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Hiscox

Senior Claims Examiner - MPL

Reposted 2 Days Ago
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In-Office or Remote
Hiring Remotely in Connecticut, USA
95K-120K Annually
Senior level
In-Office or Remote
Hiring Remotely in Connecticut, USA
95K-120K Annually
Senior level
Adjudicate and resolve low-to-moderate miscellaneous professional liability claims, including litigated matters. Document files, communicate with claimants and attorneys, draft coverage/denial letters, set reserves, manage defense counsel, identify fraud and trends, and participate in claims projects to ensure timely, compliant claim resolution.
The summary above was generated by AI

Job Type:

Permanent

Build a brilliant future with Hiscox
 

Bring your Passion and Enthusiasm to our Team! We are a fun, innovative and growing Claims team where you’ll get the opportunity to learn multiple insurance products and interact with business leaders across the organization.

  

**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

   

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

  • Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities

  • Heavy customer facing role.  Must have confident communication skills.

  • 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

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:

  • 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.  This role is very customer facing including insureds, brokers, and internal and external business partners.

  • 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.

 What Hiscox USA Offers:

  • 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 

Salary Range: $95-$120k

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 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.

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

 

#LI-RM1


Work with amazing people and be part of a unique culture

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