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Hiscox · 1 month ago

Senior Complex Claims Specialist- MPL

USA, Boston

Full-time

Hybrid

Senior Level, Lead/Staff

$150K/yr - $160K/yr

10+ years exp

Hiscox is an innovative insurance company seeking a Senior Complex Claims Specialist to manage Miscellaneous Professional Liability claims. This role involves negotiating and settling high severity claims while providing operational support to the claims team and mentoring other members.

ConsultingFinancial ServicesInsurance

Responsibilities

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

Qualification

Claims handling experienceLitigation process expertiseNegotiation skillsAdjuster licensingAdvanced analytical skillsSubject matter expertiseMentoring othersVerbal communicationWritten communication

Required

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

Adjuster licensing is required or ability to obtain within 90 days of employment

Preferred

B.A./B.S degree from an accredited College or University preferred

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

Benefits

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