Senior Claims Examiner – MPL

Hiscox

. Adjusts and resolves low to moderate professional liability claims that include litigated matters .

Posted 5/22/2026full-timeArizona, Connecticut, Illinois, Massachusetts, New York • 🇺🇸 United StatesSenior💰 $95,000 - $120,000 per yearWebsite

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

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
Advanced analytical skills.
Active insurance adjuster’s license
B.A./B.S degree from an accredited College or University, required. JD a plus.

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
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 adjusting practicesclaims documentationlegal filingsnegotiationanalytical skillsfraud detectioncoverage letter draftingclaims reserving

Soft Skills

communication skillscustomer serviceproblem-solvingnegotiationindependent workattention to detailinterpersonal skillsconflict resolutionteam collaborationadaptability

Certifications

insurance adjuster’s license