Senior Claims Examiner - Property

Hiscox•Boston, MA

3d•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 the special investigations unit and participate in Claims Projects as needed.

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
Experience in mentoring and training other claims examiners
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

Nice To Haves

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
Recipient of 2024 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