Senior Claims Examiner- Architects and Engineers

Hiscox•Chicago, IL

5d•Hybrid

About The Position

The Senior Claims Examiner adjudicates assigned Architects and Engineers claims within delegated authority and in accordance with Hiscox Claims Best Practices. The role handles low- to moderate-complexity professional liability claims, including litigated matters, and involves substantial direct communication with insureds, claimants, claimant attorneys, brokers, and internal and external business partners. The examiner documents claim files, drafts coverage correspondence, analyzes claims and reserves, manages defense counsel when needed, identifies emerging exposures and suspected fraud, and contributes to claims projects. The US Claims team works to provide superior customer service and claims-handling expertise, with staff empowered to manage claims within their authority and deliver fair, timely resolutions for insureds and broker partners. The position is hybrid and requires at least two days per week in an office. It may be based in Atlanta, Boston, Chicago, Manhattan, or West Hartford.

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 claims documentation and legal filing standards.
Proven ability to actively and effectively negotiate settlements of moderately complex claims.
Strong communication skills for a highly customer-facing role involving insureds, brokers, and internal and external business partners.
Advanced analytical skills.
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-complexity professional liability claims, including litigated matters.
Accurately document claim files with relevant documentation, correspondence, and notes in compliance with company policies and applicable regulatory requirements.
Communicate with claimants and claimant attorneys to resolve matters directly.
Draft coverage letters, including reservation-of-rights and denial letters, with minimal supervision.
Review and analyze claims to determine appropriate and timely reserving in accordance with Hiscox Claims Best Practices.
Identify emerging exposures and claims trends.
Manage defense counsel as necessary in 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.
Health insurance.
Vision insurance.
Dental insurance.
Flexible spending account plans for medical, limited-purpose, and dependent care expenses.
Company-paid group term life insurance.
Short-term disability coverage.
Long-term disability coverage.
24 paid time-off days, plus 2 Hiscox days.
10 paid holidays and 1 paid floating holiday.
Option to purchase up to 5 additional PTO days.
Paid parental leave.
Four-week paid sabbatical after every five years of service.
Financial adoption assistance.
Medical travel reimbursement program.
Annual reimbursement up to $600 for health club membership or fitness program fees.
Wellness program.
Matching charitable donations for qualifying non-profits.