Complex Claims Specialist-MPL

hiscox; Connecticut; Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Competitive salary and bonus

401(k) with company match

Health, vision, dental and FSA plans

Life, disability coverage

Paid time off and holidays

Parental leave

Sabbatical after years of service

Adoption and travel reimbursement

Wellness programs and Headspace access

Job summary

Hiscox USA is seeking a Complex Claims Specialist for Miscellaneous Professional Liability. You will handle mid to high-severity claims from inception to resolution, including litigation, liaising with outside counsel and experts, and mentoring peers. This role supports agents, managers and brokers across multiple U.S.

locations. The position emphasizes strong negotiation, analytical skills and deep coverage knowledge, with a hybrid schedule requiring in-office presence at least two days weekly

Qualifications

• 6+ years of Professional Liability and/or Specialty/Financial lines claims handling experience.
• ABA-accredited JD may supplement claims handling experience.
• Proven ability to positively affect complex claims outcomes through investigation, negotiation and effectively leading litigation.
• Ability to work in a fast-paced and changing environment.
• 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.
• BA/BS degree required, JD optimal.
• Adjuster licensing is required within 90 days of employment.

Responsibilities

• Adjusts and resolves complex mid to high-severity claims that include all phases of litigation.
• Drafts complex coverage letters, including reservation of rights and denial letters.
• Reviews and provides analysis of claim documentation and legal filings.
• Drives litigation best practices to lead defense strategy on litigated files.
• Mentors team members.
• Uses advanced knowledge to affect positive claim outcomes via investigation and negotiation.
• Identifies emerging exposures and claims trends.
• Identifies suspected fraudulent claims and coordinates with special investigations unit.
• Documents claim files with relevant documentation and notes per policies and regulators.

Skills

Claims handling

Litigation management

Negotiation

Mentoring

Communication skills

Analytical skills

Adjuster licensing

Education

JD (ABA accredited)

BA/BS degree

Job description

Job Type: Permanent

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.

Please Note: This position is primarily hybrid and requires in-office attendance at least two (2) days per week for candidates that are located near one of our office locations. However, qualified remote candidates will also be considered

The Position Can Be Based In:

• Atlanta, GA
• Boston, MA
• Chicago, IL
• Manhattan, NY
• West Hartford, CT

Our Complex Claims Specialist-Miscellaneous Professional Liability role is an individual contributor responsible for the handling of mid to high-severity primary Miscellaneous Professional Liability claims for the organization from inception to resolution. This includes, but is not limited to, insurance agents, property managers, tax preparers, and various consultants. This role is responsible for all aspects of the claims and litigation process, including liaising with external and internal business partners (e.g., outside experts and/or legal counsel; underwriting) as required.

The Role:

• Adjusts and resolves complex mid to severity claims that include all phases of litigation
• With minimal supervision, drafts complex coverage letters, including reservation of rights and denial letters
• Reviews and provides analysis of claim documentation and legal filings
• Drives litigation best practices to lead defense strategy on litigated files
• Mentors team members
• 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

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:

• 6+ years of Professional Liability and/ or Specialty/Financial lines 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 complex claims outcomes through investigation, negotiation and effectively leading litigation
• Ability to work in a fast-paced and changing environment
• 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
• B.A./B.S Degree required, JD optimal
• Adjuster licensing is required within 90 days of employment

Additional Factors Considered:

• 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
• Experience attending and leading mediations, arbitrations and trials
• Demonstrates courage in addressing and solving difficult or complex matters with insureds, attorneys and brokers

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

About Hiscox USA:

Hiscox USA was established in 2006 to focus primarily on the