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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in claims handling, particularly in professional liability, with a strong focus on claims analysis, documentation standards, and effective negotiation. Possesses advanced analytical and communication skills essential for managing claims and interacting with various stakeholders.
Highest-signal resume keywords
Claims Handling ExperienceClaims AnalysisNegotiation SkillsActive Insurance Adjuster's LicenseClaims Documentation Standards
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims AdjudicationClaims ResolutionClaims DocumentationClaims AnalysisLitigated Claims ManagementFraud DetectionCoverage Letter DraftingReserving PracticesClaims Trends IdentificationSettlement Negotiation
Soft Skills
Strong Communication SkillsAnalytical SkillsVerbal CommunicationWritten Communication
Certifications & Qualifications
Active Insurance Adjuster's License
Industry Keywords
Professional Liability ClaimsArchitects and Engineers ClaimsInsurance CarrierRegulatory ComplianceSpecial Investigations Unit
About the role
Key responsibilities & impact- Adjudicates assigned claims within given authority and according to Hiscox Claims Best Practices
- Adjusts and resolves low to moderate professional liability claims, including litigated matters
- Documents claim files with relevant documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities
- Communicates with claimants and claimant attorneys to resolve matters
- Drafts coverage letters, including reservation of rights and denial letters
- Reviews and analyzes claims to determine appropriate and timely reserving
- Identifies emerging exposures and claims trends
- Manages defense counsel in defending litigated matters
- Identifies suspected fraudulent claims and tracks them with the Special Investigations Unit
- Participates in Claims Projects as needed
- Interacts with insureds, brokers, and internal and external business partners
Requirements
What you’ll need- 3-5 years of claims handling experience in Architects and Engineers or similar 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
- 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
- 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 the Hiscox USA Foundation