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About the Role
The Senior Complex Claims Specialist is the most senior technical role in the organization, adjudicating assigned claims within given authority and providing operational support to the claims team. This person will adjust the highest severity claims with minimal supervision, draft complex technical coverage analyses and letters, and act as a subject matter expert. They will lead litigation best practices and strategy, including trials and mediations, and use superior knowledge to achieve positive claim outcomes through investigation, negotiation, and alternative dispute resolutions. The role also involves identifying emerging exposures and trends, detecting fraudulent claims, and accurately documenting claim files in compliance with company policies and regulations. Additionally, this role will mentor other team members and develop training content for the claims team and underwriters.
Responsibilities
- Adjusts to resolution the highest severity claims with minimal supervision
- 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 within General Liability & Bodily Injury
- 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
Skills
- Claims handling
- General Liability
- Bodily Injury
- Litigation
- Investigation
- Negotiation
- Alternative dispute resolutions
- Coverage analysis
- Communication skills
- Analytical skills
Location
- Hybrid
Work Type
- Permanent
- Hybrid
Experience Level
- Senior
- 10+ years
Education Level
- B.A./B.S degree from an accredited College or University preferred
- Juris Doctor (JD) from an ABA accredited law school
Salary/Compensations
- $125,000-$150,000
Benefits
- Competitive salary and bonus
- 401(k) with competitive company matching
- Comprehensive health insurance, vision, dental and FSA plans
- Company paid group term life, short-term disability and long-term disability coverage
- 24 Paid time off days
- 2 Hiscox Days
- 10 paid holidays
- Ability to purchase 5 PTO days
- Paid parental leave
- 4 week paid sabbatical after every 5 years of service
- Financial Adoption Assistance
- 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
- Modern and open office spaces
- Complimentary drinks
About the Company
- Hiscox is an international specialist insurer focused on key areas of expertise and strength, encouraging employees to challenge convention and find better ways of doing things.
- Hiscox USA was established in 2006 to focus on the needs of underserved and specialty commercial clients, and is the fastest-growing business unit within the Hiscox Group.
- Hiscox USA has approximately 400 employees operating out of 6 major cities and offers a broad portfolio of commercial products.
- Hiscox is a global, specialist insurer headquartered in Bermuda, listed on the London Stock Exchange, with 3,000 employees and 32 offices in 12 countries.
Equal Opportunity
- Hiscox Values: Courage, Ownership, Integrity, Connected, Human.
- 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.
- We are a business with lots of opportunity for people with talent, spark and lots of ambition.
- We prioritize strong values – such as integrity and courage – where our people always pull together to do the right thing for each other and our customers.