Portfolio Claims Handler

HICIX Hiscox Insurance Company Inc.; Hartford Township (OH); On-site; USD 83,000 - 124,000; Full time

Job summary

Hiscox is seeking a Temporary Contract Complex Claims Specialist—Professional Liability to handle mid- to high-severity Professional Liability claims across Allied Healthcare, Architects & Engineers, and Miscellaneous Professional Liability matters. The role is an individual contributor for a defined assignment with possible extensions.

You'll coordinate with internal and external partners, draft coverage letters, and drive litigation strategy from inception to resolution.

Qualifications

• 5+ years of Professional Liability and/or Specialty claims-handling experience.
• 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 Professional Liability coverage principles and coverage analysis across lines.
• Advanced knowledge of the litigation process and negotiation skills.
• B.A./B.S. degree required, JD optimal.

Responsibilities

• Adjusts and resolves complex mid- to high-severity Professional Liability claims in all phases of litigation.
• Drafts complex coverage letters, including reservation of rights and denial letters.
• Reviews and analyzes claim documentation and legal filings.
• Drives litigation defense strategy on litigated files.
• Documents claim files with relevant documentation in compliance with policies and regulations.
• Identifies emerging exposures and cross-line issues affecting portfolios.
• Identifies suspected fraudulent claims and coordinates with special investigations unit.

Skills

Professional liability

Litigation management

Negotiation skills

Legal drafting

Analysis skills

Education

JD degree

Job description

Job Type: Contractor Build a brilliant future with Hiscox Join our dynamic and forward-thinking Claims team in a temporary contract capacity. You’ll support an energetic and innovative group while applying your expertise to complex claims and collaborating with business partners across the organization.

The Temporary Contract Complex Claims Specialist—Professional Liability is an individual contributor engaged for a defined assignment to provide interim claims-handling support across multiple Professional Liability lines. The contractor will manage mid- to high-severity primary claims from inception through resolution, including Allied Healthcare Professional Liability, Architects & Engineers Professional Liability, and Miscellaneous Professional Liability matters involving professionals such as insurance agents, property managers, tax preparers, consultants, and other service providers.

The assignment includes all aspects of the claims and litigation process and requires coordination with external and internal business partners, including outside experts, legal counsel, underwriting, and other stakeholders. The anticipated assignment duration, work schedule, and extension potential will be confirmed during the engagement process.

Contract Assignment

• Adjusts and resolves complex, mid- to high-severity Professional Liability claims, including Allied Healthcare, Architects & Engineers, and Miscellaneous Professional Liability matters in 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
• Shares subject-matter expertise and provides knowledge support to team members as needed during the assignment
• Uses superior knowledge and experience to affect positive claim outcome via investigation, negotiation and utilization of alternative dispute resolutions
• Identifies and communicates emerging exposures, claim trends, and cross-line issues affecting Professional Liability portfolios
• 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

• 5+ years of Professional Liability and/or Specialty or Financial Lines claims-handling experience, preferably including one or more of the following: Allied Healthcare, Architects & Engineers, or Miscellaneous Professional Liability
• 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 Professional Liability coverage principles, with the ability to apply coverage analysis across Allied Healthcare, Architects & Engineers, and Miscellaneous Professional Liability claims
• Advanced knowledge of litigation process and negotiation skills
• Excellent verbal and written communication skills
• Advanced analytical skills
• B.A./B.S Degree required, JD optimal
• Must hold, or be able to obtain before handling applicable claims, all adjuster licenses required for the jurisdictions covered by the assignment

Contract Engagement Details

Temporary contract assignment for a defined period, with anticipated duration and start date to be confirmed

Compensation will be provided at an agreed hourly or contract rate based on experience, qualifications, assignment scope, and work location

Work schedule, weekly hours, reporting relationship, and any extension potential will be confirmed during the engagement process

This contract assignment is not eligible for Hiscox employee salary, bonus, paid time off, retirement, or employee benefit programs unless expressly stated in the applicable engagement agreement

Any benefits available through a staffing agency or other employer of record are governed solely by that organization’s terms

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

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.

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. 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) #LI-RM1

We’re a global, specialist insurer headquartered in Bermuda and listed on the London Stock Exchange. With 3,000 employees and 32 offices in 12 countries we’re a business with lots of opportunity for people with talent, spark and lots of ambition.