Scottsdale, Arizona, United States · Hybrid
$95k–$120k/yr
Job Type: Permanent Build a brilliant future with Hiscox **Please Note: This position is primarily hybrid and requires in-office attendance at least two (2) days per week for candidates that are located near one of our o…
Skills: Claims handling, Professional liability, Allied healthcare, Medical malpractice, Coverage analysis
Los Angeles, California, United States · Hybrid
$148k–$215k/yr
Job Type: Permanent Build a brilliant future with Hiscox Job Title: Staff Counsel Department: Staff Counsel / Claims/Legal Hiscox USA is a leading specialist insurer with origins dating back to 1901. It is part of the Hi…
Skills: Litigation, Insurance defense, Personal injury litigation, Legal strategy, Operational management
Scottsdale, Arizona, United States · Hybrid
$115k–$135k/yr
Job Type: Permanent Build a brilliant future with Hiscox The Complex Claims Specialist is a senior level individual contributor position. This person adjudicates assigned claims within given authority and provides operat…
Skills: Claims handling, General liability, Bodily injury, Litigation management, Coverage analysis
Chicago, Illinois, United States · Hybrid
$180k–$220k/yr
Job Type: Permanent Build a brilliant future with Hiscox **Please Note: This position is primarily hybrid and requires in-office attendance at least two (2) days per week for candidates that are located near one of our o…
Skills: Claims Oversight, Coverage Analysis, Liability Insights, Claim Resolution Strategies, Reserving
Scottsdale, Arizona, United States · Hybrid
$95k–$120k/yr
Job Type: Permanent Build a brilliant future with Hiscox Bring your Passion and Enthusiasm to our Team! We are a fun, innovative and growing Claims team where you’ll get the opportunity to learn multiple insurance produc…
Skills: Claims adjudication, Professional liability, Litigation management, Coverage analysis, Reserving
Atlanta, Georgia, United States · Hybrid
$125k–$155k/yr
Job Type: Permanent Build a brilliant future with Hiscox Put your claims skills to the test and join one of the top Professional Liability Insurers in the Industry as a Complex Claims Specialist A&E! **Please Note: This …
Skills: Claims Management, Liability Analysis, Coverage Analysis, Case Reserving, Litigation Monitoring
Scottsdale, Arizona, United States · Hybrid
$80k–$110k/yr
Job Type: Permanent Build a brilliant future with Hiscox Bring your Passion and Enthusiasm to our Team! We are a fun, innovative and growing Claims team where you’ll get the opportunity to learn multiple insurance produc…
Skills: Claims Adjudication, Commercial General Liability, Litigation Management, Claims Analysis, Negotiation
Atlanta, Georgia, United States · Hybrid
$125k–$155k/yr
Job Type: Permanent Build a brilliant future with Hiscox Join our dynamic and forward-thinking Claims team! Here, you’ll be part of an energetic and innovative group, with the chance to help shape insurance products and …
Skills: Claims handling, Professional liability, Litigation management, Coverage analysis, Negotiation
Lisbon, Portugal · Hybrid
Job Type: Permanent Build a brilliant future with Hiscox Job Description Role Overview The Flow Engineering is a hands-on technical coach and delivery expert focused on optimizing the speed, efficiency, and quality of pr…
Skills: Agile Frameworks, Kanban, XP, Lean, Scrum
Cologne, North Rhine-Westphalia, Germany · Hybrid
Job Type: Permanent Build a brilliant future with Hiscox Wir sind Hiscox - Spezialversicherer für Business- und Privatkunden. Mit Wissen, Transparenz und Weitblick schützen wir Unternehmen, Selbstständige und Freelancer,…
Skills: Administrative support, Policy administration, Underwriting assistance, Data management, Documentation
Boston, Massachusetts, United States · Hybrid
$125k–$165k/yr
Job Type: Permanent Build a brilliant future with Hiscox Job Title: Senior Software Engineer – Integrations Location: Boston, MA- Hybrid Hiscox is searching for a passionate and highly skilled Software Engineer with expe…
Skills: Software development lifecycle, API development, Solution design, Integration patterns, C#
Atlanta, Georgia, United States · Hybrid
$100k–$135k/yr
Job Type: Permanent Build a brilliant future with Hiscox Drive growth with an ambitious team of A&E Underwriters at Hiscox Position: Sr. Underwriter Reporting to: Regional Manager – A&E Location: New York, Boston, Hartfo…
Skills: Underwriting, Professional liability, Risk assessment, Sales, Negotiation
