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About the Role

The Complex Claims Specialist is a senior level individual contributor position responsible for adjudicating assigned claims within given authority and providing operational support to the claims team.

Responsibilities

• Strategize and maximize early settlement opportunities for Construction Defect and 3rd Party Property Damage Claims
• Demonstrate proficient knowledge regarding coverage triggers and time on risk allocation
• Draft and Review coverage analyses
• Manage/Partner with local defense counsel while monitoring litigation
• Drive litigation best practices to manage deployment and utilization of defense counsel
• Continually assess exposures and adequacy of claim reserves
• Demonstrate proficient knowledge regarding theories of liability and state specific negligence standards
• Accurately document claim files with all relevant correspondence, documentation, and file notes
• Demonstrate proficient knowledge of ACV vs RCV property damage assessments
• Attend mediations and/or settlement conferences where appropriate
• Identify suspected fraudulent claims and tracks with special investigations unit
• Actively participate in the Claims/UW/Actuarial feedback loop
• Keep senior claims management adequately and appropriately informed of key issues
• Liaison directly on a daily basis with insureds and brokers

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

• Coverage triggers
• Time on risk allocation
• Coverage analyses
• Litigation management
• Claim reserve assessment
• Theories of liability
• State specific negligence standards
• ACV vs RCV property damage assessments
• Mediation
• Settlement conferences
• Fraudulent claims identification
• Special investigations unit liaison
• Claims/UW/Actuarial feedback
• Insured and broker liaison

Location

• Hybrid

Work Type

• Permanent
• Hybrid

Experience Level

• Senior level

Education Level

• B.A./B.S degree from an accredited College or University preferred
• JD from an ABA accredited law school

Salary/Compensations

• $115,000-$135,000

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

• As an international specialist insurer, Hiscox is selective and focuses on key areas of expertise and strength.
• The company culture encourages challenging convention and looking for better ways of doing things.
• Hiscox insures the unique and the interesting, and seeks talented people who are smart, reliable, and look out for customers and each other.
• The business is solid, slightly contrary, and constantly seeks to evolve.
• Hiscox was founded in 1901 and is ambitious and going places.
• Hiscox USA was established in 2006 to focus on the needs of underserved and specialty commercial clients.
• Hiscox USA is the fastest-growing business unit within the Hiscox Group.
• Hiscox USA has approximately 400 employees operating out of 6 major cities.
• Hiscox USA offers a broad portfolio of commercial products.

Equal Opportunity

• Hiscox Values: Courage, Ownership, Integrity, Connected, Human.
• Recipient of 2024 Cigna’s Well-Being Award for having a best-in-class health and wellness program.
• Dynamic, creative and values-driven culture.