Sr. Complex Claims Specialist, PL & Specialty Severity

HICIX Hiscox Insurance Company Inc.; New York (NY); Hybrid; USD 140,000 - 170,000; Full time

Benefits offered by this job

401(k) with competitive company matching

Comprehensive health insurance

24 paid time off days

Paid parental leave

4-week paid sabbatical after 5 years

Job summary

HICIX Hiscox Insurance Company Inc. is looking for a Senior Complex Claims Specialist to manage high-severity Professional Liability claims. This role involves overseeing the claims process from start to finish while collaborating with internal and external stakeholders.

Ideal candidates should bring over 10 years of experience in claims handling, possess strong negotiation skills, and have a B.A./B.S. degree, with a JD preferred. The position allows for hybrid work, offering substantial benefits and a competitive salary range of $140k to $170k.

Qualifications

• 10+ years of Professional Liability and/or Specialty claims handling experience.
• Proven ability to positively affect highest severity claims outcomes.
• Adjuster licensing required or ability to obtain within 90 days.

Responsibilities

• Handle high-severity primary Professional Lines claims from inception to resolution.
• Liaise with legal counsel and underwriting as required.
• Mentor team members and provide training as needed.

Skills

Professional Liability claims handling

Litigation management

Negotiation

Mentoring

Analytical skills

Communication skills

Education

B.A./B.S. Degree

JD from ABA accredited law school

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.

Hybrid working: requires working in the office a minimum of two (2) days per week. Locations available: Atlanta, GA; Boston, MA; Chicago, IL; Manhattan, NY; West Hartford, CT.

Senior Complex Claims Specialist – Professional Liability

Our Senior Complex Claims Specialist – Professional Liability role is an individual contributor responsible for the handling of high‑severity primary Professional Lines, including Miscellaneous Professional Liability, A&E, Allied Health, and Media claims from inception to resolution. 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. In addition to handling assigned claims, this role also provides technical support to the overall claims team.

• 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.

Team

The US Claims team at Hiscox is a growing group of professionals working collaboratively to provide superior customer service and claims handling expertise. The claims staff are empowered to manage their claims within given authority in order 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 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.

Additional Factors Considered

• 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.

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.

Salary Range

$140k – $170k. 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.