Claims Examiner - Professional Liability

Hiscox USA
Atlanta, Georgia
Base Salary + Bonus + Benefits
May 16, 2023
Aug 15, 2023
Job Type
Full Time

Claims Examiner - Professional Liability

  • Job ID: 12332
  • Department: Claims
  • Employment type: Permanent - Full time
  • Location(s): Atlanta | Chicago | New York - White Plains | New York - Manhattan
  • Preferred education: Bac + 4 or Equivalent

Job Description:

The Claims Examiner adjudicates assigned claims within given authority and provides operational support to the claims team, This person will also:

  • Adjusts and resolves moderately complex claims that may include some litigation
  • Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities
  • Drafts coverage letters, including reservation of rights and denial letters
  • Reviews and analyzes claim documentation and legal filings to set timely and accurate
  • Identifies emerging exposure
  • Identifies suspected fraudulent claims and tracks with special investigations unit
  • Engages and manages outside vendors pursuant to company policy

The Team:       

The US Claims team at Hiscox is a growing group of professionals working together to provide superior customer service and claims handling expertise. The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our insured and broker partners. With strong growth across the US business, the Claims team is focused on delivering profitability while reinforcing Hiscox’s strong brand built on a long history of outstanding claims handling.

Salary  - $56,700 -$84,000

Person Specification:

1-    3+ years of claims handling experience.

2-    In depth knowledge of claims analysis and adjusting practices

3-     Intermediate knowledge of standards for claims documentation and legal filings

4-     Proven ability to actively and effectively negotiate settlement of claims

5-    Strong verbal and written communication skills

6-    Demonstrated analytical skills

7-    Active insurance adjuster’s license preferred

8-    B.A./B.S degree from an accredited College or University preferred

Additional Factors Considered:

1-    Mediation, arbitration or trial attendance

2-    Subject matter expertise

3-    Demonstrated steps taken toward additional certifications by an approved authority such as a CPCU, ARMS or AINS designation

4-    Commitment to professional development and learning demonstrated by at least 5 hours of continuing education related to insurance topics through Success Factory, Hiscox in-person or video conference training sessions, or other in-person seminars or webinars

What we offer:

  • Competitive salary and bonus (based on personal & company performance) 
  • 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, 10 paid holidays, and ability to purchase 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 
  • Recipient of 2021 Cigna’s Well-Being Award 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 


Compensation Overview:

The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

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