Claims Examiner -- Allied Health Care

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:

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

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.

Person Specification:

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

Additional Factors Considered:

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

What Hiscox USA Offers

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

Salary Range - $60,000 - $75,000

Work with amazing people and be part of a unique culture

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