Senior Complex Claims Specialist, PL & Specialty Severity

Hiscox

. Responsible for the handling of high-severity primary Professional Lines claims from inception to resolution .

Posted 5/22/2026full-timeNew York City • Connecticut, Illinois, Massachusetts, New York • 🇺🇸 United StatesSenior💰 $140,000 - $170,000 per yearWebsite

About the role

Key responsibilities & impact

Responsible for the handling of high-severity primary Professional Lines claims from inception to resolution
Adjusts to resolution the highest severity claims and drafts the most complex technical coverage analysis and letters required
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 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 correspondence and notes
Mentors other team members, including providing formalized training, as needed

Requirements

What you’ll need

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

Benefits

Comp & perks

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
Dynamic, creative and values-driven culture
Modern and open office spaces, complimentary drinks

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims handlingcoverage analysislitigation best practicesinvestigationnegotiationalternative dispute resolutionfraud detectiondocumentationmentoringanalytical skills

Soft Skills

leadershipcommunicationadaptabilityproblem-solvingteam collaborationtrainingcritical thinkingattention to detailinterpersonal skillstime management

Certifications

Adjuster licensing