About the role

Senior Complex Claims Specialist managing high-severity Professional Lines claims from inception to resolution. Collaborating with legal and underwriting teams while providing mentorship to the claims team.

Responsibilities

Responsible for the handling of high-severity primary Professional Lines including Miscellaneous Professional Liability, A&E, Allied Health, and Media claims for the organization from inception to resolution.
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.
Models gold standard for litigation best practices and file integrity.
Uses superior knowledge and experience to affect positive claim outcome via investigation, negotiation and utilization of alternative dispute resolutions, including identifying appropriate matters for trial.
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 correspondence and notes in compliance with company policies and applicable regulatory authorities.
Mentors other team members, including providing formalized training, as needed.
Develops content and conducts training for claims team and underwriters as requested.

10+ years of Professional Liability and/or Specialty 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
Ability to work in a fast-paced and changing environment
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 required, JD optimal
Must be able to obtain adjuster licensing is required within 90 days of employment

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
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