Senior Claims Examiner- Property

Hiscox Ltd

• $85K — $95K *
Finance & Insurance
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 3+ years of experience handling 1st Party Commercial claims
  • Advanced knowledge of claims analysis and adjusting practices
  • Experience with litigated claims and standards for claims documentation
  • Proven negotiation skills for complex claims
  • Experience mentoring and training claims examiners
  • Strong analytical, verbal, and written communication skills
  • Active insurance adjuster's license
  • Preferred B.A./B.S. degree from an accredited institution

Responsibilities

  • Adjust and resolve moderate to complex 1st Party commercial claims
  • Review and assess coverage for losses
  • Conduct in-depth investigations to confirm relevant coverage
  • Manage business income losses and restoration periods
  • Document claim files according to company policies and regulations
  • Assess reserves for indemnity and expense payments
  • Draft coverage and denial letters with minimal supervision
  • Identify emerging claims trends and exposures
  • Drive best practices to manage claim expenses and exposures
  • Provide excellent customer service
  • Track suspected fraudulent claims alongside the investigations unit
  • Engage in Claims Projects as needed

Benefits

  • Competitive salary and bonus based on performance
  • 401(k) with company matching
  • Comprehensive health insurance including vision, dental, and FSA plans
  • Company-paid life, short-term, and long-term disability coverage
  • 24 PTO days plus additional Hiscox Days and paid holidays
  • Paid parental leave
  • 4-week paid sabbatical after every 5 years of service
  • Financial Adoption Assistance and Medical Travel Reimbursement Programs
  • Annual reimbursement of up to $600 for fitness-related expenses
  • Company-sponsored mental health support via Headspace
  • Dynamic and values-driven workplace culture
  • Modern office spaces with complimentary drinks
Full Job Description

Job Type:

Permanent

Position: Senior Claims Examiner- 1st Party Property

Team: 1st Party Property


The Role:

The Senior Claims Adjuster 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 1st Party commercial claims for our Property Team
  • Accurately reviews and assesses coverage for all losses
  • Completes full in depth investigations to confirm how coverage is relevant and applies it to the loss
  • Manager business income losses and period of restoration
  • Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities
  • Accurately assesses reserves for indemnity and expense payments
  • With minimal supervision, drafts coverage letters, including reservation of rights and denial letters
  • Identifies emerging exposures and claims trends
  • Drives 1st Party Best Practices to manage expense and exposure on losses
  • Has a high level of customer service
  • Identifies suspected fraudulent claims and tracks with special investigations unit
  • Participates in Claims Projects as needed


Requirements:

  • 3+ years of 1st Party Commercial claims handling experience
  • Advanced knowledge of claims analysis and adjusting practices
  • Experience with litigated claims In depth knowledge of standards for claims documentation
  • 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



Additional Factors Considered:

  • Subject matter expertise
  • Demonstrated take charge attitude and ability to work with minimal oversight within their authority levels
  • Identifies and suggests improvements to processes within the claims department and raises with manager



What Hiscox USA Offers:

  • Competitive salary and bonus (based on personal & company performance)
  • 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, 2 Hiscox Days, 10 paid holidays, and ability to purchase 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
  • Recipient of 2024 Cigna27s Well-Being Award for having a best-in-class health and wellness program
  • Dynamic, creative and values-driven culture
  • Modern and open office spaces, complimentary drinks



**Please note that this position is hybrid and requires two (2) days in our office weekly**



Salary range: $85-$95k

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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