Senior Complex Claims Specialist
$125,000 - $150,000 per weekHiscox Business Insurance, Chicago
Job Type: Permanent Build a brilliant future with Hiscox Join our dynamic and forward-thinking Claims team! Here, you’ll be part of an energetic and innovative group, with the chance to help shape insurance products and collaborate with business leaders throughout the organization. The Senior Complex Claims Specialist is the most senior technical role in the organization. This person adjudicates assigned claims within given authority and provides operational support to the claims team. This person also: With minimal supervision, adjusts to resolution the highest severity claims and drafts the most complex technical coverage analysis and letters required in the given claim department Acts as subject matter expert within the team Leads litigation best practices and strategy including attending and leading trials and mediations Uses superior knowledge and experience to affect positive claim outcome via investigation, negotiation and utilization of alternative dispute resolutions Identifies and provides potential solutions for 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 Mentors other team members Develops content and conducts training for claims team and underwriters as requested Reviews and analyses claim documentation and legal filings 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 Hiscox Values: At Hiscox our spirit is in Challenging Convention and everything we do is guided by our Values. Courage: Dare to take a risk Ownership: Passionate, commercial and accountable Integrity: Do the right thing, however hard Connected: Together, build something better Human: Clear, 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 **Please note that this position is hybrid and requires two (2) days in our office weekly** Salary range: $125-$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. 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. About Hiscox USA: Hiscox USA was established in 2006 to focus on the needs underserved and specialty commercial clients via both the regional broker and direct distribution channels and is today the fastest-growing business unit within the Hiscox Group. Today, Hiscox USA has a talent force of about 400 employees mostly operating out of 6 major cities - New York, Atlanta, Dallas, Chicago, Los Angeles and San Francisco. Hiscox USA offers a broad portfolio of commercial products, including technology, cyber & data risk, multiple professional liability lines, media, entertainment, management liability, crime, kidnap & ransom, commercial property and terrorism. You can follow Hiscox on LinkedIn, Glassdoor and Instagram (@HiscoxInsurance) #LI-RM1 Work with amazing people and be part of a unique culture If you want to help build a brilliant future; work with amazing people; be part of a unique company culture; and, of course, enjoy great employee benefits that take care of your mental and physical wellbeing, come and join us. If this is your first time visiting our career site and you wish to stay in touch please select the 'Introduce yourself' button on the top right. This will allow us to contact you with suitable vacancies. If you are a returning prospect and wish to view our current vacancies please Search for Jobs using the link on the top right. We’re a global, specialist insurer headquartered in Bermuda and listed on the London Stock Exchange. With 3,000 employees and 32 offices in 12 countries we’re a business with lots of opportunity for people with talent, spark and lots of ambition. If you want to build a great career with a company that prioritises strong values – such as integrity and courage – where our people always pull together to do the right thing for each other and our customers, then we’d love to hear from you.
- ...Dart Solutions is seeking a Senior Customer Service Representative for a national remote position. The role involves providing compassionate... ...while ensuring quality service and accurate healthcare claims processing. The ideal candidate will possess strong customer...SuggestedRemote workFlexible hours
$66.57k - $80k
...Sedgwick is looking for a Claims Examiner to analyze complex bodily injury and general liability claims in Phoenix, Arizona. The ideal candidate will possess a bachelor's degree and five years of claims management experience. You will work remotely while ensuring claims...SuggestedRemote work- ...A global risk management firm is seeking a Claims Analyst to join their Phoenix team. This role involves processing auto and transportation claims, ensuring compliance with contract deadlines, and managing client communications. The ideal candidate should have a bachelor...SuggestedContract work
$70.9k - $76.9k
Ryder System, Inc. is looking for an experienced claims adjuster specializing in Auto Liability claims in Phoenix, Arizona. The role involves investigating claims, managing litigation, and interacting with various stakeholders, ensuring claims are handled properly. A Bachelor...Suggested$100k - $125k
A leading claims administration company is seeking a Sr. Claims Specialist to analyze and manage complex professional liability claims. This role requires strong negotiation, analytical skills, and six years of claims management experience. The candidate should hold a...SuggestedRemote work$47.8k - $55.9k
...Claims Specialist I is responsible for preparing, filing and following up on all FHA, USDA, VA, FNMA, FHLMC, VA, MI, and investor claims timely and accurately according to investor/insurer guidelines. They must perform all tasks associated with the claims process, from...Work at officeLocal area- ...WC Claims Resolution Specialist – Special Risk Policyholders Amerisure creates exceptional value for its partners, policyholders, and employees... ...compensation claims of medium to high level of severity/complexity. Ability to obtain appropriate state licensing as...Work at officeLocal areaRemote workFlexible hoursNight shift3 days per week
$107.6k - $161.4k
...Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance... ...responsible for handling a caseload of complex, high exposure, auto and general... ...reports and delivering presentations to senior claim leadership on case developments,...Temporary workWork at officeRemote work3 days per week- ...Workers Compensation Claims Specialist Are you looking for an opportunity to join a fast-growing... ...routinely characterized as moderately complex to complex within assigned authority... ...considered as a Claims Specialist II, Senior Claims Specialist I, or Senior Claims Specialist...Remote work
$90k - $150k
