Senior Complex Claims Specialist - General Liability

Hiscox•Boston, MA

2d•$90 - $130•Hybrid

About The Position

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 will also: Strategize and maximize early settlement opportunities for Construction Defect and 3rd Party Property Damage Claim Demonstrates proficient knowledge regarding coverage triggers and time on risk allocation Draft and Review coverage analyses Manage/Partner with local defense counsel while monitoring litigation Drives litigation best practices to manage deployment and utilization of defense counsel Continually assess exposures and adequacy of claim reserves Demonstrates proficient knowledge regarding theories of liability and State specific negligence standards Accurately document claim files with all relevant correspondence, documentation, and file notes Demonstrates proficient knowledge of ACV vs RCV property damage assessments Attend mediations and/or settlement conferences where appropriate Identifies suspected fraudulent claims and tracks with special investigations unit Actively participate in the Claims/UW/Actuarial feedback loop Keep senior claims management adequately and appropriately informed of key issues Liaising directly on daily basis with insureds and brokers 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. As an international specialist insurer, we are far removed from the world of mass market insurance products. Instead, we are selective and focus on our key areas of expertise and strength - all of which is underpinned by a culture that encourages us to challenge convention and always look for a better way of doing things. We insure the unique and the interesting. And we search for the same when it comes to talented people. Hiscox is full of smart, reliable human beings that look out for customers and each other. We believe in doing the right thing, making good and rebuilding when things go wrong. Everyone is encouraged to think creatively, challenge the status quo and look for solutions. Scratch beneath the surface and you will find a business that is solid, but slightly contrary. We like to do things differently and constantly seek to evolve. We might have been around for a long time (our roots go back to 1901), but we are young in many ways, ambitious and going places. Some people might say insurance is dull, but life at Hiscox is anything but. If that sounds good to you, get in touch. 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. Today, Hiscox USA has a talent force of about 500 employees mostly operating out of 6 major cities - New York, Atlanta, Dallas, Chicago, Los Angeles and Scottsdale. 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, and terrorism. You can follow Hiscox on LinkedIn, Glassdoor and Instagram (@HiscoxInsurance) #LI-RM1 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.

Requirements

10+ years of claims handling experience with Commercial General Liability and Construction Defect
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

Responsibilities

Strategize and maximize early settlement opportunities for Construction Defect and 3rd Party Property Damage Claim
Demonstrates proficient knowledge regarding coverage triggers and time on risk allocation
Draft and Review coverage analyses
Manage/Partner with local defense counsel while monitoring litigation
Drives litigation best practices to manage deployment and utilization of defense counsel
Continually assess exposures and adequacy of claim reserves
Demonstrates proficient knowledge regarding theories of liability and State specific negligence standards
Accurately document claim files with all relevant correspondence, documentation, and file notes
Demonstrates proficient knowledge of ACV vs RCV property damage assessments
Attend mediations and/or settlement conferences where appropriate
Identifies suspected fraudulent claims and tracks with special investigations unit
Actively participate in the Claims/UW/Actuarial feedback loop
Keep senior claims management adequately and appropriately informed of key issues
Liaising directly on daily basis with insureds and brokers

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 of 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 value-driven culture
Modern and open office spaces, complimentary drinks