Atlanta, Georgia, United States · Hybrid
$70k–$100k/yr
Job Type: Permanent Build a brilliant future with Hiscox Drive growth with an ambitious team of MPL Underwriters at Hiscox Position: Underwriter Reporting to: Regional Manager – MPL Location: Atlanta, New York, Boston, H…
Skills: Underwriting, Professional liability, E&O insurance, Risk assessment, Sales
London, England, United Kingdom · Hybrid
Job Type: Permanent Build a brilliant future with Hiscox About Hiscox As an international specialist insurer, we are far removed from the world of mass insurance products, selectively focusing on key areas of expertise a…
Skills: Syndicate accounting, Lloyd's market reporting, Financial controllership, IFRS 17, Regulatory reporting
Brussels, Brussels-Capital, Belgium · Hybrid
Job Type: Permanent Build a brilliant future with Hiscox Business Manager – CEO Office Europe (gn) Reports To: Chief of Strategy Location: Munich (or any other HISCOX EU location) Department: Strategy / CEO Office The Ro…
Skills: Strategic planning, Project management, Stakeholder management, Business operations, Governance
Bordeaux, Nouvelle-Aquitaine, France · Hybrid
Job Type: Permanent Build a brilliant future with Hiscox Lead Product Owner (gn) Reporting to: Head of Change Location: Lisbon Band: III The Role This role is part of the European Change Team, working closely with Value …
Skills: Product Ownership, Agile Methodologies, Scrum, Kanban, Value Stream Mapping
Cologne, North Rhine-Westphalia, Germany · Hybrid
Job Type: Fixed Term Build a brilliant future with Hiscox Wir sind Hiscox - Spezialversicherer für Business- und Privatkunden. Mit Wissen, Transparenz und Weitblick schützen wir Unternehmen, Selbstständige und Freelancer…
Skills: Policy administration, Underwriting support, Data management, Quality assurance, Documentation
Lisbon, Portugal · Hybrid
Job Type: Permanent Build a brilliant future with Hiscox Project Manager (gn) Reporting to: Lead Project Manager Band: II Location: Lisbon The Role The Role This role is part of the European Project Management Team (a br…
Skills: Project Management, Strategic Planning, Digital Transformation, Operational Excellence, Stakeholder Management
Colchester, England, United Kingdom · Hybrid
Job Type: Permanent Build a brilliant future with Hiscox Hiscox UK Hiscox UK is a leading brand in the insurance market, recognised as setting the standards which others try to emulate. We consistently deliver strong gro…
Skills: Change management, Stakeholder engagement, Strategic planning, Agile product development, Communication strategy
Atlanta, Georgia, United States · Hybrid
$200k–$250k/yr
Job Type: Permanent Build a brilliant future with Hiscox VP, Practice Leader – Management Liability Reports to: SVP, Head of Professional Lines Underwriting Location: NYC, Atlanta, Chicago, Hartford, Boston Band: III Tra…
Skills: Management Liability, Underwriting, Product Management, Risk Selection, Strategic Planning
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The Senior Claims Examiner analyzes professional liability exposures for Allied Healthcare providers and manages the full lifecycle of claims, including litigation strategy and reserve management. They collaborate with internal stakeholders and external partners to identify claim trends and ensure compliance with best practices.
Candidates should have 1-3 years of claims handling experience, preferably in professional liability or healthcare-related fields. A bachelor's degree is required, and the ability to obtain an adjuster's license within 90 days is necessary.
Build a brilliant future with Hiscox
Please Note: This position is primarily hybrid and requires in-office attendance at least two (2) days per week for candidates that are located near one of our office locations. However, qualified remote candidates will also be considered
The Position Can Be Based In:
Atlanta, GA
Boston, MA
Chicago, IL
Manhattan, NY
Scottsdale, AZ
West Hartford, CT
The Senior Claims Examiner-Allied Healthcare handles assigned claims within given authority and according to Hiscox Claims Best Practices.
Analyze professional liability exposures involving Allied Healthcare providers, facilities, and services.
Interpret policy language, endorsements, exclusions, limits, retentions, and coverage triggers specific to Allied Healthcare risks.
Develop and maintain claim action plans addressing coverage, liability, damages, litigation strategy, reserves, and resolution opportunities.
