Senior Complex Claims Specialist at Hiscox optimizing claims handling and strategies for Construction Defect and Property Damage. Collaborating with legal teams and ensuring effective claims resolution processes.
About the role
- Claims Adjuster II managing assigned claims inventory and collaborating for optimal outcomes. Handling new loss contacts, gathering evidence, and partnerships for early returns to work.
Responsibilities
- Reports directly to the unit Claims Supervisor.
- Responsible for effectively managing to conclusion an assigned inventory of claim files.
- Perform a three-point contact on all new losses within 24 hours of receipt of the claim.
- Document relevant facts surrounding the incident itself as well as disability and treatment status.
- Gather evidence regarding ongoing case facts and relevant information necessary for establishing compensability.
- Form a partnership with the medical case manager to maximize early return to work potential.
- Initiate the referral to the SIU of cases with suspected fraud.
- Review and approve all vocational rehabilitation plans.
- Establish, monitor, and adjust monetary case reserves when warranted.
Requirements
- Bachelor’s degree (B. A.) or equivalent from four-year college or; or 3-5years related experience& training, 5 years without a SIP certificate, or equivalent combination of education and experience.
Benefits
- WFH Flexible
Job title
Job type
Experience level
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Not specified
Degree requirement
Location requirements
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