Senior Complex Claims Specialist handling high severity Miscellaneous Professional Liability claims at Hiscox. Involves negotiation, litigation, and operational support with mentoring opportunities.
Responsibilities
Responsible for the handling of Miscellaneous Professional Liability claims for the organization from inception to resolution.
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.
Adjudicates assigned claims within given authority and provides operational support to the claims team.
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.
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
Benefits
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
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