Talent.com
Complex Claims Specialist (Cyber, Technology, Media, & Crime)

Complex Claims Specialist (Cyber, Technology, Media, & Crime)

HiscoxAtlanta, GA, US
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Complex Claims Specialist

Put your claims skills to the test and join one of the top Professional Liability Insurers in the Industry as a Complex Claims Specialist!

The US Claims team at Hiscox is a growing group of professionals with experience across private practice and in-house roles, working together to provide the ultimate product we offer to the market. Complex Claims Specialists are empowered to manage their claims with high levels of authority to provide fair and fast resolution of claims for our insured and broker partners.

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 particular role is open to Atlanta 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.

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 for both first and third party claims
  • Strategizing and maximizing early resolution opportunities
  • Monitoring litigation and managing local defense and breach 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 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
  • Advanced knowledge of coverage within the team's specialty or focus
  • Advanced knowledge of litigation process and negotiation skills
  • Excellent verbal and written communication skills
  • Advanced analytical skills
  • B.A. / B.S degree from an accredited College or University, JD degree from an ABA accredited law school is preferred
  • Additional Factors Considered :

  • Ability to act as a subject matter expert within team
  • Demonstrated ability to work independently 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
  • Well-organized and responsive
  • 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.
  • Please note that this position is hybrid and requires working a minimum of two (2) days in office. Position can be based in the following locations :

  • Manhattan, NY
  • West Hartford, CT
  • Chicago, IL
  • Atlanta, GA
  • Salary range : $115k-$150k

    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.

    What Hiscox USA Offers :

  • Competitive salary and bonus (based on personal & company performance)
  • Comprehensive health insurance, Vision, Dental and FSA (medical, limited purpose, and dependent care)
  • Company paid group term life, short-term disability and long-term disability coverage
  • 401(k) with competitive company matching
  • 24 Paid time off days with 2 Hiscox Days
  • 10 Paid Holidays plus 1 paid floating holiday
  • Ability to purchase 5 additional 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
  • 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.

    serp_jobs.job_alerts.create_a_job

    Media Specialist • Atlanta, GA, US

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Technical Claims Specialist - Worker's Compensation

    Technical Claims Specialist - Worker's Compensation

    AmTrust FinancialAlpharetta, GA, United States
    serp_jobs.job_card.full_time
    Technical Claims Specialist - Worker's Compensation.US-IL-Chicago | US-FL-Maitland | US-FL-Boca Raton | US-TX-Dallas | US-GA-Alpharetta. AmTrust Financial Services, a fast-growing commercial insuran...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    New York Licensed Claims Specialist

    New York Licensed Claims Specialist

    VirtualVocationsDecatur, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a Medical Claims Resolution Specialist II, Appeals.Key Responsibilities Negotiate healthcare claims and maintain provider relationships to achieve maximum discounts Perf...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Licensed Senior Claims Adjuster

    Licensed Senior Claims Adjuster

    VirtualVocationsNorcross, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior General Liability Claims Adjuster to manage and resolve claims effectively.Key Responsibilities Analyze claims exposure and execute decision-making to resolve cl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    STAT / PFL Claims Specialist

    STAT / PFL Claims Specialist

    VirtualVocationsNorcross, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a STAT / PFL Claims Specialist.Key Responsibilities Conduct initial and ongoing interviews with claimants and review medical records to determine claims Collaborate with c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    NY Licensed Claims Specialist

    NY Licensed Claims Specialist

    VirtualVocationsAtlanta, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a Claims Resolution Specialist.Key Responsibilities Contact healthcare providers to negotiate discounts on eligible claims prior to payment Perform provider research and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Auto Claims Specialist

    Auto Claims Specialist

    VirtualVocationsLawrenceville, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for an Inside Auto Claims Specialist to assist customers with auto loss claims.Key Responsibilities Manage auto claims from initiation to resolution, ensuring timely and accu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    NY Licensed Medical Claims Specialist

