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High-Level Claims Examiner

2 months ago

Atlanta, Georgia, United States Hiscox USA Full time
About the Role

We are seeking a highly skilled and experienced Senior Claims Specialist to join our team at Hiscox USA. As a key member of our Claims team, you will be responsible for adjudicating assigned claims within given authority and providing operational support to the team.

Key Responsibilities
  • Adjust and resolve complex to severe claims, including all phases of litigation.
  • Draft complex coverage letters, including reservation of rights and denial letters, with minimal supervision.
  • Review and analyze claim documentation and legal filings to ensure accurate and timely resolution.
  • Drive litigation best practices to lead defense strategy on litigated files and mentor Claim Examiners.
  • Use superior knowledge and experience to affect positive claim outcomes through investigation, negotiation, and alternative dispute resolutions.
  • Identify emerging exposures and claims trends, and suspected fraudulent claims for special investigations.
  • Accurately document claim files with all relevant claim documentation, correspondence, and notes in compliance with company policies and regulatory authorities.
  • Develop content and conduct training for the claims team and underwriters as requested.
Requirements
  • 8+ years of claims handling experience or 7-8+ years of litigation experience.
  • Proven ability to positively affect complex claims outcomes through investigation, negotiation, and litigation leadership.
  • Advanced knowledge of coverage within the team's specialty or focus.
  • Advanced knowledge of litigation process and negotiation skills.
  • Experience in mentoring and training other claims examiners.
  • Excellent verbal and written communication skills.
  • Advanced analytical skills.
  • B.A./B.S degree from an accredited College or University preferred.
About Hiscox USA

Hiscox USA is a leading provider of commercial insurance solutions, offering a broad portfolio of products to small and middle market businesses. Our team is dedicated to delivering exceptional customer service and claims handling expertise.

What We Offer
  • Competitive salary range: $100,000 - $150,000.
  • Comprehensive benefits package, including health insurance, 401(k) matching, and paid time off.
  • Opportunities for professional development and growth within the company.
  • A dynamic and values-driven culture that prioritizes diversity, equity, and inclusion.