Senior Claims Examiner – MPL

Hiscox

Senior Claims Examiner managing various professional liability claims. Role involves customer interaction and compliance with claims best practices.

Posted 6/19/2026full-timeChicago • Arizona, Connecticut, Illinois, Massachusetts, New York • 🇺🇸 United StatesSenior💰 $95,000 - $120,000 per yearWebsite

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Hard Skills

claims handlingclaims analysisclaims adjusting practicesclaims documentationlegal filingsnegotiationcoverage lettersclaims reservingfraud detectionlitigation management

Soft Skills

communication skillscustomer serviceanalytical skillsnegotiation skillsinterpersonal skillsproblem-solvingattention to detailteam collaborationtime managementadaptability

Certifications & Qualifications

active insurance adjuster’s license

Industry Keywords

Professional LiabilitySpecialty claimsHiscox Claims Best Practicesclaims trendsfraudulent claimsclaims projectsregulatory compliancelitigated mattersclaim documentationinsurance carrier

About the role

Key responsibilities & impact

The Senior Claims Examiner-Miscellaneous Professional Liability adjudicates assigned claims within given authority and according to Hiscox Claims Best Practices.
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
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. 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
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