    NY Licensed Medical Claims Specialist

    VirtualVocationsNorcross, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a Medical Claims Resolution Specialist II, Appeals (Remote).Key Responsibilities Negotiate health care claims and maintain provider relationships to achieve maximum disco...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    GL / Excess Claims Adjuster

    GL / Excess Claims Adjuster

    VirtualVocationsAlpharetta, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a GL / Excess Claims Adjuster III to manage a caseload of claims in multiple states.Key Responsibilities Manage a caseload of GL / Excess Claims, including new loss assignmen...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Texas Licensed Claims Examiner

    Texas Licensed Claims Examiner

    VirtualVocationsLawrenceville, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a Claims Examiner - Liability (REMOTE TX or WI).Key Responsibilities Evaluate commercial auto bodily injury claims and ensure proper documentation and coding Manage the ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    New York Licensed Claims Adjuster

    New York Licensed Claims Adjuster

    VirtualVocationsLawrenceville, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior Workers Compensation Claims Adjuster who will manage claims and provide exceptional customer service in a fully remote capacity. Key Responsibilities Execute deci...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Licensed Claims Counsel

    Licensed Claims Counsel

    VirtualVocationsLawrenceville, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a Claims Counsel to provide legal support and guidance to Claims personnel in a fully remote position. Key Responsibilities Oversee litigated P&C coverage matters and assi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Specialist, II RCM - Claims Submission

    Specialist, II RCM - Claims Submission

    NEXTGEN HealthcareAtlanta, GA, United States
    serp_jobs.job_card.full_time
    The RCM Claim Submission Specialist II, RCM role performs revenue cycle management activities for designated accounts.The Specialist assists colleagues and global partner teams with projects and as...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Senior Claims Specialist, Design Professional

    Senior Claims Specialist, Design Professional

    Axis CapitalAlpharetta, GA, United States
    serp_jobs.job_card.full_time
    This is your opportunity to join AXIS Capital - a trusted.We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders.We also ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Disability Claims Specialist

    Disability Claims Specialist

    VirtualVocationsNorcross, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a Long Term Care Benefit Claim Specialist.Key Responsibilities Manage the claims lifecycle from initial adjudication to ongoing management Communicate effectively with c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Medicare Claims Specialist

    Medicare Claims Specialist

    VirtualVocationsAlpharetta, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a Medicare Specialist to manage and resolve Medicare claims for various hospital or physician groups. Key Responsibilities Resolve aged, outstanding, and denied medical cl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Senior Claims Specialist - EPL / Fiduciary

    Senior Claims Specialist - EPL / Fiduciary

    Axis CapitalAlpharetta, GA, United States
    serp_jobs.job_card.full_time
    This is your opportunity to join AXIS Capital - a trusted.We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders.We also ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Senior Technical Claims Specialist, Construction Complex

    Senior Technical Claims Specialist, Construction Complex

    Liberty Mutual InsuranceSuwanee, Georgia, United States
    serp_jobs.job_card.full_time
    Schedule : Full-Time Salary Range : USD $82000.Job Category : Claims Description The Senior Technical Claims Specialist determines coverage, investigates complex and highly complex commercial casualty...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Senior General Liability Claims Specialist

    Senior General Liability Claims Specialist

    VirtualVocationsDecatur, Georgia, United States
    serp_jobs.job_card.full_time
    A company is looking for a Senior General Liability Claims Specialist.Key Responsibilities Conduct detailed analysis to investigate claims exposure and recommend settlement strategies Create res...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Desk Catastrophe Claim Representative II

    Desk Catastrophe Claim Representative II

    The Auto Club GroupAtlanta, GA, United States
    serp_jobs.job_card.full_time
    It's a great time to join AAA The Auto Club Group!.JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD.Work under normal supervision with an intermediate-level approval authority to handle moder...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
    • serp_jobs.job_card.promoted
    Claims Technician - Cyber

    Claims Technician - Cyber

    Beazley GroupAtlanta, GA, United States
    serp_jobs.job_card.full_time
    Reports To : Claims Product Specialist and / or Claims Focus Group Leader, as per Beazley's organisation chart.Key Relationships : Claims management and staff, underwriters, insureds, brokers and servi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days