Senior Claims Examiner - Property

HiscoxChicago, IL
Hybrid

About The Position

The Senior Claims Adjuster adjudicates assigned claims within given authority and provides operational support to the claims team. This person also adjusts and resolves moderate to complex claims that includes all phases 1st Party commercial claims for our Property Team. They accurately review and assess coverage for all losses, complete full in-depth investigations to confirm how coverage is relevant and applies it to the loss, and manage business income losses and period of restoration. The role requires accurate documentation of claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities. The Senior Claims Adjuster accurately assesses reserves for indemnity and expense payments. With minimal supervision, they draft coverage letters, including reservation of rights and denial letters. This individual identifies emerging exposures and claims trends, drives 1st Party Best Practices to manage expense and exposure on losses, and maintains a high level of customer service. They identify suspected fraudulent claims and track with special investigations unit, and participate in Claims Projects as needed. 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

  • 3+ years of 1st Party Commercial claims handling experience
  • Advanced knowledge of claims analysis and adjusting practices
  • Experience with litigated claims
  • In depth knowledge of standards for claims documentation
  • Proven ability to actively and effectively negotiate settlement of moderate to complex claims
  • Advanced analytical skills
  • Strong verbal and written communication skills
  • Active insurance adjuster’s license

Nice To Haves

  • B.A./B.S degree from an accredited College or University
  • Subject matter expertise
  • Demonstrated take charge attitude and ability to work with minimal oversight within their authority levels
  • Identifies and suggests improvements to processes within the claims department and raises with manager

Responsibilities

  • Adjusts and resolves moderate to complex claims that includes all phases 1st Party commercial claims for our Property Team
  • Accurately reviews and assesses coverage for all losses
  • Completes full in depth investigations to confirm how coverage is relevant and applies it to the loss
  • Manager business income losses and period of restoration
  • Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities
  • Accurately assesses reserves for indemnity and expense payments
  • With minimal supervision, drafts coverage letters, including reservation of rights and denial letters
  • Identifies emerging exposures and claims trends
  • Drives 1st Party Best Practices to manage expense and exposure on losses
  • Has a high level of customer service
  • Identifies suspected fraudulent claims and tracks with special investigations unit
  • Participates in Claims Projects as needed

Benefits

  • 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
  • 2 Hiscox Days
  • 10 paid holidays
  • 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
  • Modern and open office spaces, complimentary drinks
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