Provide P&I and FD&D claims handling services for European Members. Work closely with claims team on complex disputes and resolutions.
About the role
- Complex Claims Specialist handling mid to high-severity Professional Liability claims. Adjusting and resolving claims while mentoring team members and driving defense strategy with external partners.
Responsibilities
- Adjusts and resolves complex mid to severity claims that include all phases of litigation.
- With minimal supervision, drafts complex coverage letters, including reservation of rights and denial letters.
- Reviews and provides analysis of claim documentation and legal filings.
- Drives litigation best practices to lead defense strategy on litigated files.
- Mentors team members.
- Uses superior knowledge and experience to affect positive claim outcome via investigation, negotiation and utilization of alternative dispute resolutions.
- Identifies 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.
Requirements
- 6+ years of Professional Liability and/ or Specialty/Financial lines 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 complex claims outcomes through investigation, negotiation and effectively leading litigation.
- Ability to work in a fast-paced and changing environment.
- Advanced knowledge of coverage within the team’s specialty or focus.
- Advanced knowledge of litigation process and negotiation skills.
- Experience in mentoring and training other claims examiners.
- Excellent verbal and written communication skills.
- Advanced analytical skills.
- B.A./B.S Degree required, JD optimal.
- Adjuster licensing is required within 90 days of employment.
Benefits
- 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
- Dynamic, creative and values-driven culture
- Modern and open office spaces, complimentary drinks
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Property Claims Representative managing a personal caseload of property claims at Hastings Insurance. Investigating and resolving claims while providing customer support.
STD Claims Examiner II making accurate claim decisions for Short Term Disability claims. Collaborating with team members in a hybrid work environment from South Portland, ME.
Claims Specialist managing high exposure casualty and specialty claims for Hamilton Select. Responsible for mentoring new adjusters and ensuring compliance with corporate guidelines.
LMI Claims Specialist assessing and managing complex LMI claims for QBE’s insurance team. Delivering high - quality outcomes while providing technical expertise and compliance oversight.
Workers Compensation Claims Representative managing claims independently with minimal oversight. Conducting thorough investigations and negotiating settlements for insured parties in a hybrid work environment.
Claims Specialist I handling auto and general liability claims at AIG. Investigating, evaluating, and resolving claims with a focus on customer service and timely resolution.
Aviation Claims Analyst IV responsible for handling aviation claims at AIG. Involves adjusting aircraft physical damage claims and managing stakeholders in the aerospace sector.
Senior Claims Adjuster managing high exposure casualty and specialty claims for Hamilton. Responsible for mentoring staff, analyzing claims, and ensuring compliance with corporate guidelines.
P&C Claims Representative providing high - level customer service in processing property and casualty insurance claims. Responsibilities include client liaison, documentation, and claims management.