Hybrid Senior Claims Examiner, GL/BI

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About the role

  • Senior Claims Examiner adjudicating complex commercial general liability claims at Hiscox. Providing operational support and ensuring compliance within a hybrid workplace environment.

Responsibilities

  • The Senior Claims Examiner adjudicates assigned claims within given authority and provides operational support to the claims team.
  • 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

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 (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

Job title

Senior Claims Examiner, GL/BI

Job type

Experience level

Senior

Salary

$80,000 - $110,000 per year

Degree requirement

Bachelor's Degree

Location requirements

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