Senior Complex Claims Specialist - Professional Liability

Overview

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. 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, CT.

Permanent

• Senior Complex Claims Specialist-Professional Liability is an individual contributor responsible for handling high-severity primary Professional Lines including Miscellaneous Professional Liability, A&E, Allied Health, and Media claims from inception to resolution.
• Manage 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.
• Provide technical support to the overall claims team in addition to handling assigned claims.
• With minimal supervision, adjusts to resolution the highest severity claims and drafts the most complex technical coverage analyses and letters required in the claim department.
• Act as subject matter expert within the team.
• Model gold standard for litigation best practices and file integrity.
• Use knowledge and experience to affect positive claim outcomes via investigation, negotiation, and utilization of alternative dispute resolutions, including identifying appropriate matters for trial.
• Identify and provide potential solutions for emerging exposures and claims trends.
• Identify suspected fraudulent claims and coordinate with the special investigations unit.
• Accurately document claim files with all relevant correspondence and notes in compliance with company policies and applicable regulatory authorities.
• Mentor other team members, including providing formalized training, as needed.
• Develop content and conduct training for claims team and underwriters as requested.

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.

• 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.
• Adjuster licensing required or ability to obtain within 90 days of employment.

• 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 insureds, attorneys, and brokers.

• 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…