Adjusts and resolves complex mid to severity claims that include all phases of litigation
With minimal supervision, drafts complex coverage letters, including reservation of rights and denial letters
Reviews and provides analysis of claim documentation and legal filings
Drives litigation best practices to lead defense strategy on litigated files
Mentors team members
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

6+ years of Professional Liability and/ or Specialty/Financial lines 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 complex claims outcomes through investigation, negotiation and effectively leading litigation
Ability to work in a fast-paced and changing environment
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 required, JD optimal
Adjuster licensing is required within 90 days of employment

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

Complex Claims Specialist – MPL

Key skills