Senior Complex Claims Specialist- MPL

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, CT

Our Senior Complex Claims Specialist role is an individual contributor role responsible for the handling of Miscellaneous Professional Liability claims for the organization from inception to resolution. This involves the negotiation and settlement of mid to high severity Miscellaneous Professional Liability insurance claims. May be responsible for single or multi-country claims and will be responsible for all aspects of the claims, including liaise with external and internal business partners (e.g., outside experts and/or or legal counsel; underwriting) as required.

The Senior Complex Claims Specialist is the most senior technical role in the organization. This person adjudicates assigned claims within given authority and provides operational support to the claims team. This person 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
• Leads litigation best practices and strategy including attending and leading trials and mediations
• Uses superior knowledge and experience to affect positive claim outcome via investigation, negotiation and utilization of alternative dispute resolutions
• 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 claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities
• Mentors other team members
• Develops content and conducts training for claims team and underwriters as requested
• Reviews and analyses claim documentation and legal filings

The Team:      

The US Claims team at Hiscox is a growing group of professionals working together to provide superior customer service and claims handling expertise. The claims staff are empowered to manage their claims within given authority 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 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
• 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 from an accredited College or University preferred
• Adjuster licensing is required or ability to obtain 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 in addressing and solving difficult or severity matters with insureds, attorneys and brokers
• Demonstrated steps taken toward additional certifications by an approved authority such as a CPCU, ARMS or AINS designation Commitment to professional development and learning demonstrated by at least 10 hours of continuing education related to insurance topics through Success Factory, Hiscox in-person or video conference training sessions, or other in-person seminars or webinars

What Hiscox USA offers

• 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 
• Company paid subscription to Headspace to support employees’ mental health and wellbeing 
• 2023 Gold level recipient of Cigna’s Healthy Workforce Designation for having a 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 our sister non-profit company, the Hiscox USA Foundation 

About Hiscox USA

Hiscox 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.

You can follow Hiscox on LinkedIn, Glassdoor and Instagram (@HiscoxInsurance)

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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