Complex Claims Specialist - General Liability (Construction Defect)

Hiscox Ltd

$115K — $135K *
Legal & Accounting
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 10+ years of claims handling experience in General Liability & Bodily Injury
  • JD from an ABA accredited law school is a plus
  • Expertise in handling high-severity claims through negotiation and litigation
  • In-depth knowledge of coverage issues within the specialty focus
  • Strong understanding of the litigation process and negotiation strategies
  • Track record of mentoring team members
  • Excellent verbal and written communication skills
  • Strong analytical abilities
  • B.A./B.S degree from an accredited institution preferred.

Responsibilities

  • Adjudicate assigned claims within authority limits
  • Maximize early settlement opportunities for Construction Defect and 3rd Party Property Damage Claims
  • Draft and review coverage analyses
  • Partner with local defense counsel to monitor litigation
  • Assess exposures and manage claim reserves
  • Document claim files thoroughly and accurately
  • Identify potentially fraudulent claims and liaise with the special investigations unit.

Benefits

  • 401(k) with competitive company matching
  • Extensive health insurance, including medical, dental, and vision plans
  • Generous paid time off including 24 PTO days and 10 paid holidays
  • Company-paid life and disability insurance
  • Paid parental leave and a 4-week sabbatical after every 5 years
  • Wellness reimbursement for fitness programs up to $600 annually
  • Mental health support through Headspace subscription
  • Recognized for a top-notch health and wellness program by Cigna.
Full Job Description
Job Type:
Permanent

The Complex Claims Specialist is a senior level individual contributor position. This person adjudicates assigned claims within given authority and provides operational support to the claims team.

**Please Note: This position is primarily hybrid and requires in-office attendance at least two (2) days per week for candidates that are located near one of our office locations. However, qualified remote candidates will also be considered**

The Position Can Be Based In:
  • Atlanta, GA
  • Boston, MA
  • Chicago, IL
  • Manhattan, NY
  • Scottsdale, AZ
  • West Hartford, CT


This Person Will Also:
  • Strategize and maximize early settlement opportunities for Construction Defect and 3rd Party Property Damage Claims
  • Demonstrate proficient knowledge regarding coverage triggers and time on risk allocation
  • Draft and Review coverage analyses
  • Manage/Partner with local defense counsel while monitoring litigation
  • Drive litigation best practices to manage deployment and utilization of defense counsel
  • Continually assess exposures and adequacy of claim reserves
  • Demonstrate proficient knowledge regarding theories of liability and state specific negligence standards
  • Accurately document claim files with all relevant correspondence, documentation, and file notes
  • Demonstrate proficient knowledge of ACV vs RCV property damage assessments
  • Attend mediations and/or settlement conferences where appropriate
  • Identify suspected fraudulent claims and tracks with special investigations unit
  • Actively participate in the Claims/UW/Actuarial feedback loop
  • Keep senior claims management adequately and appropriately informed of key issues
  • Liaison directly on a daily basis with insureds and brokers


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)
  • 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


Salary Range: $115-$135k

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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