Senior Complex Claims Specialist- MPL

Hiscox•Boston, MA

2d•Hybrid

About The Position

This is an individual contributor role responsible for the handling of Miscellaneous Professional Liability claims from inception to resolution. This involves the negotiation and settlement of mid to high severity Miscellaneous Professional Liability insurance claims. May be responsible for single or multi-country claims and will be responsible for all aspects of the claims, including liaising with external and internal business partners (e.g., outside experts and/or legal counsel; underwriting) as required. The Senior Complex Claims Specialist is highly technical and will be expected to independently evaluate coverage and severity. This person adjudicates assigned claims within given authority and provides operational support to the claims team. 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.

Requirements

10+ years of claims handling experience within Specialty lines of business, preferably Professional Liability
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
Ability to manage defense counsel and strategy
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
Adjuster licensing is required, or ability to obtain within 90 days of employment

Nice To Haves

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

Responsibilities

With minimal supervision, adjusts to resolution the highest severity claims and drafts the most complex technical coverage analysis and letters.
Acts as subject matter expert within the team.
Leads litigation best practices and strategy including attending and participating in mediations, arbitrations, and trials, as needed.
Provides high level of customer service to insureds, as well as internal and external business partners.
Able to present claims effectively during roundtable process.
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.
Able to maintain claim file quality according to Hiscox Claims Best Practices.
Mentors other team members and works closely with other Senior Complex Specialists on training needs.
Develops content and conducts training for claims team and underwriters, as requested.

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
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