...Berkshire Hathaway GUARD Insurance Companies is seeking a Trucking Claims Specialist to join our P&C Casualty Claims team. This role reports to... ...when needed Manage a caseload of moderate to high complexity claims, including higher exposure files Communicate with...Work at officeRemote workWeekend work$22.27 - $33.43 per hour
...PAYMENTS CLAIM SPECIALIST WHAT IS THE OPPORTUNITY? The Payment Claims Specialist is responsible for the investigation and processing of payment fraud claims and disputes with precision and quality. They must be confident when interacting directly with colleagues...Hourly payWork at officeRemote workFlexible hours- ...Job Description Position Overview: The Claim Specialist (Commercial) is responsible for handling Commercial Auto Claims, including property damage, property damage liability, rental management, and other applicable coverages. This role requires exceptional time...Contract workLocal areaRemote workNight shiftWeekend work
$121k - $140k
...Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance... ...visible and important role within our Complex Claims Unit (CCU) Hartford Global... ...reports and delivering presentations to senior claim leadership on case developments,...Temporary workFor contractorsWork at officeRemote work3 days per week- ...Senior Claim Specialist Immediate need for a talented Senior Claim Specialist with experience in the Insurance Industry. This is a 06+ Months... ...with little to no direction and oversight that may include complex and catastrophic property losses. Makes decisions within...Contract workImmediate start
$100k - $125k
...Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL | Remote Primary Purpose To analyze complex or technically difficult errors and omissions, employment practices law, and directors...Work at officeLocal areaRemote workFlexible hours$89k - $136k
...Senior Claim Specialist Amtrust Financial Services, a fast-growing commercial insurance company, is seeking a Senior Claim Specialist within our Construction Defect division. The successful candidate will directly handle Construction related claims. The successful candidate...Work at officeRemote workFlexible hours$71k - $104.4k
...Claims Representative Under the direction of the Claims Team Leader, the Claims Representative investigates and resolves claims promptly, equitably, and in accordance with established best practices. Major Duties & Responsibilities Duties may include, but are...Full timeContract workTemporary workWork experience placementLocal area- ...staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a Claims Specialist to join a high-performing, collaborative team focused on air ambulance claims, member appeals, and insurance reimbursement. This...Temporary workWork at officeLocal areaRemote work
- ...Senior Field Claims Specialist Immediate need for a talented Senior Field Claims Specialist with experience in the Insurance Industry. This is a 06+ Months Contract opportunity with long-term potential and is located in Scottsdale, AZ. Please review the job description...Contract workLocal areaImmediate start
$80k - $95k
...A reputable insurance staffing firm is seeking a Commercial General Liability Claims Representative to join their team in Phoenix, AZ. This full-time position involves handling moderate non-litigated claims and conducting coverage analysis. Candidates should have at least...Full timeRemote work- ...Overview The Transportation Liability Claim Specialist is responsible for prompt efficient review and disposition of insurance claims through effective research, evaluation, investigation, negotiation and interaction with insureds or claimants. The Specialist is...Flexible hours
- ...Sedgwick is seeking a Claim Examiner to analyze complex water damage claims and ensure benefits are provided as due. The successful candidate will manage claims, determine liability exposure, and negotiate settlements while maintaining client relationships. The role requires...Remote workFlexible hours
$100k - $140k
...Senior Claims Specialist The Senior Claims Specialist is responsible for managing all aspects of complex third-party liability claims, including class actions and high exposure matters, from inception through conclusion, brought against a wide variety of insureds, with...- ...Claims Specialist Immediate need for a talented Claims specialist with experience in the Insurance Industry. This is a 06+ Months Contract... ...with little to no direction and oversight that may include complex and catastrophic property losses. Makes decisions within delegated...Contract workImmediate startFlexible hours
- ...Join Our Team as a Claims Review Specialist at Amwins Self-Funded, LLC! Are you ready to make a meaningful impact in the dynamic world of insurance? Join Amwins Self-Funded, LLC., as a Claims Review Specialist. This is an in-office position, that offers the flexibility...Work experience placementWork at officeWork from homeFlexible hours2 days per week
- ...Senior Workers Compensation Claims Specialist Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry... ...claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes...Work experience placementRemote work
- ...Claims Specialist Once selected for the Claims Specialist position in SSA, you will contribute to the Agency's mission through direct... ...and authorize entitlement or disallowance actions at all levels of difficulty and complexity under programs administered by SSA....Extra incomeWork at office
$105k - $120k
...A prominent Insurance Carrier is seeking a Senior Commercial General Liability Claims Specialist in Phoenix, AZ. The role involves handling moderate to complex claims, requiring over 5 years of related experience and strong communication skills. Responsibilities include...Remote work- Direct Hire Authority (DHA) Announcement Positions under this announcement are being filled using a Direct Hire Authority (DHA) (SSA-001), open to all U.S. citizens. Selections made under this bulletin will be processed as new appointments to the civil service. Current...Work at officeRemote work
$88.5k - $154.9k
...Claims Specialist – Design Professional Our claims team sets us apart. Our experienced claims professionals use their specialized expertise to handle even the most complex claims seamlessly. How do you make a good thing better? You focus on excellence and creating...Immediate startFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Complex Claims Specialist. Be the first to apply!
- insurance claims processor Scottsdale, AZ
- senior claims specialist Scottsdale, AZ
- medical insurance claims specialist Scottsdale, AZ
- claims assistant Scottsdale, AZ
- claims consultant Scottsdale, AZ
- claim specialist Scottsdale, AZ
- claims processor Scottsdale, AZ
- claim examiner Scottsdale, AZ
- claims analyst Scottsdale, AZ
- medical claims analyst Scottsdale, AZ

