Senior Claims Examiner

Role Overview

• 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
• 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