Senior Claims Examiner

Hiscox

. The Senior Claims Examiner adjudicates assigned claims within given authority and provides operational support to the claims team.

Posted 4/29/2026full-timeChicago • Arizona, Connecticut, Illinois, Massachusetts, New York • 🇺🇸 United StatesSenior💰 $80,000 - $110,000 per yearWebsite

About the role

Key responsibilities & impact

The Senior Claims Examiner adjudicates assigned claims within given authority and provides operational support to the claims team.
Adjusts and resolves moderate to complex claims that includes all phases of litigation
Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities
With minimal supervision, drafts coverage letters, including reservation of rights and denial letters
Reviews and analyses claim documentation and legal filings to set timely and accurate reserves and notify the manager if upward segmentation is needed
Identifies emerging exposures and claims trends
Drives litigation best practices to manage deployment and utilization of defense counsel
Identifies suspected fraudulent claims and tracks with special investigations unit
Participates in Claims Projects as needed

Requirements

What you’ll need

3-5 years of claims handling experience in the area of commercial general liability 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 to complex claims
Experience in mentoring and training other claims examiners
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 preferred

Benefits

Comp & perks

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
Company paid subscription to Headspace to support employees’ mental health and wellbeing
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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims handlingclaims analysisclaims adjustingclaims documentationlegal filingsnegotiationlitigation best practicesfraud detectionreserves settingcoverage letter drafting

Soft Skills

analytical skillsverbal communicationwritten communicationmentoringtrainingproblem-solvingattention to detailteam collaborationtime managementdecision making

Certifications

active insurance adjuster’s license