Senior Claims Examiner- Architects and Engineers

Hiscox•Boston, MA

7d•$115,000 - $135,000•Hybrid

About The Position

The Senior Claims Examiner adjudicates assigned Architects and Engineers claims within assigned authority and in accordance with Hiscox Claims Best Practices. This is a customer-facing position that adjusts and resolves low-to-moderate professional liability claims, including litigated matters. The examiner documents claim files, communicates with claimants and their attorneys, drafts coverage letters, analyzes claims and reserves, identifies trends and potential fraud, and manages defense counsel as needed. The position is hybrid and requires working in an office at least two days per week. It may be based in Atlanta, Boston, Chicago, Manhattan, or West Hartford. The US Claims team works to provide strong customer service and claims-handling expertise, supporting fair and timely claim resolution while contributing to business profitability. The stated salary range is $115,000–$135,000. Actual salary depends on factors including the role’s scope, complexity and location, and the candidate’s skills, education, training, credentials and experience.

Requirements

3–5 years of claims-handling experience in Architects and Engineers, 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.
Demonstrated ability to actively and effectively negotiate settlements of moderately complex claims.
Strong communication skills for frequent customer-facing interaction with insureds, brokers, and internal and external business partners.
Advanced analytical skills and strong verbal and written communication skills.
Active insurance adjuster’s license.
Bachelor of Arts or Bachelor of Science degree from an accredited college or university.

Nice To Haves

Juris Doctor (JD) degree.

Responsibilities

Adjust and resolve low-to-moderate professional liability claims, including litigated matters.
Document claim files accurately with relevant documentation, correspondence and notes in compliance with company policies and applicable regulatory requirements.
Communicate with claimants and claimant attorneys to resolve matters.
Draft coverage letters, including reservation-of-rights and denial letters, with minimal supervision.
Review and analyze claims to establish appropriate and timely reserves in accordance with Hiscox Claims Best Practices.
Identify emerging exposures and claims trends.
Manage defense counsel as needed for litigated matters.
Identify suspected fraudulent claims and track them with the Special Investigations Unit.
Participate in Claims Projects as needed.

Benefits

401(k) with competitive company matching.
Comprehensive health insurance, vision and dental plans, and flexible spending accounts for medical, limited-purpose and dependent-care expenses.
Company-paid group term life insurance and short-term and long-term disability coverage.
24 paid time-off days plus two Hiscox days, 10 paid holidays and one paid floating holiday; option to purchase up to five additional PTO days.
Paid parental leave.
Four-week paid sabbatical after every five years of service.
Financial Adoption Assistance and Medical Travel Reimbursement Programs.
Annual reimbursement up to $600 for health club membership or fees associated with a fitness program.
Health and wellness program.
Modern and open office spaces with complimentary drinks.
Matching charitable donations for qualifying nonprofits through the Hiscox USA Foundation.