Senior Claims Examiner

Please note this position is hybrid and requires working in office a minimum of two (2) days per week. Position can be based in the following locations:

• Atlanta, GA

• Boston, MA

• Chicago, IL

• Manhattan, NY

• Scottsdale, AZ

• West Hartford, CT

The 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 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. 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 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

 What Hiscox USA Offers:

• 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 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 fees associated with any fitness program 

• Company paid subscription to Headspace to support employees’ mental health and wellbeing 

• 2024 Gold level recipient of Cigna’s Healthy Workforce Designation for having a best-in-class health and wellness program 

• Dynamic, creative and values-driven culture 

• Modern and open office spaces, complimentary 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 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-$110,000

The 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.

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