Senior Claims Examiner - MPL

Hiscox•Boston, MA

6d•$95,000 - $120,000•Hybrid

About The Position

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. They accurately document claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities. This is a heavy customer-facing role requiring confident communication skills to resolve matters directly with claimants and/or claimant attorneys. With minimal supervision, the Senior Claims Examiner drafts coverage letters, including reservation of rights and denial letters, reviews and analyzes claims 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, and identifies suspected fraudulent claims and tracks with the Special Investigations Unit. Participation in Claims Projects is also expected 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. 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.

Nice To Haves

JD a plus.

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

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