Talent.com
Complex Claims Specialist

Complex Claims Specialist

HiscoxWest Hartford, CT, US
14 days ago
Job type
  • Full-time
Job description

Complex Claims Specialist

Individual contributor role responsible for the handling of Miscellaneous Professional Liability claims for the organization from inception to resolution. This involves the negotiation and settlement of 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 liaise with external and internal business partners (e.g., outside experts and / or legal counsel; underwriting) as required.

Bring your Passion and Enthusiasm to our Team! We are a fun, innovative and growing Claims team where you'll get the opportunity to learn multiple insurance products and interact with business leaders across the organization.

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

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

The Role

The Complex Claims Specialist is a high-level adjuster role that adjudicates assigned claims within given authority and provides operational support to the claims team. This person also :

  • Adjusts and resolves complex to severe claims that includes all phases of litigation
  • With minimal supervision, drafts complex coverage letters, including reservation of rights and denial letters
  • Reviews and analyses claim documentation and legal filings
  • Drives litigation best practices to lead defense strategy on litigated files
  • Mentors Claim Examiners
  • 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
  • Develops content and conducts training for claims team and underwriters as requested
  • 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

  • 8+ years of claims handling experience or 7-8 years litigation 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
  • 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 from an accredited College or University preferred
  • Additional Factors Considered

    Ability to act as a subject matter expert within team Demonstrated ability to work with minimal oversight Experience attending and leading mediations, arbitrations and trials Demonstrated ability to advance product innovation or develop a greater understanding of other aspects of the business through training or other relevant projects Demonstrates courage in addressing and solving difficult or complex 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 5 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.

    What Hiscox USA Offers

  • 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
  • About Hiscox

    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.

    About Hiscox US

    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.

    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, commercial property and terrorism.

    Diversity and Flexible Working at Hiscox

    At Hiscox we care about our people. We hire the best people for the job and we're committed to diversity and creating a truly inclusive culture, which we believe drives success. We also understand that working life doesn't always have to be 'nine to five' and we support flexible working wherever we can. No promises, but please chat to our resourcing team about the flexibility we could offer for this role.

    Salary range $100,000 - $155,000

    The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

    We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

    Work with amazing people and be part of a unique culture

    Create a job alert for this search

    Claim Specialist • West Hartford, CT, US

    Related jobs
    • Promoted
    Claim Service Specialist - Springfield, MA - Hybrid

    Claim Service Specialist - Springfield, MA - Hybrid

    Arbella Insurance GroupSpringfield, MA, US
    Full-time
    Arbella Claim Service Specialist Opportunity.Claim Service Specialists are advocates for our customers.They talk directly with people who have recently experienced a loss, inspect the damage, and i...Show moreLast updated: 30+ days ago
    • Promoted
    Majesco Billing Expert / Policy Expert / Claims Expert

    Majesco Billing Expert / Policy Expert / Claims Expert

    Hispanic Alliance for Career EnhancementHartford, CT, United States
    Full-time
    At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading h...Show moreLast updated: 27 days ago
    • Promoted
    Senior Claim Examiner

    Senior Claim Examiner

    ChubbSimsbury, CT, US
    Full-time
    P2 Senior Claims Examiner - Employment Practices Liability .Chubb is the world’s largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and...Show moreLast updated: 16 days ago
    • Promoted
    Property Claims Representative- Renter Programs

    Property Claims Representative- Renter Programs

    AmTrust FinancialSouthington, CT, United States
    Full-time
    Property Claims Representative- Renter Programs.US-TX-Dallas | US-KS-Overland Park | US-TX-Dallas | US-NY-Latham | US-UT-TBD | US-CT-Southington. Under moderate supervision The Property Claim Repres...Show moreLast updated: 30+ days ago
    • Promoted
    RN - Trauma ICU - $20,000 Bonus Opportunity

    RN - Trauma ICU - $20,000 Bonus Opportunity

    Yale New Haven HealthOld Saybrook, CT, US
    Full-time
    To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, account...Show moreLast updated: 30+ days ago
    • Promoted
    AVP, Claim - Coverage & Complex Manager

    AVP, Claim - Coverage & Complex Manager

    ChubbNew Haven, CT, US
    Full-time
    Focus on the core content of the job post, removing any extra metadata, navigation mentions, and redundant headers.Keep the formatting beautiful and high signal to noise ratio.Show moreLast updated: 1 day ago
    • Promoted
    Credit Specialist

