Hiscox

Complex Claims Specialist

Hiscox

full-time

Posted on:

Origin:  • 🇺🇸 United States

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Salary

💰 $100,000 - $155,000 per year

Job Level

SeniorLead

About the role

  • Handle Miscellaneous Professional Liability claims from inception to resolution, including negotiation and settlement
  • May manage single- or multi-country claims and liaise with external and internal business partners (outside experts, legal counsel, underwriting)
  • Adjust and resolve complex to severe claims covering all phases of litigation
  • Draft complex coverage letters, including reservation of rights and denial letters, with minimal supervision
  • Review and analyze claim documentation and legal filings
  • Drive litigation best practices and lead defense strategy on litigated files
  • Mentor Claim Examiners and provide operational support to the claims team
  • Use investigation, negotiation and alternative dispute resolution to achieve positive claim outcomes
  • Identify emerging exposures, claims trends and suspected fraudulent claims; coordinate with special investigations unit
  • Accurately document claim files in compliance with company policies and regulatory authorities
  • Develop content and conduct training for claims team and underwriters as requested

Requirements

  • 8+ years of claims handling experience or 7-8 years litigation 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
  • 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 from an accredited College or University preferred
  • Ability to act a subject matter expert within team
  • Demonstrated ability to work with minimal oversight
  • Experience attending and leading mediations, arbitrations and trials
  • Demonstrated ability to advance product innovation or develop a greater understanding of other aspects of the business
  • Demonstrates courage in addressing and solving difficult or complex 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 5 hours of continuing education related to insurance topics (Success Factory, Hiscox training sessions, or other seminars/webinars)
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