Complex Claims Specialist-MPL

About the role

Join our dynamic and forward-thinking Claims team! Here, you’ll be part of an energetic and innovative group, with the chance to help shape insurance products and collaborate with business leaders throughout the organization.

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
• 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

Additional Factors Considered

• 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 and confidence in addressing and solving difficult or severity matters with insureds, attorneys, and brokers
• Experience attending and leading mediations, arbitrations and trials
• Demonstrates courage in addressing and solving difficult or complex matters with insureds, attorneys and brokers

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
• 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
• Financial Adoption Assistance and Medical Travel Reimbursement Programs
• Dynamic, creative and values-driven culture
• Modern and open office spaces, complimentary drinks

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.

Diversity And Flexible Working

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Please note that this position is hybrid and requires two (2) days in our office weekly.

Schedule

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.