Claims examiner Jobs in Scottsdale, AZ

Build a Brilliant Future with Hiscox

This position is hybrid and requires work in office a minimum of two (2) days per week. Position can be based at our following hub office locations:

• Atlanta, GA
• Boston, MA
• Chicago, IL
• Manhattan, NY
• Scottsdale, AZ

The US Claims Compliance and Quality Assurance team at Hiscox is a growing group of professionals with operational and technical experience. The team serves as a claims technical resource, as well as provides assistance and expertise across Hiscox by identifying and promoting claims best practices and facilitating required improvements. We foster consistency, calibration, and continuous improvement in the handling of Hiscox claims. Our team is quite diverse, and you will be able to demonstrate that you can flex your work and delivery style to accommodate different stakeholders.

You'll play a critical role in supporting the development and enforcement of claims compliance across 50 states and federal jurisdictions. You'll work closely with internal claims teams, legal, and third-party administrators to ensure we maintain best-in-class claims practices that meet all regulatory requirements.

Key Responsibilities:

• Support the maintenance of a central 50-state claims compliance library
• Assist with internal audits and regulatory reviews
• Validate compliance with Claims Best practices
• Analyze data and file trends to identify potential compliance issues and build solutions
• Provide compliance support to internal teams and external vendors

Qualifications:

• 10+ years of experience in claims compliance, insurance regulation, or legal operations
• J.D. strongly preferred, advanced insurance compliance certification a plus
• Experience with multiple lines of business in a 50-state claims environment
• Knowledge of Medicare Secondary Payer requirements and Section 111 reporting
• Strong research and policy writing skills
• Excellent collaboration, project management, and problem-solving skills

Compensation: $80,000$130,000, based on experience

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 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 about 420 employees mostly operating out of several major cities - New York, Atlanta, Chicago, West Hartford, and Scottsdale. 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.

What We Offer:

• 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

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

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Work with amazing people and be part of a unique culture