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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 that include litigated matters, documents claim files accurately, and communicates effectively to resolve matters directly with claimants and/or claimant attorneys.

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

• Confident communication skills
• Analytical skills
• Verbal communication skills
• Written communication skills

Location

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

Work Type

• Permanent
• Hybrid

Experience Level

• Senior

Education Level

• B.A./B.S degree
• JD

Salary/Compensations

• $95k-$120k

Benefits

• 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
• 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
• 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

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.
• Work with amazing people and be part of a unique culture

Equal Opportunity

• 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