Complex Claims Specialist - A&E

Hiscox Ltd

$125K — $155K *
Finance & Insurance
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years of claims experience with a JD from an ABA-accredited law school and bar admission in good standing or 10+ years relevant experience.
  • 2-3 years of professional experience in Architecture & Engineering or Professional Liability claims.
  • Strong analytical skills for effective claim evaluation.
  • Excellent verbal and written communication skills to engage clients and team members.
  • Proven relationship-building ability with clients and brokers.
  • Team-oriented mentality, thriving in collaborative environments.
  • Adjuster licensing required within 90 days of employment.

Responsibilities

  • Review and analyze claim documentation and legal filings for accuracy and compliance.
  • Draft coverage analyses to assess claim eligibility.
  • Develop strategies to maximize early settlement opportunities.
  • Monitor litigation processes and manage local defense counsel effectively.
  • Attend mediations and settlement conferences, representing the company’s interests.
  • Manage and track expenditures related to third-party vendors and service providers.
  • Assess exposures and adequacy of claim reserves, escalating complex issues as needed.

Benefits

  • 401(k) with competitive company matching.
  • Comprehensive health insurance, including medical, vision, dental, and FSA plans.
  • Company paid life insurance, short-term, and long-term disability coverage.
  • Generous paid time off including vacation, holidays, and personal days.
  • Paid parental leave and a 4-week sabbatical after every 5 years of service.
  • Health club membership reimbursement up to $600 annually.
  • Paid subscription to Headspace for mental health support.
Full Job Description

Job Type:

Permanent

Position: Complex Claims Specialist A&E

Location: Atlanta, Boston, Chicago, Hartford, Manhattan

The Role:

The primary role of a Complex Claims Specialist is to analyze liability claim submissions for potential coverage, set adequate case reserves, promptly and professionally respond to inquiries from our customers and their brokers, and to proactively drive early resolution of claims arising from our commercial lines of insurance. This role is open to Atlanta, Boston, Chicago, Hartford or Manhattan and will be focused on servicing claims and potential claims arising from our Architects and Engineers professional liability lines of business. This is a fantastic opportunity to join Hiscox USA, a growing business where you will be able to make a real impact. Together, we aim to be the best people producing the best insurance solutions and delivering the best service possible.

What you’ll be doing as the Complex Claims Specialist:

Key Responsibilities: To perform all core aspects of in-house claims management, including but not limited to:

  • Reviewing and analyzing claim documentation and legal filings

  • Drafting coverage analyses

  • Strategizing and maximizing early settlement opportunities

  • Monitoring litigation and managing local defense counsel

  • Attending mediations and/or settlement conferences, either in person or by phone as appropriate

  • Smartly managing and tracking third-party vendor and service provider spend

  • Continually assessing exposures and adequacy of claim reserves, and escalating high exposure and/or volatile claims to line manager

  • Liaising directly on daily basis with insureds and brokers

  • Maintaining timely and accurate file documentation/information in our claims management system

Our Must-Haves:

  • 5+ years of experience with a JD from an ABA-accredited law school and bar admission in good standing or 10+ years relevant experience

  • A minimum of 2-3 years professional experience in the area of [Architecture & Engineering and/or Professional Liability]; coverage experience preferred

  • Excellent analytical skills

  • Excellent verbal and written communication skills

  • Strong ability to establish rapport and build relationships with clients

  • Team-oriented, with ability to excel in a collegial environment

  • 10% Travel Required Preferred:

  • A general understanding of insurance law

  • Prior experience with an insurance carrier preferred

  • Adjuster licensing is required within 90 days of employment

Additional Factors Considered:

  • Ability to act 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.

Hiscox Values:

At Hiscox our spirit is in Challenging Convention and everything we do is guided by our Values.

  • Courage: Do the right thing however hard

  • Quality: World class where it matters

  • Integrity: True to our word

  • Excellence in Execution: Consistent, timely, efficient delivery

  • Human: Firm, fair and inclusive

What Hiscox USA Offers:

  • 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 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 

**This position is hybrid and requires two (2) days in our office weekly if the candidate is near one of the locations listed**

Salary Range: $125-$155k

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.

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Work with amazing people and be part of a unique culture

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