3-5 years of claims handling experience in commercial general liability with an insurance carrier
Advanced knowledge of claims analysis and adjusting practices
Proven ability to negotiate settlements for moderate to complex claims
Experience mentoring and training other claims examiners
Strong analytical, verbal, and written communication skills
Active insurance adjuster's license
B.A./B.S. degree from an accredited college or university preferred
Responsibilities
Adjudicate assigned claims within given authority
Adjust and resolve moderate to complex claims, including litigation phases
Document claim files accurately in compliance with policies and regulations
Draft coverage letters and denial letters with minimal supervision
Review claim documentation and legal filings to set reserves
Identify emerging exposures and claims trends
Drive litigation best practices and manage defense counsel utilization
Track suspected fraudulent claims with the special investigations unit
Benefits
401(k) with competitive company matching
Comprehensive health insurance, vision, dental, and FSA plans
Company paid life, short-term, and long-term disability coverage
24 Paid time off days plus additional Hiscox days and holidays
Paid parental leave
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
Recognition for best-in-class health and wellness program
Dynamic and values-driven company culture
Modern office spaces with complimentary drinks
Community involvement and charitable donation matching programs
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**
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 Projects as 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 Hiscox's 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 adjuster's 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
2024 Gold level recipient of Cigna's 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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