Hybrid Senior Complex Claims Specialist – MPL

at Hiscox

• Job title: Senior Complex Claims Specialist – MPL
• Job type: Full Time
• Experience level: Senior
• Salary: $150,000 - $162,000 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Atlanta, United States

About the role

• 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