Job Details

Senior Claims Examiner, Mpl

Company name

Organization Type

In-House

Job Type

Attorney

Date Last Verified

Sep 07, 2021

Valid Through

Dec 21, 2021

Posted on

Aug 22, 2021

Years of Experience

Min 8 yrs required

Location

White Plains, NY, United States

Employment Type

Full-time

Industry

Legal
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Complex Claims Specialist, MPL
The candidate adjusts and resolves complex to severe claims that includes all phases of litigation. With minimal supervision, drafts complex coverage letters, including reservation of rights and denial letters. Reviews and analyses claim documentation and legal filings. Drives litigation best practices to lead defense strategy on litigated files. Mentors Claim Examiners and Associate Claim Examiners. Uses superior knowledge and experience to affect positive claim outcome via investigation, negotiation and utilization of alternative dispute resolutions. Identifies emerging exposures and claims trends. Identifies suspected fraudulent claims and tracks with special investigations unit. Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities. Develops content and conducts training for claims team and underwriters as requested. 8+ years of claims handling experience. A JD from an ABA accredited law school may be considered as a supplement to claims handling experience required. Proven ability to positively affect complex claims outcomes through investigation, negotiation and effectively leading litigation required. Advanced knowledge of coverage within the team’s specialty or focus required. Advanced knowledge of litigation process and negotiation skills required. Experience in mentoring and training other claims examiners required. Excellent verbal and written communication skills required. Advanced analytical skills required. B.A./B.S degree from an accredited College or University preferred. Experience attending and leading mediations, arbitrations and trials required. Demonstrated ability to advance product innovation or develop a greater understanding of other aspects of the business through training or other relevant projects. Demonstrates courage in addressing and solving difficult or complex matters with insureds, attorneys and brokers. 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.

Additional info

Ref: 10189

Company info

Hiring Coordinator
Hiscox Ltd
711 Westchester Avenue
Suite 402
White Plains, NY 10604

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