Complex Claims Specialist - MPL-2

HiscoxBoston, MA
1d$125,000 - $155,000Hybrid

About The Position

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. Our Complex Claims Specialist-Miscellaneous Professional Liability role is an individual contributor responsible for the handling of mid to high-severity primary Miscellaneous Professional Liability claims for the organization from inception to resolution. This includes, but is not limited to, insurance agents, property managers, tax preparers, and various consultants. 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.

Requirements

  • 6+ years of Professional Liability and/ or Specialty/Financial lines 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 complex claims outcomes through investigation, negotiation and effectively leading litigation
  • Ability to work in a fast-paced and changing environment
  • 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 required, JD optimal
  • Adjuster licensing is required within 90 days of employment

Nice To Haves

  • 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
  • Experience attending and leading mediations, arbitrations and trials
  • Demonstrates courage in addressing and solving difficult or complex matters with insureds, attorneys and brokers

Responsibilities

  • Adjusts and resolves complex mid to severity claims that include all phases of litigation
  • With minimal supervision, drafts complex coverage letters, including reservation of rights and denial letters
  • Reviews and provides analysis of claim documentation and legal filings
  • Drives litigation best practices to lead defense strategy on litigated files
  • Mentors team members
  • Uses superior knowledge and experience to affect positive claim outcome via investigation, negotiation and utilization of alternative dispute resolutions
  • Identifies 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

Benefits

  • 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
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