

The Team:

The US Claims team at Hiscox is a growing group of professionals working together to provide superior customer service and claims handling expertise. The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our insured and broker partners. With strong growth across the US business, the Claims team is focused on delivering profitability while reinforcing Hiscox27s strong brand built on a long history of outstanding claims handling.

Requirements:

  • 3-5 years of claims handling experience in the area of commercial general liability with an insurance carrier

  • Advanced knowledge of claims analysis and adjusting practices In depth knowledge of standards for claims documentation and legal filings

  • Proven ability to actively and effectively negotiate settlement of moderate to complex claims

  • Experience in mentoring and training other claims examiners

  • Advanced analytical skills Strong verbal and written communication skills Active insurance adjuster27s license

  • B.A./B.S degree from an accredited College or University preferred

What Hiscox USA Offers:

  • 401(k) with competitive company matching

  • Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care)

  • Company paid group term life, short- term disability and long-term disability coverage

  • 24 Paid time off days plus 2 Hiscox days,10 paid holidays plus 1 paid floating holiday, and ability to purchase up to 5 PTO days

  • Paid parental leave

  • 4-week paid sabbatical after every 5 years of service

  • Financial Adoption Assistance and Medical Travel Reimbursement Programs

  • Annual reimbursement up to $600 for health club membership or fees associated with any fitness program

  • Company paid subscription to Headspace to support employees27 mental health and wellbeing

  • 2024 Gold level recipient of Cigna27s Healthy Workforce Designation for having a best-in-class health and wellness program

  • Dynamic, creative and values-driven culture

  • Modern and open office spaces, complimentary drinks

  • Spirit of volunteerism, social responsibility and community involvement, including matching charitable donations for qualifying non-profits via our sister non-profit company, the Hiscox USA Foundation

Salary Range: $80,000-$125,000

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

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