Senior Complex Claims Specialist- MPL at Hiscox
Boston, Massachusetts, United States -
Full Time


Start Date

Immediate

Expiry Date

07 Mar, 26

Salary

160000.0

Posted On

07 Dec, 25

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Claims Handling, Negotiation, Litigation, Technical Coverage Analysis, Mentoring, Communication Skills, Analytical Skills, Fraud Detection, Training Development, Customer Service, Problem Solving, Investigation, Alternative Dispute Resolution, Leadership, Professional Liability, Insurance Knowledge

Industry

Insurance

Description
Job Type: Permanent Build a brilliant future with Hiscox Bring your Passion and Enthusiasm to our Team! We are a fun, innovative and growing Claims team where you’ll get the opportunity to learn multiple insurance products and interact with business leaders across the organization. Please note that this position is hybrid and requires working in office a minimum of two (2) days per week. Position can be based in the following locations: Atlanta, GA Boston, MA Chicago, IL Manhattan, NY West Hartford, CT Our Senior Complex Claims Specialist role is an individual contributor role responsible for the handling of Miscellaneous Professional Liability claims for the organization from inception to resolution. This involves the negotiation and settlement of mid to high severity Miscellaneous Professional Liability insurance claims. May be responsible for single or multi-country claims and will be responsible for all aspects of the claims, including liaise with external and internal business partners (e.g., outside experts and/or or legal counsel; underwriting) as required. 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. 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 Adjuster licensing is 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 in addressing and solving difficult or severity matters with insureds, attorneys and brokers Demonstrated steps taken toward additional certifications by an approved authority such as a CPCU, ARMS or AINS designation Commitment to professional development and learning demonstrated by at least 10 hours of continuing education related to insurance topics through Success Factory, Hiscox in-person or video conference training sessions, or other in-person seminars or webinars What Hiscox USA offers 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 plus 2 Hiscox days,10 paid holidays plus 1 paid floating holiday, and ability to purchase up to 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 2023 Gold level recipient of Cigna’s Healthy Workforce Designation for having a best-in-class health and wellness program Dynamic, creative and values-driven culture Modern and open office spaces, complimentary drinks Spirit of volunteerism, social responsibility and community involvement, including matching charitable donations for qualifying non-profits via our sister non-profit company, the Hiscox USA Foundation 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. You can follow Hiscox on LinkedIn, Glassdoor and Instagram (@HiscoxInsurance) Salary range $150,000 - $160,000 (Boston, Manhattan, West Hartford) Salary range $125,000-$135,000 (Chicago, Atlanta) 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. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. #LI-AJ1 Work with amazing people and be part of a unique culture If you want to help build a brilliant future; work with amazing people; be part of a unique company culture; and, of course, enjoy great employee benefits that take care of your mental and physical wellbeing, come and join us. If this is your first time visiting our career site and you wish to stay in touch please select the 'Introduce yourself' button on the top right. This will allow us to contact you with suitable vacancies. If you are a returning prospect and wish to view our current vacancies please Search for Jobs using the link on the top right. 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. If you want to build a great career with a company that prioritises strong values – such as integrity and courage – where our people always pull together to do the right thing for each other and our customers, then we’d love to hear from you.
Responsibilities
The Senior Complex Claims Specialist is responsible for handling Miscellaneous Professional Liability claims from inception to resolution, including negotiation and settlement of claims. This role also involves mentoring team members and providing operational support to the claims team.
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