Impress employers and recruiters.
Choose from hundreds of resume examples.

Target Resume Now

About the Role

The Senior Claims Examiner 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 of litigation, accurately documents claim files, drafts coverage letters, reviews and analyzes claim documentation and legal filings, identifies emerging exposures and claims trends, drives litigation best practices, identifies suspected fraudulent claims, and participates in Claims Projects as needed.

Responsibilities

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

Requirements

3-5 years of claims handling experience in the area of commercial general liability 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 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

Skills

Claims handling
Commercial general liability
Claims analysis
Adjusting practices
Claims documentation
Legal filings
Negotiation
Mentoring
Training
Analytical skills
Verbal communication
Written communication

Location

Atlanta, GA
Boston, MA
Chicago, IL
Manhattan, NY
Scottsdale, AZ
West Hartford, CT

Work Type

Hybrid
Permanent
Full-time

Experience Level

Senior

Education Level

B.A./B.S degree from an accredited College or University preferred

Salary/Compensations

$80,000-$110,000

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
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
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

About the Company

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 over 400 employees operating out of several major cities - New York, Atlanta, Chicago, Scottsdale, and West Hartford.
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.
We’re a global, specialist insurer headquartered in Bermuda and listed on the London Stock Exchange.
With 3,000 employees and 32 offices in 12 countries we’re a business with lots of opportunity for people with talent, spark and lots of ambition.
If you want to build a great career with a company that prioritises strong values – such as integrity and courage – where our people always pull together to do the right thing for each other and our customers, then we’d love to hear from you.

Equal Opportunity

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