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Complex Claims Specialist

Hiscox USA

Complex Claims Specialist

Atlanta, GA
Full Time
Paid
  • Responsibilities

    Job Description

    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.

    POSITION: SENIOR COMPLEX CLAIMS SPECIALIST, MISCELLANEOUS PROFESSIONAL LIABILITY

    BAND: II                        

    THE ROLE:

    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. 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

    ADDITIONAL FACTORS CONSIDERED:

    • 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
    • Demonstrated steps taken toward additional certifications by an approved authority such as a CPCU, ARMS or AINS designation

    HISCOX VALUES

    At Hiscox our spirit is in CHALLENGING CONVENTION and everything we do is guided by our Values.

    • COURAGE: Dare to take a risk
    • HUMAN: Clear, fair & inclusive
    • OWNERSHIP: Passionate, commercial & accountable
    • INTEGRITY: Do the right thing, however hard
    • CONNECTED: Together, build something better

     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
    • 10 Paid Holidays
    • Paid sabbaticals after 10 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

    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.

    Today, Hiscox USA has a talent force of about 420 employees mostly operating out of 6 major cities - New York, Atlanta, Dallas, Chicago, Los Angeles and San Francisco. 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.

     

    YOU CAN FOLLOW HISCOX ON LINKEDIN, GLASSDOOR AND INSTAGRAM (@HISCOXINSURANCE)

     

    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.