Senior Claims Examiner
$80k - $110kHICIX Hiscox Insurance Company Inc.
Senior Claims Examiner (Permanent) Job Type: Permanent. Hybrid role requiring office presence at least two days per week. Locations: Atlanta, GA; Boston, MA; Chicago, IL; Manhattan, NY; Scottsdale, AZ; West Hartford, CT. The Role The Senior Claims Examiner adjudicates assigned claims within the given authority and provides operational support to the claims team. Adjusts and resolves moderate to complex claims, including all phases of litigation. Accurately documents claim files with all relevant documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities. Drafter coverage letters, including reservation of rights and denial letters, with minimal supervision. Reviews and analyzes claim documentation and legal filings to set timely and accurate 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. About 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 staff are empowered to manage claims within given authority, ensuring fair and fast resolution for insured and broker partners. The team focuses on 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 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. Benefits 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 + 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 fitness program fees. Company paid subscription to Headspace. 2024 Gold level recipient of Cignas Healthy Workforce Designation. Dynamic, creative and values-driven culture. Modern open office spaces, complimentary drinks. Spirit of volunteerism and community involvement, including matching charitable donations for qualifying non-profits via the Hiscox USA Foundation. Salary Salary Range: $80,000-$110,000. Actual salary will be determined by role scope, complexity, location, skills, education, training, credentials, and other conditions of employment. #J-18808-Ljbffr
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