Senior Claims Examiner - BI

Min 6 yrs required

Full-time

No

that values creativity, innovation and collaboration. This is a full-time position, based in the USA with a competitive salary and bonus. Hiscox USA is seeking a Senior Claims Examiner to join their growing team in multiple locations including Atlanta, Chicago, Scottsdale, and New York.

As a Senior Claims Examiner, you will adjudicate assigned claims within given authority, provide operational support to the claims team, and interact with business leaders across the organization. This is a fantastic opportunity to learn multiple insurance products and be a part of a fun, innovative and growing claims team.

Key Responsibilities:

- Adjudicate assigned claims within given authority and provide operational support to the claims team
- Adjust and resolve moderate to complex claims, including all phases of litigation
- Accurately document claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities
- Draft coverage letters, including reservation of rights and denial letters with minimal supervision
- Review and analyze claim documentation and legal filings to set timely and accurate reserves and notify the manager if upward segmentation is needed
- Identify emerging exposures and claims trends
- Drive litigation best practices to manage deployment and utilization of defense counsel
- Identify suspected fraudulent claims and track with special investigations unit
- Participate in Claims Projects as needed

Requirements:

- 6+ years of claims handling experience; a JD from an ABA accredited law school may be considered as a supplement to claims handling experience
- 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
- degree from an accredited College or University preferred

Additional Factors Considered:

- Subject matter expertise in mediation, arbitration or trial attendance
- Demonstrated take charge attitude and ability to work with minimal oversight within their authority levels
- Identifies and suggests improvements to processes within the claim department and raises with manager
- Demonstrated steps taken toward additional certifications by an approved authority such as a CPCU, ARMS or AINS designation
- Commitment to professional development and learning demonstrated by at least 5 hours of continuing education related to insurance topics through Success Factory, Hiscox in-person or video conference training sessions, or other in-person seminars or webinars

Key Success Factors:

- Band A/I: Cultivates innovation
- Band II: Cultivates innovation, Drives results, Courage
- Band III: Cultivates innovation, Decision quality, Drives results, Business insight, Interpersonal savvy, Develops talent
- Band IV: Cultivates innovation, Decision quality, Drives results, Courage, Business insight, Strategic mindset, Develops talent

Hiscox Values:

- Courage: Dare to take a risk
- Human: Clear, fair & inclusive
- Ownership: Passionate, commercial & accountable
- Integrity: Do the right thing, however hard
- Connected: Together, build something better

Benefits:

- Competitive salary and bonus (based on personal & company performance)
- Comprehensive health insurance, Vision, Dental and FSA
- 401(k) with competitive company matching
- 24 Paid time off days
- 10 Paid Holidays
- Paid sabbaticals after 10 years of service
- Dynamic, creative and values-driven culture
- Modern and open office spaces, complimentary fruit and 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

About Hiscox:

At Hiscox our spirit is in Challenging Convention and everything we do is guided by our Values. We believe in doing the right thing, making good and rebuilding when things go wrong. Everyone is encouraged to think creatively, challenge the status quo and look for solutions. We insure the unique and the interesting, and we search for the same when it comes to talented people. Hiscox is full of smart, reliable human beings that look out for customers and each other.

Hiscox USA was established in 2006 and is the fastest-growing business unit within the Hiscox Group. With a talent force of about 420 employees operating out of six major cities in the US, Hiscox USA offers a broad portfolio of commercial products, including technology, cyber & data risk, multiple professional liability lines, media, entertainment, management liability, crime, kidnap & ransom, commercial property and terrorism.

Diversity and flexible working at Hiscox:

At Hiscox we care about our people and are committed to diversity and creating a truly inclusive culture, which we believe drives success. We also understand that working life doesn’t always have to be ‘nine to five’ and we support flexible working wherever we can. No promises, but please chat to our resourcing team about the flexibility we could offer for this role.

Follow Hiscox on LinkedIn, Glassdoor and Instagram (@HiscoxInsurance).

Salary Range: $80,000 - $95,000

SEO Friendly Job Title: Senior Claims Examiner - BI

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- Build a Brilliant Future with Hiscox USA
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- Competitive Salary and Benefits Package Offered at Hiscox USA
- Join Hiscox USA and Help Insure the Unique and Interesting.
- Join the Fastest-Growing Business Unit within the Hiscox Group
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Comprehensive health insurance, Vision, Dental, FSA, 401(k) with company matching, 24 Paid time off days, 10 Paid Holidays, Paid sabbaticals after 10 years of service, Dynamic and values-driven culture, Modern and open office spaces, Complimentary fruit and drinks, Spirit of volunteerism and community involvement, Matching charitable donations through Hiscox USA Foundation

Claims analysis, Legal filings, Negotiation, Mentoring, Training, Analytical, Verbal and written communication, Insurance adjuster's license

JD from an ABA accredited law school (supplement to experience), B.A./B.S degree from an accredited College or University preferred

Please apply through the company website or email your resume and cover letter to the contact person listed.

Qualification and Experience 6+ years of claims handling experience, JD from an ABA accredited law school (supplement to experience), B.A./B.S degree from an accredited College or University preferred, additional certifications (CPCU, ARMS, AINS)

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