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About the Role

The Senior Claims Examiner-Miscellaneous Professional Liability adjudicates assigned claims within given authority and according to Hiscox Claims Best Practices. This person adjusts and resolves low to moderate professional liability claims, including litigated matters, and manages defense counsel as necessary. It is a customer-facing role requiring confident communication skills to resolve matters directly with claimants and their attorneys. The role involves drafting coverage letters, analyzing claims for appropriate reserving, identifying emerging exposures and trends, and identifying suspected fraudulent claims.

Responsibilities

Adjusts and resolves low to moderate professional liability claims that include litigated matters
Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities
Communicates effectively to resolve matters directly with claimants, and or claimant attorneys
With minimal supervision, drafts coverage letters, including reservation of rights and denial letters
Reviews and analyzes claims in order to determine appropriate and timely reserving per Hiscox Claims Best Practices
Identifies emerging exposures and claims trends
Manages defense counsel as necessary in defending litigated matters
Identifies suspected fraudulent claims and tracks with Special Investigations Unit
Participates in Claims Projects, as needed

Requirements

2-5 years of claims handling experience in Professional Liability or Specialty claims 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 complexity claims
Strong communication skills a must
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, required
JD a plus

Skills

Claims handling
Professional Liability
Specialty claims
Claims analysis
Adjusting practices
Claims documentation
Legal filings
Negotiation
Communication skills
Analytical skills
Verbal communication
Written communication

Location

Atlanta, GA
Boston, MA
Chicago, IL
Manhattan, NY
Scottsdale, AZ
West Hartford, CT

Work Type

Hybrid
Permanent
Full-time

Experience Level

Senior

Education Level

B.A./B.S degree
JD

Salary/Compensations

$95,000-$120,000

Benefits

401(k) with competitive company matching
Comprehensive health insurance, vision, dental and FSA plans
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
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
Modern and open office spaces, complimentary drinks
Spirit of volunteerism, social responsibility and community involvement
Matching charitable donations

About the Company

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.
We’re a global, specialist insurer headquartered in Bermuda and listed on the London Stock Exchange.
With 3,000 employees and 32 offices in 12 countries we’re a business with lots of opportunity for people with talent, spark and lots of ambition.
If you want to build a great career with a company that prioritises strong values – such as integrity and courage – where our people always pull together to do the right thing for each other and our customers, then we’d love to hear from you.

Equal Opportunity

2024 Gold level recipient of Cigna’s Healthy Workforce Designation for having a best-in-class health and wellness program