Sr. Claims Examiner

Job Type: Permanent The Role The Senior Claims Examiner adjudicates assigned claims within given authority and provides operational support to the claims team. Key responsibilities include: Adjusts and resolves moderate to complex claims, including 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 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 them with the 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. 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). Benefits 401(k) with competitive company matching. Comprehensive health insurance, vision, dental, and FSA plans. Company paid group term life, short‑term disability, and long‑term disability coverage. Paid time off: 24 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 related fitness program fees. Company paid subscription to Headspace for employee mental health and wellbeing support. 2024 Gold level recipient of Cigna’s Healthy Workforce Designation. Location Hybrid; requires working in office a minimum of two (2) days per week. Possible locations: Atlanta, GA; Boston, MA; Chicago, IL; Manhattan, NY; Scottsdale, AZ; West Hartford, CT. Salary Range $80,000 – $110,000, based on scope, complexity, location, qualifications, and other factors. Other Details This is a permanent position. The actual salary 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. Equal Opportunity Employer. #J-18808-Ljbffr HICIX Hiscox Insurance Company Inc.