Conduct timely investigations, including review of medical records, provider documentation, licensing information, contracts, and applicable standards of care.
Evaluate complex causation and damages issues with defense counsel, medical experts, and other consultants.
Manage litigation through trial, including counsel selection, budgets, legal strategy, expert retention, mediation, settlement conferences, and trial preparation.
Identify matters requiring escalation based on severity, coverage complexity, reputational risk, regulatory exposure, or potential excess involvement.
Present significant or high-exposure claims at roundtables and clearly document decisions and follow-up actions.
Maintain accurate diaries, reserves, litigation plans, and reporting in accordance with internal Best Practices and regulatory requirements.
Collaborate with underwriting, actuarial, risk management, brokers, and insureds to identify claim trends and risk-improvement opportunities.
Deliver responsive, empathetic service to insured professionals and organizations during sensitive claim situations.
1-3 years of claims handling experience with an insurance carrier, third-party administrator, law firm, healthcare organization, or related industry experience preferred. Experience handling Professional Liability, Allied Healthcare, Medical Malpractice, Long-Term Care, or Bodily Injury claims is a plus.
Basic understanding of claims investigation, evaluation, and coverage analysis, with the ability to gather facts, review documentation, and identify key issues impacting claim resolution.
Developing knowledge of reserve practices, including the ability to establish and adjust reserves with guidance based on liability, damages, and emerging claim information.
Familiarity with claims-handling regulations, statutes of limitation, and jurisdictional considerations, or the ability to quickly learn and apply regulatory requirements.
Ability to manage a caseload of low to moderate complexity claims while maintaining accurate documentation, diary management, and timely communication with insureds, brokers, counsel, and business partners.
Demonstrated problem-solving and analytical skills, with the ability to identify potentially complex, sensitive, or high-exposure matters and escalate appropriately.
Exposure to litigated claims or legal processes preferred, with an interest in developing skills related to litigation management, defense counsel oversight, and dispute resolution.
Ability to review and analyze medical records, legal documents, and claim-related information to support claim evaluation and decision-making.
Strong negotiation, communication, and customer service skills, with the ability to build effective relationships with insureds, brokers, healthcare providers, attorneys, and internal stakeholders.
Proficiency with Microsoft Office applications and the ability to learn claims management systems.
Active adjuster's license preferred but not required; ability to obtain required licensing within 90 days of employment.
Bachelor's degree from an accredited college or university required; coursework or experience in insurance, healthcare, legal studies, risk management, or a related field is preferred.
Strong organizational and time-management skills.
Attention to detail and sound judgement.
Customer-focused mindset.
Effective written and verbal communication.
Ability to learn quickly and adapt in a fast-paced environment.
Collaborative approach to working with colleagues and business partners.
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, 2 Hiscox 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 2024 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
Hiscox USA was established in 2006 to focus primarily on the needs of small and middle market commercial clients, via both the broker and direct distribution channels and is today the fastest-growing business unit within the Hiscox Group.
Hiscox USA offers a broad portfolio of commercial products, including technology, cyber & data risk, multiple professional liability lines, media, entertainment, management liability, crime, kidnap & ransom, commercial property and terrorism.
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.
You can follow Hiscox on LinkedIn, Glassdoor and Instagram (@HiscoxInsurance)
Work with amazing people and be part of a unique culture
Hiscox is a leader in specialist insurance. We seek to provide the best protection and peace of mind for our clients through high quality insurance products, backed with excellent service. We are experts in covering a wide range of personal and commercial risks.
Offices: 4th Floor, Wessex House, 45 Reid Street, Hamilton, HM12, BM · 22 Bishopsgate, London, England EC2N 3AQ, GB · 32nd Floor, 520 Madison Avenue, New York, NY 10022, US · 38, Avenue de l'opéra, Paris, Île-de-France 75002, FR · 104 S Michigan Ave, Chicago, IL 60603, US
Hiscox is a leader in specialist insurance. We seek to provide the best protection and peace of mind for our clients through high quality insurance products, backed with excellent service. We are experts in covering a wide range of personal and commercial risks.
Offices: 4th Floor, Wessex House, 45 Reid Street, Hamilton, HM12, BM · 22 Bishopsgate, London, England EC2N 3AQ, GB · 32nd Floor, 520 Madison Avenue, New York, NY 10022, US · 38, Avenue de l'opéra, Paris, Île-de-France 75002, FR · 104 S Michigan Ave, Chicago, IL 60603, US
