Complex Claims Specialist
$115k - $130kHiscox Business Insurance, Chicago
Job Type Permanent Position Complex Claims Specialist: General Liability Reporting to AVP – Team Manager Location Atlanta, Boston, Chicago, Hartford, NYC or Scottsdale About the Role The primary role of a Complex Claims Specialist is to independently analyze liability claim submissions for potential coverage, set adequate case reserves, respond promptly and professionally to inquiries from clients and brokers, and proactively drive early resolution of claims arising from our General Liability products. The specialist manages a full pending of General Liability Claims and provides thought leadership in multiple forums within and outside the company, actively engaging in business development, product innovation, and market/customer insight, and developing strong relationships with underwriting leadership. Key Responsibilities Strategize and maximize early settlement opportunities for General Liability Claims (BI & PD). Draft and review coverage analyses. Monitor litigation/suits and manage local defense counsel & relationships. Continuously assess exposures and adequacy of claim reserves. Drive employee engagement by exhibiting passion for the company, values, business, and customers. Take lead in managing high exposure claims on the team. Attend mediations and/or settlement conferences where appropriate. Assist in preparing & presenting quarterly reserving packs. Actively participate in the Claims/UW/Actuarial feedback loop. Keep senior claims management appropriately informed of key issues. liaise directly on a daily basis with insureds and brokers. Maintain timely and accurate file documentation/information in our claims management system. Qualifications JD from an ABA‑accredited law school. Bar admission in good standing. Minimum of 8 years of professional experience in General Liability with an insurance carrier or litigation experience in General Liability. Litigation and mediation experience. Ability to analyze liability and potential damages exposure. Experience monitoring outside counsel. Experience negotiating allocation issues. Experience drafting or reviewing litigation budgets. Experience recommending or setting reserves. Experience handling large volume of claims or litigation matters. Ability to manage case load independently and meet timelines. Excellent verbal and written communication skills. Strong ability to establish rapport and build relationships with clients. Team‑oriented, with ability to excel in a collegial environment. Leadership and people‑management skills. Less than 10% travel required. Hybrid Work Arrangement This position requires two days in office each week. Salary Range $115,000 – $130,000 per year. Benefits Competitive salary and bonus based on personal & company performance. 401(k) with competitive company matching. Comprehensive health insurance, vision, dental and FSA plans. 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 the 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 related fitness program fees. 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. #J-18808-Ljbffr Hiscox
$132.8k - $219.1k
...and where you do it. Job Category Claim Compensation Overview The annual base... ...number of factors, including the scope, complexity and location of the role; the skills,... ...Field Severity Support: Some Complex Claim Specialists may be responsible for all or some of...SuggestedLocal area$115k - $130k
...Complex Claims Specialist: General Liability Build a brilliant future with Hiscox Put your claims skills to the test and join one of the top General Liability Insurers in the Industry as a Complex Claims Specialist! Position: Complex Claims Specialist: General...SuggestedTemporary workPrivate practiceWork at officeLocal area- ...Stat PFL Claims Specialist We are excited to bring on highly motivated Stat / PFL Claims Specialists to staff our ever-growing claims organization... ...appropriate and timely claim determinations. Reviewing complex medical records and effectively leveraging a variety of tools...SuggestedTemporary work
$64.97k - $99k
...Responsibilities Join our team as a Property Field Inspection Claim Specialist and showcase your expertise in handling accident and weather-... ...field or equivalent work experience Experience in handling complex or high‑value claims Construction background Water mitigation...SuggestedWork experience placementWork at officeLocal areaRemote workWork from homeFlexible hours$117k - $184.4k
...AXA XL is an Equal Opportunity Employer. Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. You focus on excellence and creating a culture of continuous improvement, fostering...Suggested$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$101.7k - $155.9k
...to delivering exceptional underwriting, claims, and risk management expertise to our partners... ..., and a deep understanding of the complex risks our clients face. Join our team and... ...one step ahead! The Senior Claims Specialist on the Healthcare team plays a critical...Temporary work$72k - $141k
...of professional liability insurance. We are currently seeking a claim professional to handle professional liability claims for our Financial... ...advisor, banking and insurance customers. These claims can be complex in nature and valued in the multimillion dollar range. Insurance...Work experience placementWork at officeLocal areaShift work$100k
...designed to meet the unique coverage and claims-handling needs of businesses. The Argo... ...Senior Construction Defect Technical Claims Specialist Employment Type: Full-Time FLSA Status:... ...This role will be adjudicating our most complex construction defect claims for our...Full timeLocal areaRemote work- ...Attending trials and mediations as necessary Contributing to broader claim and enterprise goals by participating in audits, projects and... ..., extra contractual exposure evaluations and other issues of complexity Work with business partners to evaluate and address claim...
