Complex Claims Specialist-MPL

Hiscox; New York (NY); Híbrido; USD 125.000 - 155.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

401(k) match

Health insurance

Paid time off

Sabbatical benefit

Headspace subscription

Descripción de la vacante

Hiscox USA seeks a Complex Claims Specialist for Miscellaneous Professional Liability to manage mid-to-high severity claims from inception to resolution. You will coordinate with insureds, brokers, outside counsel and experts, steering investigations and negotiations and guiding litigation when required.

The role requires 6+ years of professional liability experience, a JD preferred, and strong mentoring abilities in a fast-paced environment.

Formación

• 6+ years of professional liability or specialty/financial lines claims handling.
• JD from ABA-accredited law school may supplement claims handling experience.
• Proven ability to positively affect complex claims outcomes through investigation and negotiation.
• Licensing: adjuster license required within 90 days of employment.

Responsabilidades

• Adjust and resolve complex mid-to-high severity claims including all phases of litigation.
• Draft complex coverage letters, including reservation of rights and denial letters.
• Review claim documentation and legal filings; support defense strategy.
• Mentor team members and lead mediations/arbitrations as needed.
• Document claim files with all relevant materials per policy and regulatory requirements.

Conocimientos

Professional liability claims

Litigation management

Mentoring others

Advanced negotiation

Communication skills

Analytical skills

Educación

JD preferred

BA/BS required

Descripción del empleo

**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, CTOur **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 needs of small and middle market commercial clients, via both the broker and direct distribution channels and is today the fastest-growing business unit within the Hiscox Group.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.**Salary Range: $125,000-$155,000***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.*You can follow Hiscox on LinkedIn, Glassdoor and Instagram (@HiscoxInsurance)**#LI-RM1**