Senior Claims Examiner

3 days ago


Atlanta, Georgia, United States Hiscox Full time $80,000 - $110,000 per year

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.

Please note this position is hybrid and requires working in office a minimum of two (2) days per week. Position can be based in the following locations:

  • Atlanta, GA (preferred)
  • Boston, MA
  • Chicago, IL
  • Manhattan, NY
  • Scottsdale, AZ
  • West Hartford, CT

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 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

The Team
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

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

What Hiscox USA Offers

  • 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, and 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
  • 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
  • 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 Hiscox USA
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.

Salary Range: $80,000-$110,000

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Work with amazing people and be part of a unique culture



  • Atlanta, Georgia, United States Vasquez Platform Full time $40,000 - $120,000 per year

    Job title: Part-Time Medical Claims ExaminerLocation: RemoteJob Type: Contractor/Part timePay range: $50/HrAbout Vasquez PlatformVasquez is a healthcare technology platform designed to modernize insurance and payment operations. We connect telehealth vendors, care providers, and TPAs through real-time data interoperability - enabling instant access to...


  • Atlanta, Georgia, United States State of Georgia - Labor, Georgia Department of - GDOL Full time $40,000 - $60,000 per year

    Additional InformationAgency Logo:Requisition ID: REG04F2Number of Openings: 2Advertised Salary: $40,000.00/Yr.Shift: Day JobUI Claims Examiner Associate (UI Claims Examiner I)Job Code: RCP070Pay Grade: FThe Georgia Department of Labor is accepting applications to fill the UI Claims Examiner Associate positions in the Benefit Payment Control Unit at the GDOL...


  • Atlanta, Georgia, United States Reserv Full time $104,000 - $208,000 per year

    DescriptionAbout 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 venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating...


  • Atlanta, Georgia, United States AXA XL Full time $104,000 - $182,000 per year

    Open to multiple locationsAXA XL's Claims team sets us apart. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. How do you make a good thing better? You focus on excellence and creating a culture of continuous improvement. You create an environment that fosters collaboration, customer...


  • Atlanta, Georgia, United States Amica Insurance Full time $46,111 - $70,000 per year

    DescriptionSenior APD Claims RepresentativeAtlanta Regional2180 Satellite Boulevard, Suite 350, Duluth, GA 30097Thank you for considering Amica as part of your career journey, where your future is our business. Ready to Join Us?Are you a detail-oriented professional with a passion for resolving complex issues and supporting customers in a time of need? We're...


  • Atlanta, Georgia, United States Reserv Full time $120,000 - $180,000 per year

    DescriptionAbout 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 venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating...

  • Sr Claims Trainer

    5 days ago


    Atlanta, Georgia, United States AssuranceAmerica Full time $60,000 - $120,000 per year

    Position Summary:The Senior Claims Trainer plays a critical role in developing and delivering training programs that enhance the knowledge, skills, and performance of claims professionals. This position is responsible for designing curriculum, facilitating training sessions, and collaborating with leadership to ensure alignment with operational goals and...


  • Atlanta, Georgia, United States myGwork - LGBTQ+ Business Community Full time $80,000 - $85,000 per year

    This job is with Beazley, an inclusive employer and a member of myGwork – the largest global platform for the LGBTQ+ business community. Please do not contact the recruiter directly.GeneralJob Title:Assistant Claims ManagerDivision:Group ClaimsReports ToClaims Product Specialist and/or Claims Focus Group Leader, as per Beazley's organisation chartKey...


  • Atlanta, Georgia, United States Gallagher Full time $70,000 - $110,000 per year

    Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people's lives. It takes empathy, precision, and a strong sense of...


  • Atlanta, Georgia, United States Gallagher Full time $60,000 - $120,000 per year

    Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people's lives. It takes empathy, precision, and a strong sense of...