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Hiscox · 4 hours ago

Senior Complex Claims Specialist - Professional Liability

Manhattan, NY

Full-time

Hybrid

Senior Level, Lead/Staff

$150K/yr - $160K/yr

10+ years exp

Hiscox is a dynamic and innovative insurance company seeking a Senior Complex Claims Specialist for their Claims team. This role involves handling high-severity professional liability claims and providing technical support to the claims team while ensuring compliance with company policies and regulatory authorities.

ConsultingFinancial ServicesInsurance

Responsibilities

With minimal supervision, adjusts to resolution the highest severity claims and drafts the most complex technical coverage analysis and letters required in the given claim department

Acts as subject matter expert within the team

Models gold standard for litigation best practices and file integrity

Uses superior knowledge and experience to affect positive claim outcome via investigation, negotiation and utilization of alternative dispute resolutions, including identifying appropriate matters for trial

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 correspondence and notes in compliance with company policies and applicable regulatory authorities

Mentors other team members, including providing formalized training, as needed

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

Qualification

Professional Liability claimsLitigation process expertiseNegotiation skillsAdjuster licensingAnalytical skillsMentoring othersVerbal communicationWritten communicationFast-paced environment

Required

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

Ability to work in a fast-paced and changing environment

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

Preferred

Subject matter expertise or technical leadership in other lines of business and/or claim types

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

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

2024 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