Senior Complex Claims Specialist - General Liability (BI)

Posted 2 Days Ago
Be an Early Applicant
4 Locations
115K-125K Annually
Senior level
Insurance
The Role
The Senior Complex Claims Specialist adjudicates high-severity claims, providing operational support, conducting complex coverage analyses, leading litigation strategies, mentoring team members, and identifying fraud. This role requires expertise in claims handling and knowledge of legal and regulatory compliance, ensuring positive outcomes in claim resolutions.
Summary Generated by Built In

Job Type:

Permanent

Build a brilliant future with Hiscox
 

.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 also:

  • 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

The 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 General Liability & Bodily Injury
  • 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

What Hiscox USA Offers

  • Competitive salary and bonus (based on personal & company performance)
  • Comprehensive health insurance, Vision, Dental and FSA
  • 401(k) with competitive company matching
  • 24 Paid time off days + 2 Hiscox Days
  • Ability to purchase 5 additional PTO days
  • 10 Paid Holidays
  • Paid sabbaticals after 5 years of service
  • Dynamic, creative and values-driven culture
  • Modern and open office spaces, complimentary fruit and 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

Salary Overview

$115,000.00 - $125,000

Please note that this position is hybrid and requires working two (2) days in office weekly. Position can be based in the following locations:

  • Atlanta, GA
  • Chicago, IL
  • Manhattan, NY
  • Scottsdale, AZ
  • West Hartford, CT

#LI-AJ1


Work with amazing people and be part of a unique culture

The Company
Birmingham
2,470 Employees
On-site Workplace
Year Founded: 1901

What We Do

Hiscox is a leader in specialist insurance. We seek to provide the best protection and peace of mind for our clients through high quality insurance products, backed with excellent service. We are experts in covering a wide range of personal and commercial risks.

Similar Jobs

Atlanta, GA, USA
2935 Employees

PwC Logo PwC

OFRO Independence Private Equity Senior Manager

Artificial Intelligence • Professional Services • Business Intelligence • Consulting • Cybersecurity • Generative AI
Remote
Hybrid
70 Locations
364000 Employees

Block Logo Block

Payments Acceptance Fraud Operations Manager

Blockchain • eCommerce • Fintech • Payments • Software • Financial Services • Cryptocurrency
Remote
Hybrid
Atlanta, GA, USA
12000 Employees
123K-223K Annually

ZS Logo ZS

Health Plan Strategy & Transformation Manager

Artificial Intelligence • Healthtech • Professional Services • Analytics • Consulting
Hybrid
12 Locations
13000 Employees
190K-213K Annually

Similar Companies Hiring

Flume Health Thumbnail
Software • Insurance • Healthtech
US
22 Employees
Spark Advisors Thumbnail
Software • Sales • Other • Insurance • Healthtech
New York, NY
73 Employees
MassMutual India Thumbnail
Insurance • Information Technology • Fintech • Financial Services • Big Data
Hyderabad, Telangana

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account