Sr. Complex Claims Specialist, PL & Specialty Severity

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

• Handle high-severity primary Professional Lines including Miscellaneous Professional Liability, A&E, Allied Health, and Media claims from inception to resolution.
• Liaise with external and internal business partners (e.g., outside experts and/or legal counsel; underwriting) as required.
• Provide technical support to the overall claims team.
• Adjust to resolution the highest severity claims and draft complex technical coverage analysis and letters.
• Model gold standard for litigation best practices and file integrity.
• Affect positive claim outcomes via investigation, negotiation, and utilization of alternative dispute resolutions.
• Identify and provide potential solutions for emerging exposures and claims trends.
• Identify suspected fraudulent claims and track with special investigations unit.
• Accurately document claim files with all relevant correspondence and notes in compliance with company policies and applicable regulatory authorities.
• Mentor other team members, including providing formalized training, as needed.
• Develop content and conduct training for claims team and underwriters as requested.

Requirements

• 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.
• 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.
• Adjuster licensing required or ability to obtain within 90 days of employment.

Additional Factors Considered

• Subject matter expertise or technical leadership in other lines of business and/or claim types.
• Demonstrates ability to work with minimal supervision.
• 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.

What Hiscox USA Offers

• 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.
• Recipient of 2024 Cigna’s Well-Being Award for having a best-in-class health and wellness program.
• Dynamic, creative and values-driven culture.
• Modern and open office spaces, complimentary drinks.

About Hiscox

As an international specialist insurer, we are far removed from the world of mass market insurance products. Instead, we are selective and focus on our key areas of expertise and strength - all of which is underpinned by a culture that encourages us to challenge convention and always look for a better way of doing things. We insure the unique and the interesting. And we search for the same when it comes to talented people. Hiscox is full of smart, reliable human beings that look out for customers and each other. We believe in doing the right thing, making good and rebuilding when things go wrong. Everyone is encouraged to think creatively, challenge the status quo and look for solutions. Scratch beneath the surface and you will find a business that is solid, but slightly contrary. We like to do things differently and constantly seek to evolve. We might have been around for a long time (our roots go back to 1901), but we are young in many ways, ambitious and going places. Some people might say insurance is dull, but life at Hiscox is anything but. If that sounds good to you, get in touch.

About Hiscox USA

Hiscox USA was established in 2006 to focus on the needs underserved and specialty commercial clients via both the regional broker and direct distribution channels and is today the fastest-growing business unit within the Hiscox Group. Today, Hiscox USA has a talent force of about 400 employees mostly operating out of 6 major cities - New York, Atlanta, Dallas, Chicago, Los Angeles and San Francisco. 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.