$90k - $110k
...client, an A+ Rated Insurance Carrier, is seeking to add Senior Workers’ Compensation Claims Consultant to their Connecticut operations. This role will consist of handling the complex litigated Lost Time files from inception to close. Candidates must be well versed in Connecticut...Remote work- ...our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference... ...the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital...Full timeLive outWork at officeLocal areaRemote workFlexible hours
$68k - $80k
...Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Comp This role requires direct experience... ...Workers' Comp Claims Adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture....Contract workFlexible hours$82.8k - $124.2k
...Overview Claims Analyst FL - CV08CE We’re determined to make a difference and are proud to be an insurance company that goes well beyond... ...and/or information in the management of claims of higher complexity and/or exposure. Responsibilities Conducting investigations and...Temporary workWork at officeRemote work3 days per week- ...our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real... ...doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital...Local areaRemote work
$49.5k - $81k
...General Liability Claims Specialist I 134986 At Zurich North America Claims we acknowledge that work life balance and flexibility are... ...Handle non-litigated GL claims of low to moderate exposure and complexity, such as slip/trip and falls, product liability, and other...Full timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship$95k - $105k
...s Top 50 and rated A++ by A.M.Best. Job Summary We are looking for a Claims Specialist - Professional Liability to join our team! Job Responsibilities Investigate, evaluate and settle more complex first and third-party commercial insurance property claims. Evaluates...Work at officeRemote work$23.16 per hour
...and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards... ...and industry standards. Monitors, reviews and analyzes various complex potential claims with emphasis on controlling losses through effective...For contractorsWork at officeLocal area- ...the flexibility of remote work for focused tasks and projects. The Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution....Work experience placementWork at officeLocal areaRemote work
$50k - $55k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto | Property Damage PRIMARY PURPOSE OF THE... ...unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.comContract workWork at officeLocal areaFlexible hours$50k - $55k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto PRIMARY PURPOSE OF THE ROLE: To analyze... ...unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.comContract workWork at officeLocal areaFlexible hours$145k - $170k
...and miscellaneous professional liability. Responsibilities Senior Claims Consultant is responsible for managing a caseload of management liability and professional liability claims of moderate complexity and severity. This role requires a strategic, detail-oriented professional...Flexible hours- ...Sedgwick in Hartford, CT, is seeking a Claim Examiner - Liability focused on water damage. You will analyze complex claims, determine benefits due, and work with high-exposure files across multiple states, including regulatory considerations and client contract terms....Contract workRemote workFlexible hours
$26 per hour
...We are seeking a Pharmacy Adjudication Specialist for our Specialty Oncology pharmacy. As our company continues to grow, we strive to... ...The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims...Full timeTemporary workWork experience placementRemote workRelocation packageFlexible hoursShift work- ...Responsibilities Review assigned commercial contracts, identify legal and business risks, and lead negotiations on routine to moderately complex customer, supplier, channel partner, and services agreements in line with corporate standards and approved fallback positions....Contract work
$110k - $120k
...Job Description Draft POSITION SUMMARY The Senior Claim Technical Specialist ("SCTS") is a high-impact role focused on investigating, evaluating... ...and settling serious injury/damage claims involving complex coverage and large loss exposures in multiple...Temporary workTraineeshipWork at officeFlexible hours3 days per week- A leading national insurance firm is seeking experienced Multi-Line Claims adjusters to work remotely. Candidates must have a minimum of 5 years' experience in handling property and liability insurance claims, possess strong time management and customer service skills,...Remote jobFlexible hours
- ...environment, we invite you to explore the following position. Job Title: Claims Representative (Full Time) Job Description We are seeking a... ...medical specialties that present low to moderate severity and complexity. The position also provides support to the Underwriting, Risk...Full timeTemporary workLocal areaRemote workHome office
$50k - $52k
...The Claim Assistant ("CA") plays an important role in ensuring claims are handled in a timely and efficient manner, and policyholders are treated fairly and appropriately. The role of a CA is to assist in the claims process, which can include tasks such as data entry,...Temporary workWork at officeFlexible hours3 days per week- ...privacy requirements Meet or exceed performance metrics related to call quality, customer satisfaction, and productivity Escalate complex issues or concerns to supervisors as needed Maintain a strong understanding of products, services, and internal processes Provide an...
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