- Adjusts and resolves moderate to complex claims that includes all phases of litigation
- Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities
- With minimal supervision, drafts coverage letters, including reservation of rights and denial letters
- Reviews and analyses claim documentation and legal filings to set timely and accurate a reserves and notify the manager if upward segmentation is needed
- Identifies emerging exposures and claims trends
- Drives litigation best practices to manage deployment and utilization of defense counsel
- Identifies suspected fraudulent claims and tracks with special investigations unit
- Participates in Claims Projects as needed
- Courage: Dare to take a risk
- Human: Clear, fair & inclusive
- Ownership: Passionate, commercial & accountable
- Integrity: Do the right thing, however hard
- Connected: Together, build something better
- 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
- 10 Paid Holidays
- Paid sabbaticals after 10 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
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Senior Claims Examiner - Atlanta, United States - Hiscox USA
Description
Job 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 organization.
Position: Senior Claims Examiner
Band: II
The Role:
The Senior Claims Examiner adjudicates assigned claims within given authority and provides operational support to the claims team. This person 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.
Requirements:
6+ years of claims handling experience. A JD from an ABA accredited law school may be considered as a supplement to claims handling experience 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 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
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 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
3 Key Success Factors:
Band A/IBand IIBand IIIBand IV
□ Optimizes work processes X Cultivates innovation □ Cultivates innovation □ Cultivates innovation
□ Customer focused □ Decision quality □ Decision quality □ Decision quality
□ Action oriented X Drives results □ Drives results □ Drives results
□ Courage X Courage □ Business insight □ Strategic mindset
□ Interpersonal savvy □ Interpersonal savvy □ Develops talent □ Develops talent
Hiscox Values
At Hiscox our spirit is in Challenging Convention and everything we do is guided by our Values.
As an international specialist insurer we are far removed from the world of mass market insurance products. Instead we are selective and focus on our key areas of expertise and strength - all of which is underpinned by a culture that encourages us to challenge convention and always look for a better way of doing things.
We insure the unique and the interesting. And we search for the same when it comes to talented people. Hiscox is full of smart, reliable human beings that look out for customers and each other. We believe in doing the right thing, making good and rebuilding when things go wrong. Everyone is encouraged to think creatively, challenge the status quo and look for solutions.
Scratch beneath the surface and you will find a business that is solid, but slightly contrary. We like to do things differently and constantly seek to evolve. We might have been around for a long time (our roots go back to 1901), but we are young in many ways, ambitious and going places. Some people might say insurance is dull, but life at Hiscox is anything but. If that sounds good to you, get in touch.
About Hiscox US
Hiscox USA was established in 2006 to focus primarily on the needs of small and middle market commercial clients, via both the broker and direct distribution channels and is today the fastest-growing business unit within the Hiscox Group.
Today, Hiscox USA has a talent force of about 420 employees mostly operating out of 6 major cities - New York, Atlanta, Dallas, Chicago, Los Angeles and San Francisco. Hiscox USA offers a broad portfolio of commercial products, including technology, cyber & data risk, multiple professional liability lines, media, entertainment, management liability, crime, kidnap & ransom, commercial property and terrorism.
Diversity and flexible working at Hiscox
At Hiscox we care about our people. We hire the best people for the job and we're committed to diversity and creating a truly inclusive culture, which we believe drives success. We also understand that working life doesn't always have to be 'nine to five' and we support flexible working wherever we can. No promises, but please chat to our resourcing team about the flexibility we could offer for this role.
You can follow Hiscox on LinkedIn, Glassdoor and Instagram (@HiscoxInsurance)
Salary Range - $80,000 - $95,000
Work with amazing people and be part of a unique culture
