Senior Complex Claims Specialist - Professional Liability
Job in
Atlanta, Fulton County, Georgia, 30383, USA
Listed on 2025-11-22
Listing for:
Hiscox SA
Full Time
position Listed on 2025-11-22
Job specializations:
-
Insurance
Insurance Claims, Insurance Analyst, Risk Manager/Analyst, Underwriter
Job Description & How to Apply Below
Full time posted on:
Posted Todayjob requisition :
R0018311
** 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 collaborate with business leaders throughout the organization.
** Please note that this position is hybrid and requires working in office a minimum of two (2) days per week. Position can be based in the following locations:
* Atlanta, GA
* Boston, MA
* Chicago, IL
* Manhattan, NY
* West Hartford, CTOur
** Senior Complex Claims Specialist-Professional Liability
** role is an individual contributor responsible for the handling of high-severity primary Professional Lines including Miscellaneous Professional Liability, A&E, Allied Health, and Media claims for the organization from inception to resolution. This role is responsible for all aspects of the claims and litigation process, including liaising with external and internal business partners (e.g., outside experts and/or legal counsel; underwriting) as required.
In addition to handling assigned claims, this role also provides technical support to the overall claims team. This role also:
* With minimal supervision, adjusts to resolution the highest severity claims and drafts the most complex technical coverage analysis and letters required in the given claim department
* Acts as subject matter expert within the team
* Models gold standard for litigation best practices and file integrity
* Uses superior knowledge and experience to affect positive claim outcome via investigation, negotiation and utilization of alternative dispute resolutions, including identifying appropriate matters for trial
* Identifies and provides potential solutions for emerging exposures and claims trends
* Identifies suspected fraudulent claims and tracks with special investigations unit
* Accurately documents claim files with all relevant correspondence and notes in compliance with company policies and applicable regulatory authorities
* Mentors other team members, including providing formalized training, as needed.
* Develops content and conducts training for claims team and underwriters as requested
** The Team:
** The US Claims team at Hiscox is a growing group of professionals working collaboratively to provide superior customer service and claims handling expertise. The claims staff are empowered to manage their claims within given authority in order 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.
** Requirements:
*** 10+ years of Professional Liability and/or Specialty claims handling experience.
* A JD from an ABA accredited law school may be considered as a supplement to claims handling experience
* Proven ability to positively affect highest severity claims outcomes through investigation, negotiation and effectively leading litigation
* Ability to work in a fast-paced and changing environment
* Expert knowledge of coverage within the team’s specialty or focus
* Expert knowledge of litigation process and negotiation skills
* Proven track record of mentoring others
* Excellent verbal and written communication skills
* Advanced analytical skills
* B.A./B.S Degree required, JD optimal
* Must be able to obtain adjuster licensing is required within 90 days of employment
** Additional Factors Considered:
*** Subject matter expertise or technical leadership in other lines of business and/or claim types
* Demonstrates ability to work with minimal oversight
* Demonstrates ability to advance product innovation or develop a greater understanding of other aspects of the business through training or other relevant projects across teams of lines of business
* Demonstrates courage and confidence in addressing and solving difficult or severity matters with…
Position Requirements
10+ Years
work experience
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