Senior Claims Examiner - MPL
About The Position
Build a brilliant future with Hiscox. Bring your Passion and Enthusiasm to our Team! We are a fun, innovative and growing Claims team where you’ll get the opportunity to learn multiple insurance products and interact with business leaders across the organization. This position is hybrid and requires working in office a minimum of two (2) days per week. The Senior Claims Examiner-Miscellaneous Professional Liability adjudicates assigned claims within given authority and according to Hiscox Claims Best Practices. 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
- 2-5 years of claims handling experience in Professional Liability or Specialty claims 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 complexity claims
- Strong communication skills a must. This role is very customer facing including insureds, brokers, and internal and external business partners.
- 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, required.
- JD a plus.
Responsibilities
- Adjusts and resolves low to moderate professional liability claims that include litigated matters
- Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities
- Heavy customer facing role. Must have confident communication skills.
- Communicates effectively to resolve matters directly with claimants, and or claimant attorneys
- With minimal supervision, drafts coverage letters, including reservation of rights and denial letters
- Reviews and analyzes claims in order to determine appropriate and timely reserving per Hiscox Claims Best Practices
- Identifies emerging exposures and claims trends
- Manages defense counsel as necessary in defending litigated matters
- Identifies suspected fraudulent claims and tracks with Special Investigations Unit
- Participates in Claims Projects, as needed
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
- 2024 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
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What This Job Offers
Job Type
Full-time
Career Level
Senior
