The Complex Claims Specialist - Miscellaneous Professional Liability 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 and Associate 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.