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Hiscox · 3 days ago

Complex Claims Specialist-MPL

Atlanta, GA

Full-time

Hybrid

Senior Level, Lead/Staff

$125K/yr - $155K/yr

8+ years exp

Hiscox is a growing insurance company focused on providing superior customer service and claims handling expertise. The Complex Claims Specialist is responsible for handling Miscellaneous Professional Liability claims from inception to resolution, including negotiation and settlement, while providing operational support to the claims team.

ConsultingFinancial ServicesInsurance

Responsibilities

Adjusts and resolves complex to severe claims that includes all phases of litigation

With minimal supervision, drafts complex coverage letters, including reservation of rights and denial letters

Reviews and analyses claim documentation and legal filings

Drives litigation best practices to lead defense strategy on litigated files

Mentors Claim Examiners

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

Develops content and conducts training for claims team and underwriters as requested

Qualification

Claims handling experienceLitigation process knowledgeNegotiation skillsAdvanced analytical skillsMentoring experienceB.A./B.S. degreeCommunication skills

Required

8+ years of claims handling experience or 7-8 years litigation 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

Preferred

B.A./B.S degree from an accredited College or University preferred

Ability to act a subject matter expert within team

Demonstrated ability to work with minimal oversight

Experience attending and leading mediations, arbitrations and trials

Demonstrated ability to advance product innovation or develop a greater understanding of other aspects of the business through training or other relevant projects

Demonstrates courage in addressing and solving difficult or complex matters with insureds, attorneys and brokers

Demonstrated steps taken toward additional certifications by an approved authority such as a CPCU, ARMS or AINS designation

Commitment to professional development and learning demonstrated by at least 5 hours of continuing education related to insurance topics through Success Factory, Hiscox in-person or video conference training sessions, or other in-person seminars or webinars

Benefits

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

2023 Gold level recipient of Cigna’s Healthy Workforce Designation for having a best-in-class health and wellness program

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