Remote Medical Claims Processor Jobs in Bolingbrook, IL

Job Type:

Build a brilliant future with Hiscox

The Complex Claims Specialist is a senior level individual contributor position. This person adjudicates assigned claims within given authority and provides operational support to the claims team.

**Please Note: This position is primarily hybrid and requires in-office attendance at least two (2) days per week for candidates that are located near one of our office locations. However, qualified remote candidates will also be considered**

The Position Can Be Based In:

• Atlanta, GA

• Boston, MA

• Chicago, IL

• Manhattan, NY

• Scottsdale, AZ

• West Hartford, CT

This Person Will Also:

• Strategize and maximize early settlement opportunities for Construction Defect and 3rd Party Property Damage Claims

• Demonstrate proficient knowledge regarding coverage triggers and time on risk allocation

• Draft and Review coverage analyses

• Manage/Partner with local defense counsel while monitoring litigation

• Drive litigation best practices to manage deployment and utilization of defense counsel

• Continually assess exposures and adequacy of claim reserves

• Demonstrate proficient knowledge regarding theories of liability and state specific negligence standards

• Accurately document claim files with all relevant correspondence, documentation, and file notes

• Demonstrate proficient knowledge of ACV vs RCV property damage assessments

• Attend mediations and/or settlement conferences where appropriate

• Identify suspected fraudulent claims and tracks with special investigations unit

• Actively participate in the Claims/UW/Actuarial feedback loop

• Keep senior claims management adequately and appropriately informed of key issues

• Liaison directly on a daily basis with insureds and brokers

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:

• 10+ years of claims handling experience within General Liability & Bodily Injury

• A JD from an ABA accredited law school may be considered as a supplement to claims handling experience

• Proven ability to positively affect highest severity claims outcomes through investigation, negotiation and effectively leading litigation

• Expert knowledge of coverage within the team's specialty or focus

• Expert knowledge of litigation process and negotiation skills

• Proven track record of mentoring others

• Excellent verbal and written communication skills

• Advanced analytical skills

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

Hiscox Values:

At Hiscox our spirit is in Challenging Convention and everything we do is guided by our Values.

• Courage: Dare to take a risk

• Ownership: Passionate, commercial and accountable

• Integrity: Do the right thing, however hard

• Connected: Together, build something better

• Human: Clear, fair and inclusive

What Hiscox USA Offers:

• Competitive salary and bonus (based on personal & company performance)

• 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, 2 Hiscox Days, 10 paid holidays, and ability to purchase 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

• Recipient of 2024 Cigna's Well-Being Award for having a best-in-class health and wellness program

• Dynamic, creative and values-driven culture

• Modern and open office spaces, complimentary drinks

Salary Range: $115-$135k

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.

About Hiscox:

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 USA:

Hiscox USA was established in 2006 to focus on the needs underserved and specialty commercial clients via both the regional 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 400 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.

You can follow Hiscox on LinkedIn, Glassdoor and Instagram (@HiscoxInsurance)

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