Assistant Vice President, Claims Program Manager

Job Type:Permanent Build a brilliant future with Hiscox Assistant Vice President, Claims Program Manager The Position Can Be Based In:

Atlanta, GABoston, MAChicago, ILManhattan, NYScottsdale, AZWest Hartford, CT

Position Summary:

The Assistant Vice President, Claims Program Manager is responsible for leading the strategy, design, delivery, and governance of technical claims training and professional development across the US Claims organization.

A primary responsibility of this position is to develop the coverage-analysis capabilities of File Handlers and Claims Leaders. The role will design and deliver practical training on the interpretation and application of both Commercial General Liability and Commercial Professional Liability policies, helping Claims employees identify coverage issues, conduct structured coverage analyses, document coverage positions, and communicate coverage decisions clearly and consistently.

The AVP, Claims Program Manager will bring significant hands-on claims experience in coverage analysis, complex file management, litigation strategy, reserving, negotiation, and claim resolution. The successful candidate must be able to translate that experience into practical learning programs for both developing and experienced Claims Professionals.

The position also owns the Claims onboarding framework, technical curriculum, facilitator model, training calendar, and professional development strategy. The role works closely with Claims Leaders, Quality Assurance, Compliance, Legal, panel counsel, and subject matter experts to ensure technical training remains aligned with Claims Best Practices, QA standards, regulatory obligations, and emerging claim trends. These responsibilities reflect the approved operating model for a dedicated Technical Claims Development lead

Key Responsibilities:

Coverage Analysis Training and Development Develop and deliver technical training for File Handlers and Claims Leaders on the interpretation and application of Commercial General Liability and Commercial Professional Liability policies.

Teach a consistent and disciplined approach to coverage analysis, including:

Identifying potentially applicable coverage parts and insuring agreements.

Evaluating whether allegations or claimed damages fall within the scope of coverage.

Analyzing definitions, conditions, exclusions, endorsements, and policy limitations.

Identifying material coverage issues and determining when additional facts or legal analysis are required.

Evaluating defense and indemnity obligations.

Identifying potential reservation of rights, partial coverage, allocation, and coverage-denial considerations.

Documenting coverage analyses clearly and completely within claim files.

Drafting and reviewing coverage communications, including reservation of rights and coverage-position letters.

Communicating complex coverage conclusions to insureds, brokers, counsel, and internal stakeholders.

Create practical coverage-analysis exercises using policy language, claim scenarios, pleadings, demand letters, and other claim-file materials.

Facilitate coverage workshops, technical round tables, case studies, and calibration sessions for File Handlers and Claims Leaders.

Develop differentiated learning pathways for new File Handlers, experienced claim professionals, and Claims Leaders responsible for reviewing or approving coverage decisions.

Reinforce sound professional judgment by teaching participants how policy language, applicable facts, relevant allegations, claim developments, and jurisdictional considerations affect the coverage evaluation.

Partner with Legal, Compliance, Claims Leaders, and coverage subject matter experts to keep training current and technically accurate.

Complex Claim and File Management Training Develop and deliver technical training on effective claim-file management from initial assessment through resolution.

Train File Handlers and Claims Leaders on:

Initial claim evaluation and development of an appropriate handling strategy.

Investigation planning and identification of information needed to evaluate coverage, liability, damages, and exposure.

Timely and accurate claim-file documentation.

Identification and escalation of complex coverage, severity, regulatory, or litigation issues.

Development and maintenance of meaningful action plans.

Reserve analysis and documentation.

Effective diary and inventory management.

Coordination with insureds, brokers, defense counsel, coverage counsel, experts, and other stakeholders.

Compliance…