Senior Claims Examiner - Allied Healthcare

Job Type : Permanent

Permanent

Build a brilliant future with Hiscox

The ideal candidate for this role will have the ability to get into one of the following offices : Atlanta / Chicago / Manhattan / White Plains or Scottsdale.

The Role :

The Senior Claims Examiner adjudicates assigned claims within given authority. Duties include, but are not limited to :

• Resolves moderate to complex claims that includes all phases of litigation
• Documents claim files per Best Practices
• With minimal supervision, drafts coverage letters, including reservation of rights and denial letters
• Timely sets reserves
• Provides exceptional customer service
• Identifies emerging exposures and claims trends
• Drives litigation to manage deployment and utilization of defense counsel
• Identifies suspected fraudulent claims and refers to special investigations unit
• Participates in Claims Projects as needed
• Participate in reserving roundtables and pre-trial roundtables

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 :

• 6+ years of claims handling experience.
• Advanced knowledge of claims analysis In depth knowledge of standards for claims documentation and legal filings
• Experience in following risks ideal : Nail and hair salons, Massage Therapy, Exercise Therapists, Home Health Care, Nursing Homes, Body waxing, Spas, etc.)
• Proven ability to actively and effectively negotiate settlement of moderate to complex claims
• Experience in mentoring and training other claim professionals Advanced analytical skills
• Active insurance adjuster’s license B.A. / B.S degree from an accredited College or University preferred

What Hiscox USA offers

• 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, 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 wellbeing
• Recipient of 2021 Cigna’s Well-Being Award 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

Salary Overview

$85,000 - $110,000

LI-MD1

Work with amazing people and be part of a unique culture