Claims Representative role in training for workers' compensation at Sedgwick. Involves investigation and resolution of claims with ongoing professional development.
About the role
- Senior level Complex Claims Specialist at Hiscox adjudicating General Liability claims. Focused on early settlements and litigation management with a commitment to superior customer service.
Responsibilities
- Strategize and maximize early settlement opportunities for Construction Defect and 3rd Party Property Damage Claims
- Demonstrates proficient knowledge regarding coverage triggers and time on risk allocation
- Draft and Review coverage analyses
- Manage/Partner with local defense counsel while monitoring litigation
- Drives litigation best practices to manage deployment and utilization of defense counsel
- Continually assess exposures and adequacy of claim reserves
- Accurately document claim files with all relevant correspondence, documentation, and file notes
- Demonstrates proficient knowledge of ACV vs RCV property damage assessments
- Attend mediations and/or settlement conferences where appropriate
- Identifies suspected fraudulent claims and tracks with special investigations unit
- Actively participate in the Claims/UW/Actuarial feedback loop
- Keep senior claims management adequately and appropriately informed of key issues
- Liaising directly on daily basis with insureds and brokers
Requirements
- 10+ years of claims handling experience within General Liability & Bodily Injury
- A JD from an ABA accredited law school may be considered as a supplement to claims handling experience
- Proven ability to positively affect highest severity claims outcomes through investigation, negotiation and effectively leading litigation
- Expert knowledge of coverage within the team’s specialty or focus
- Expert knowledge of litigation process and negotiation skills
- Proven track record of mentoring others
- Excellent verbal and written communication skills
- Advanced analytical skills
- B.A./B.S degree from an accredited College or University preferred
Benefits
- Competitive salary and bonus (based on personal & company performance)
- 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, and ability to purchase 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 well-being
- Dynamic, creative and values-driven culture
- Modern and open office spaces, complimentary drinks
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Claims Examiner responsible for adjudicating workers' compensation claims for California clients. Analyzing claims, negotiating settlements, and ensuring compliance with client service requirements and industry standards.
Claims Examiner analyzing complex workers' compensation claims for Sedgwick, a global risk and claims administration leader. Ensuring claims adjudication meets service expectations and client requirements.
Provide P&I and FD&D claims handling services for European Members. Work closely with claims team on complex disputes and resolutions.
Property Claims Representative managing a personal caseload of property claims at Hastings Insurance. Investigating and resolving claims while providing customer support.
STD Claims Examiner II making accurate claim decisions for Short Term Disability claims. Collaborating with team members in a hybrid work environment from South Portland, ME.
Claims Specialist managing high exposure casualty and specialty claims for Hamilton Select. Responsible for mentoring new adjusters and ensuring compliance with corporate guidelines.
LMI Claims Specialist assessing and managing complex LMI claims for QBE’s insurance team. Delivering high - quality outcomes while providing technical expertise and compliance oversight.
Workers Compensation Claims Representative managing claims independently with minimal oversight. Conducting thorough investigations and negotiating settlements for insured parties in a hybrid work environment.
Aviation Claims Analyst IV responsible for handling aviation claims at AIG. Involves adjusting aircraft physical damage claims and managing stakeholders in the aerospace sector.