Senior Complex Claims Specialist- MPL

Job Type:

Build a brilliant future with Hiscox
 

Bring your Passion and Enthusiasm to our Team! We are a fun, innovative and growing Claims team where you’ll get the opportunity to learn multiple insurance products and interact with business leaders across 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, CT

Our Senior Complex Claims Specialist role is an individual contributor role responsible for the handling of Miscellaneous Professional Liability claims 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 highly technical and will be expected to independently evaluate coverage and severity. 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;

• Acts as subject matter expert within the team;

• Leads litigation best practices and strategy including attending and participating in mediations, arbitrations, and trials, as needed;

• Provides high level of customer service to insureds, as well as internal and external business partners.

• Able to present claims effectively during roundtable process;

• 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;

• Able to maintain claim file quality according to Hiscox Claims Best Practices

• Mentors other team members and works closely with other Senior Complex Specialists on training needs;

• 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 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 within Specialty lines of business, preferably Professional Liability

• 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; Ability to manage defense counsel and strategy

• 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

What Hiscox USA Offers:

• Competitive salary and bonus (based on personal & company performance) 

• 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, 2 Hiscox Days, 10 paid holidays, and ability to purchase 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 

• Recipient of 2024 Cigna’s Well-Being Award for having a best-in-class health and wellness program 

• Dynamic, creative and values-driven culture 

• Modern and open office spaces, complimentary drinks 

Salary Range: $140,000-$170,000

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.

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.

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