Senior Complex Claims Specialist

2 weeks ago


Atlanta, United States Hiscox Full time

Senior Complex Claims Specialist - Professional LiabilityJoin 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, GABoston, MAChicago, ILManhattan, NYWest Hartford, CTThe 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: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 departmentActs as subject matter expert within the teamModels gold standard for litigation best practices and file integrityUses superior knowledge and experience to affect positive claim outcome via investigation, negotiation and utilization of alternative dispute resolutions, including identifying appropriate matters for trialIdentifies and provides potential solutions for emerging exposures and claims trendsIdentifies suspected fraudulent claims and tracks with special investigations unitAccurately documents claim files with all relevant correspondence and notes in compliance with company policies and applicable regulatory authoritiesMentors other team members, including providing formalized training, as neededDevelops content and conducts training for claims team and underwriters as requestedThe 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 experienceProven ability to positively affect highest severity claims outcomes through investigation, negotiation and effectively leading litigationAbility to work in a fast-paced and changing environmentExpert knowledge of coverage within the team's specialty or focusExpert knowledge of litigation process and negotiation skillsProven track record of mentoring othersExcellent verbal and written communication skillsAdvanced analytical skillsB.A./B.S Degree required, JD optimalMust be able to obtain adjuster licensing is required within 90 days of employmentAdditional Factors Considered:Subject matter expertise or technical leadership in other lines of business and/or claim typesDemonstrates ability to work with minimal oversightDemonstrates 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 businessDemonstrates courage and confidence in addressing and solving difficult or severity matters with insureds, attorneys, and brokersWhat Hiscox USA offers:401(k) with competitive company matchingComprehensive 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 coverage24 Paid time off days plus 2 Hiscox days, 10 paid holidays plus 1 paid floating holiday, and ability to purchase up to 5 PTO daysPaid parental leave4-week paid sabbatical after every 5 years of serviceFinancial Adoption Assistance and Medical Travel Reimbursement ProgramsAnnual reimbursement up to $600 for health club membership or fees associated with any fitness programCompany paid subscription to Headspace to support employees' mental health and wellbeing2024 Gold level recipient of Cigna's Healthy Workforce Designation for having a best-in-class health and wellness programDynamic, creative and values-driven cultureModern and open office spaces, complimentary drinksSpirit of volunteerism, social responsibility and community involvement, including matching charitable donations for qualifying non-profits via our sister non-profit company, the Hiscox USA FoundationHiscox 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.Salary range $150,000 - $160,000 (Boston, Manhattan, West Hartford)Salary range $125,000-$135,000 (Chicago, Atlanta)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.We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.



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