Senior Claims Examiner- Architects and Engineers

Hiscox; United States; Hybrid; USD 115,000 - 135,000; Full time

Benefits offered by this job

401(k) with company match

Health insurance (medical, vision, etc

Paid time off & holidays

Parental leave

Sabbatical after 5 years

Job summary

Hiscox USA is seeking a Senior Claims Examiner for Architects and Engineers to adjudicate assigned claims within authority and in line with Hiscox Best Practices. The role is heavily client-facing, requiring clear communication with claimants and attorneys, and careful documentation of files.

Based in a hybrid office environment (two days per week in the office) in cities like Atlanta, Boston, Chicago, Manhattan or Hartford, you will negotiate settlements, manage defense counsel when needed, and

Qualifications

• 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 with customers, claimants and attorneys.
• Active insurance adjuster’s license
• JD a plus, BA/BS required for consideration.

Responsibilities

• Adjusts and resolves low to moderate professional liability claims that include litigated matters.
• Documents claim files with all relevant documentation and notes per policy and regulatory standards.
• Communicates effectively with claimants and attorneys to resolve matters.
• Drafts coverage letters, including reservation of rights and denial letters with minimal supervision.
• Reviews and analyzes claims to determine appropriate reserving per Best Practices.
• Identifies emerging exposures and participates in claims projects as needed.

Skills

Claims analysis

Analytical skills

Communication skills

Negotiation

Litigation awareness

Education

B.A./B.S. degree

J.D. (a plus)

Job description

Senior Claims Examiner- Architects and EngineersThe cookies we have used are strictly necessary to operate the website to ensure we give you the best service possible. By using this site, you agree that we will store strictly necessary cookies on your device. Visit the cookie policy.# Hiscox Careers## Senior Claims Examiner- Architects and EngineersApply: Hybrid: Chicago: Connecticut: Boston: New York - Manhattan: Atlanta: Full time: Posted Yesterday: R0020752**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.**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:*** 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**\\*\\*This position is hybrid and requires two (2) days in our office weekly\\*\\*****Salary Range: $115-$135k***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. 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.**#LI-RM1***Work with amazing people and be part of a unique culture*