Claims Examiner – Partner Programs (Equity & Growth)

Hippo Insurance; Town of Texas (WI); On-site; USD 85,000 - 120,000; Full time

Benefits offered by this job

Healthy Hippos Benefits

Equity

Training and Career Growth

Flexible Time Off

Little Hippos Program

Hippo Habitat

Job summary

Hippo seeks a Claims Examiner – Partner Programs to review and approve claims exceeding authority, ensuring alignment with guidelines and regulatory requirements. You will analyze coverage, reserve and payment requests, and communicate with TPAs, reinsurers, and underwriters across our partner programs.

You'll lead claim investigations, advise TPAs, manage escalations, and contribute to audits and reporting. A background in property/casualty claims and strong communication skills are essential.

Qualifications

• 2–5 years of claims handling experience in property, casualty, or specialty lines
• Basic understanding of insurance coverage principles and policy interpretation
• Experience investigating and resolving claims, including exposure analysis and reserving
• Strong written and verbal communication skills
• Organizational skills with the ability to manage a caseload effectively
• Ability to work collaboratively with internal teams and external partners
• Proficiency in Microsoft Office applications (Excel, Word, Outlook)

Responsibilities

• Review TPAs' submitted claims and authorize reserves/payments beyond TPA authority
• Guide TPAs to ensure proper investigation and timely, equitable disposition
• Assist with coverage analysis and underwriting as appropriate
• Review and approve reservation of rights and coverage denial letters
• Monitor reserves and adjust as needed in a timely manner
• Refer claims beyond authority to supervisor
• Prepare notifications to underwriters/reinsurers for large or contentious claims
• Review and approve TPA funding requests within authority
• Participate in claim file audits to monitor TPA performance
• Assist with reports for underwriting, agents, insureds or state agencies

Skills

Claims handling

Insurance principles

Investigating claims

Communication skills

Organization

Team collaboration

MS Office

Job description

Hippo seeks a Claims Examiner – Partner Programs to review and approve claims exceeding authority, ensuring alignment with guidelines and regulatory requirements. You will analyze coverage, reserve and payment requests, and communicate with TPAs, reinsurers, and underwriters across our partner programs.

You'll lead claim investigations, advise TPAs, manage escalations, and contribute to audits and reporting. A background in property/casualty claims and strong communication skills are essential.