Description
The Claims Examiner adjudicates assigned claims within given authority and provides operational support to the claims team, This person will also :
- Adjusts and resolves moderately complex claims that may include some litigation
- Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities
- Drafts coverage letters, including reservation of rights and denial letters
- Reviews and analyzes claim documentation and legal filings to set timely and accurate
- Identifies emerging exposure
- Identifies suspected fraudulent claims and tracks with special investigations unit
- Engages and manages outside vendors pursuant to company policy
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.
Person Specification :
- 3+ years of claims handling experience.
- In depth knowledge of claims analysis and adjusting practices
- Intermediate knowledge of standards for claims documentation and legal filings
- Proven ability to actively and effectively negotiate settlement of claims
- Strong verbal and written communication skills
- Demonstrated analytical skills
- Active insurance adjuster’s license preferred
- B.A. / B.S degree from an accredited College or University preferred
Additional Factors Considered :
- Mediation, arbitration or trial attendance
- Subject matter expertise
- Demonstrated steps taken toward additional certifications by an approved authority such as a CPCU, ARMS or AINS designation
- Commitment to professional development and learning demonstrated by at least 5 hours of continuing education related to insurance topics through Success Factory, Hiscox in-person or video conference training sessions, or other in-person seminars or webinars
What Hiscox USA Offers
- Competitive salary and bonus (based on personal & company performance)
- Comprehensive health insurance, Vision, Dental and FSA
- 401(k) with competitive company matching
- 24 Paid time off days plus 2 Hiscox Days
- 10 Paid Holidays plus 1 Floater
- Ability to purchase 5 additional PTO days
- Paid sabbaticals after 5 years of service
- Dynamic, creative and values-driven culture
- Modern and open office spaces, complimentary fruit and 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 Range - $60,000 - $75,000
Work with amazing people and be part of a unique culture
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