Senior Claims Examiner - BI

Min 6 yrs required

Full-time

No

that is focused on challenging convention and finding a better way to do things. Hiscox is currently seeking a Senior Claims Examiner in various locations across the USA including Atlanta, Chicago, Scottsdale, New York City, and White Plains. This is a full-time permanent position with a competitive salary range of $80,000 - $95,000.

As a Senior Claims Examiner, you will be responsible for adjudicating assigned claims within given authority and providing operational support to the claims team. This role requires a minimum of 6 years of claims handling experience and a JD from an ABA accredited law school may be considered as a supplement. The successful candidate will also have advanced knowledge of claims analysis and adjusting practices, as well as in-depth knowledge of standards for claims documentation and legal filings.

Key Responsibilities:

- Adjust and resolve moderate to complex claims that include 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

Join a growing team of professionals at Hiscox USA, where you will have the opportunity to learn multiple insurance products and interact with business leaders across the organization. The US Claims team is focused on delivering profitability while reinforcing Hiscox's strong brand built on a long history of outstanding claims handling. With strong growth across the US business, this is an exciting time to join the team.

Qualifications:

- 6+ years of claims handling experience
- 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

Success Factors:

Band A/I Band II Band III Band IV

- Cultivates innovation
- Drives results
- Courage
- Interpersonal savvy

Hiscox Values:

At Hiscox, our spirit is in challenging convention and everything we do is guided by our 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

What Hiscox USA Offers:

- 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:

As an international specialist insurer, we are far removed from the world of mass-market insurance products. Instead, we are selective and focus on our key areas of expertise and strength - all of which is underpinned by a culture that encourages us to challenge convention and always look for a better way of doing things.

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. 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.

Scratch beneath the surface and you will find a business that is solid, but slightly contrary. We like to do things differently and constantly seek to evolve. We might have been around for a long time (our roots go back to 1901), but we are young in many ways, ambitious and going places. Some people might say insurance is dull, but life at Hiscox is anything but. If that sounds good to you, get in touch.

About Hiscox US:

Hiscox USA was established in 2006 to focus primarily on the needs of small and middle-market commercial clients, via both the broker and direct distribution channels, and is today the fastest-growing business unit within the Hiscox Group.

Today, Hiscox USA has a talent force of about 420 employees, mostly operating out of 6 major cities - New York, Atlanta, Dallas, Chicago, Los Angeles and San Francisco. 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.

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. you can follow hiscox on linkedin, glassdoor and instagram (@hiscoxinsurance)

salary range - $80,000 - $95,000


work with amazing people and be part of a unique culture

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