    Credit Specialist

    Creative Financial StaffingSouthington, CT, US
    Full-time
    Our client is currently seeking a.Company is highly regarded in the area as one of the top places to work for.About the Credit Specialist Role : . Generate and analyze aging reports to monitor outstan...Show moreLast updated: 11 days ago
    • Promoted
    Claim Service Specialist - Farmington, CT - Hybrid

    Claim Service Specialist - Farmington, CT - Hybrid

    Arbella Insurance GroupUnionville, CT, US
    Full-time
    Arbella Claim Service Specialist Opportunity.Claim Service Specialists are advocates for our customers.They talk directly with people who have recently experienced a loss, inspect the damage, and i...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Specialist / Senior Claims Specialist-Workers Compensation

    Claims Specialist / Senior Claims Specialist-Workers Compensation

    Great American Insurance GroupWindsor, CT, US
    Full-time +1
    Claims Specialist / Senior Claims Specialist.Working for a leader in the insurance industry means opportunity for you.Great American Insurance Group's member companies are subsidiaries of American Fi...Show moreLast updated: 6 days ago
    • Promoted
    Director Category Management, Medical Claim Services

    Director Category Management, Medical Claim Services

    VeracityHartford, CT, US
    Full-time
    Medical Claim Services Hybrid schedule.T, W & Th in the office in Hartford, CT or Morristown, NJ and M & F remote work from home days. The Director, Category Management is an individual contributor ...Show moreLast updated: 30+ days ago
    • Promoted
    Patient Collections Specialist

    Patient Collections Specialist

    CPa Medical BillingEast Haven, CT, US
    Full-time
    Join our dedicated team at CPa Medical Billing as a Patient Collection Specialist, where your expertise will directly contribute to our mission of providing exceptional medical billing services.We ...Show moreLast updated: 7 days ago
    • Promoted
    Clinical Support Associate- 24 hours / Evenings- Ortho / Traumatic Brain Injury-Hooker 2

    Clinical Support Associate- 24 hours / Evenings- Ortho / Traumatic Brain Injury-Hooker 2

    Gaylord HospitalWallingford, CT, US
    Full-time
    Gaylord Specialty Healthcare is a health system dedicated exclusively to medical rehabilitation.We provide inpatient and outpatient care for people at every point in their journey from illness or i...Show moreLast updated: 25 days ago
    • Promoted
    Senior Technical Claims Specialist, Energy Complex

    Senior Technical Claims Specialist, Energy Complex

    Liberty Mutual Insurance GroupWeatogue, CT, US
    Full-time
    Senior Technical Claims Specialist.Liberty Mutual has an immediate opening for a Senior Technical Claims Specialist to join our Energy Complex Team. The Senior Technical Claims Specialist determines...Show moreLast updated: 23 days ago
    • Promoted
    Territory Account Representative - Connecticut

    Territory Account Representative - Connecticut

    Trex CompanyNew Haven, CT, United States
    Full-time
    When you work at Trex, you're helping to grow and enhance a true original.You join a company that boldly launched an entire industry. We are looking for a Territory Account Representative to help su...Show moreLast updated: 25 days ago
    • Promoted
    Class A Hazmat Team Needed $4K Weekly Minimum + 19K Bonus!

    Class A Hazmat Team Needed $4K Weekly Minimum + 19K Bonus!

    Open Road Freight WorksWaterbury, CT, USA
    Full-time
    CDL-A Team Drivers – Military Freight.Hazmat ammo / military freight (no haz waste).Out 3 weeks, 1 week home option.Hazmat endorsement Required at time of scheduling. Max 3 jobs / 2 violations (5 yrs).Show moreLast updated: 9 days ago
    • Promoted
    Claims Senior Medpay Adjuster

    Claims Senior Medpay Adjuster

    ACSC Management Services IncHartford, CT, United States
    Full-time
    The Claims Senior Medpay Adjuster handles moderate to high complexity of PIP and Medpay claims for our Eastern Expansion. The primary functions include liability investigation, coverage evaluation, ...Show moreLast updated: 1 day ago
    • Promoted
    Management Liability Claims Specialist

    Management Liability Claims Specialist

    IAT Insurance GroupCheshire, CT, US
    Full-time
    Management Liability Claims Specialist.IAT Insurance Group has an immediate opening for a Management Liability Claims Specialist that can be located in any of our IAT locations.This role works a hy...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Claims Specialist, Financial Lines Management Liability

    Senior Claims Specialist, Financial Lines Management Liability

    Liberty Mutual Insurance GroupWeatogue, CT, US
    Full-time
    Senior Claims Specialist, Financial Lines Management Liability.Liberty Mutual has an immediate opening for a Senior Claims Specialist, Financial Lines Management Liability position.In this role, wi...Show moreLast updated: 30+ days ago