Senior Claims Examiner - MPL

Job Type:

Permanent

Build a brilliant future with Hiscox
 

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.

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

Requirements:

• 6+ years of claims handling experience.
• A JD from an ABA accredited law school and litigation practice may be considered as a supplement to claims handling experience
• Advanced knowledge of claims analysis 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 claim professionals
• 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

Additional Factors Considered

Subject matter expertise Mediation, arbitration or trial attendance Demonstrated take charge attitude and ability to work with minimal oversight within their authority levels Identifies and suggests improvements to processes within the claim department and raises with manager Demonstrated steps taken toward additional certifications by an approved authority such as a CPCU, ARMS or AINS designation

What we offer

• 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 
• 2023 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 

This position is hybrid and requires 2 days in office per week. Position can be based in the following locations

• Chicago, IL
• Atlanta, GA
• Manhattan, NY

Salary Range $85,000 - $110,000

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Work with amazing people and be part of a unique culture