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Senior Claims Examiner

$80k - $125k

Hiscox USA

Build a Brilliant Future with HiscoxBring your passion and enthusiasm to our team! We are a fun, innovative and growing Claims team where you'll get the opportunity to learn multiple insurance products and interact with business leaders across the organization.The position is primarily hybrid and requires in-office attendance at least two (2) days per week for candidates that are located near one of our office locations. However, qualified remote candidates will also be considered.The role can be based in:Atlanta, GABoston, MAChicago, ILManhattan, NYScottsdale, AZWest Hartford, CTThe Role:The Senior Claims Examiner adjudicates assigned claims within given authority and provides operational support to the claims team. This person also:Adjusts and resolves moderate to complex claims that includes all phases of litigationAccurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authoritiesWith minimal supervision, drafts coverage letters, including reservation of rights and denial lettersReviews and analyses claim documentation and legal filings to set timely and accurate reserves and notify the manager if upward segmentation is neededIdentifies emerging exposures and claims trendsDrives litigation best practices to manage deployment and utilization of defense counselIdentifies suspected fraudulent claims and tracks with special investigations unitParticipates in Claims Projects as neededThe 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 claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our insured and broker partners. With strong growth across the US business, the Claims team is focused on delivering 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 the area of commercial general liability with an insurance carrierAdvanced knowledge of claims analysis and adjusting practices In depth knowledge of standards for claims documentation and legal filingsProven ability to actively and effectively negotiate settlement of moderate to complex claimsExperience in mentoring and training other claims examinersAdvanced analytical skills Strong verbal and written communication skills Active insurance adjuster's licenseB.A./B.S degree from an accredited College or University preferredWhat Hiscox USA Offers:401(k) with competitive company matchingComprehensive 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 coverage24 Paid time off days plus 2 Hiscox days, 10 paid holidays plus 1 paid floating holiday, and ability to purchase up to 5 PTO daysPaid parental leave4-week paid sabbatical after every 5 years of serviceFinancial Adoption Assistance and Medical Travel Reimbursement ProgramsAnnual reimbursement up to $600 for health club membership or fees associated with any fitness programCompany paid subscription to Headspace to support employees' mental health and wellbeing2024 Gold level recipient of Cigna's Healthy Workforce Designation for having a best-in-class health and wellness programDynamic, creative and values-driven cultureModern and open office spaces, complimentary drinksSpirit of volunteerism, social responsibility and community involvement, including matching charitable donations for qualifying non-profits via our sister non-profit company, the Hiscox USA FoundationAbout Hiscox USA: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 over 400 employees operating out of several major cities - New York, Atlanta, Chicago, Scottsdale, and West Hartford. 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.Salary Range: $80,000-$125,000The actual salary for this position 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.

Vacancy posted 5 days ago
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