Senior Complex Claims Specialist

Job Type:

Build a brilliant future with Hiscox
 

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.

The Senior Complex Claims Specialist is the most senior technical role in the organization. This person adjudicates assigned claims within given authority and provides operational support to the claims team. This person also:

• 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

• 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

The Team:      

The US Claims team at Hiscox is a growing group of professionals working together to provide superior customer service and claims handling expertise. The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our insured and broker partners. With strong growth across the US business, the Claims team is focused on delivering profitability while reinforcing Hiscox’s strong brand built on a long history of outstanding claims handling.

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

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

Hiscox Values:

At Hiscox our spirit is in Challenging Convention and everything we do is guided by our Values.

• Courage: Dare to take a risk

• Ownership: Passionate, commercial and accountable

• Integrity: Do the right thing, however hard

• Connected: Together, build something better

• Human: Clear, fair and inclusive

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 

• 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 

• 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 

**Please note that this position is hybrid and requires two (2) days in our office weekly**

Salary range: $125-$150k

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

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.

You can follow Hiscox on LinkedIn, Glassdoor and Instagram (@HiscoxInsurance)

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Work with amazing people and be part of a unique culture