- 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
- 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
- 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
- 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
-
Medicare Claims Examiner
1 week ago
Bankers Fidelity Life Insurance Cor Atlanta, United States**Summary**: · The claims examiner is responsible for processing the Medicare Supplement claims adjudication. The role is responsible for the accurate input of claims information as well as reviewing and analyzing claims to determine eligibility. In addition, the claim examiner m ...
-
Claims Examiner
4 days ago
US Tech Solutions, Inc. San Francisco, United States PermanentJob Title: Claims Examiner · Location: Remote · Duration: 06 months contract (C2H) · Job Description: · Responsibilities: · • Investigate, evaluate, and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to ...
-
Claims Examiner
3 weeks ago
Mindlance Atlanta, United StatesJob Title: Claims Examiner - Workers Compensation · Location: Remote · Job Length: 3 Months (Possibility of extension) · Manager's Note: · Alaska work comp license or a Property & Casualty adjuster's license. · Job Overview: · Analyze complex or technically difficult worke ...
-
Claims Examiner
2 days ago
US Tech Solutions Atlanta, United StatesJob Title: Claims Examiner · Location: Remote · Duration: 06 months contract (C2H) · Job Description: · Responsibilities: · Investigate, evaluate, and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to co ...
-
Claims Examiner
3 weeks ago
Sedgwick Atlanta, United StatesTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportuni ...
-
Claims Examiner
2 weeks ago
Mindlance Atlanta, United StatesJob Title: Claims Examiner - Workers Compensation · Location: Remote · Job Length: 3 Months (Possibility of extension) · Managers Note: · Alaska work comp license or a Property & Casualty adjusters license. · Job Overview: · Analyze complex or technically difficult workers' ...
-
Claims Examiner
3 weeks ago
Sedgwick Atlanta, United StatesTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportuni ...
-
Claims Examiner
2 weeks ago
ICONMA Atlanta, United StatesTo analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specifi ...
-
Claims Examiner
2 weeks ago
ICONMA Atlanta, United States· To analyze complex or technically difficult workers compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and speci ...
-
Associate Claims Examiner
1 week ago
Berkshire Hathaway Specialty Insurance Atlanta, United StatesWho are we? · A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. Part of Berkshire ...
-
Senior Claims Examiner
3 weeks ago
Hiscox USA Atlanta, United StatesJob Type: · Permanent · 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 org ...
-
Associate Claims Examiner
1 week ago
Berkshire Hathaway Specialty Insurance Atlanta, United StatesJob Description · Job DescriptionWho are we? · A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers aro ...
-
Senior Claims Examiner
1 week ago
Berkshire Hathaway Specialty Insurance Atlanta, United StatesJob Description · Job DescriptionWho are we? · A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers aro ...
-
Litigation Claims Examiner
2 weeks ago
Reserv Atlanta, United StatesJob Description · Job DescriptionDescriptionAbout ReservReserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is ...
-
Senior Claims Examiner
3 weeks ago
James River Group Alpharetta, United StatesMonday, April 22, 2024 · Come grow with James River Insurance · James River Insurance is an excess and surplus lines segment of James River Group Holdings, Ltd. and operates on an approved non-admitted basis in 50 states and Washington, DC. Since 2003, James River has provided th ...
-
Senior Claim Examiner
3 weeks ago
Chubb Alpharetta, United StatesJob Description · The Chubb North American Property team services several business units within Chubb, with books of business involving large property programs written on manuscript quota share policies with contract Independent Adjusters as well as Excess and Surplus Lines. Thi ...
-
Senior Claim Examiner
2 weeks ago
Chubb Alpharetta, United StatesJob Description · The Chubb North American Property team services several business units within Chubb, with books of business involving large property programs written on manuscript quota share policies with contract Independent Adjusters as well as Excess and Surplus Lines. Thi ...
-
Senior Claims Examiner, Healthcare
1 week ago
Berkshire Hathaway Specialty Insurance Atlanta, United StatesJob Description · Job DescriptionWho are we? · A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers arou ...
-
Claims Examiner- General Liability
1 week ago
Sedgwick Atlanta, United StatesTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportuni ...
-
Senior Workers Compensation Claims Examiner
1 week ago
AIG - American International Group, Inc. Atlanta, United StatesAt AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Workers Compensation Claims Examiner to play your part in that transformation. Its an opportunity to grow your skills and experience as a valued member of the t Workers Compensation, Claims, ...
Claims Examiner - Atlanta, United States - Hiscox USA
Description
Job Type:Permanent
Build a brilliant future with Hiscox
Job Description
The Claims Examiner adjudicates assigned claims within given authority and provides operational support to the claims team, This person will also:
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:
Work with amazing people and be part of a unique culture
