Senior Claims Examiner- Architects and Engineers

HICIX Hiscox Insurance Company Inc.; Chicago (IL); Hybrid; USD 115,000 - 135,000; Full time

Benefits offered by this job

401(k) with company matching

Comprehensive health insurance

Paid time off and holidays

Job summary

Hiscox USA is seeking a Senior Claims Examiner for Architects & Engineers in a hybrid Chicago-based role. The position entails managing professional liability claims with strong communication and analytical skills, including drafting coverage letters and coordinating with claimants, attorneys, and defense counsel.

You will join a growing US Claims team focused on fair and fast claim resolutions, profitability, and excellent client service across insureds and brokers.

Qualifications

• 3–5 years of claims handling experience in Architects and Engineers or similar professional liability
• 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 required for customer facing interactions with insureds, brokers, and partners

Responsibilities

• Adjusts and resolves low to moderate professional liability claims including litigated matters
• Documents claim files with all relevant materials per policy and regulatory requirements
• Communicates effectively with claimants and attorneys to resolve matters
• Drafts coverage letters, including reservation of rights and denial letters
• Reviews claims to determine appropriate and timely reserving per best practices
• Identifies emerging exposures and manages defense counsel as needed
• Flag fraudulent claims and coordinate with Special Investigations Unit

Skills

Active insurance adjuster's license

Strong communication skills

Advanced analytical skills

3–5 years claims handling experience

Education

BA/BS degree

JD a plus

Job description

Job Type: Permanent Build a brilliant future with Hiscox Bring your Passion and Enthusiasm to this add to staff position on our Team! We're a fun, innovative and growing Claims team where you'll get the opportunity to learn multiple design-related insurance products and interact with business leaders across the organization. Please note this position is hybrid and requires working in office a minimum of two (2) days per week. Position can be based in the following locations: Atlanta, GA Boston, MA Chicago, IL Manhattan, NY West Hartford, CT

The Role:

The Senior Claims Examiner- Architects and Engineers adjudicates assigned claims within given authority and according to Hiscox Claims Best Practices.

• 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:

• 3-5 years of claims handling experience in Architects and Engineers or similar 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
• 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: $115-$135k

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. 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. If you want to help build a brilliant future; work with amazing people; be part of a unique company culture; and, of course, enjoy great employee benefits that take care of your mental and physical wellbeing, come and join us.

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.