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Hiscox

Complex Claims Specialist – MPL

Hiscox

. Handle mid- to high-severity primary Miscellaneous Professional Liability claims from inception to resolution .

Posted 10/14/2026full-timeUnited StatesMid-LevelSenior💰 $125,000 - $155,000 per yearWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates advanced knowledge of Professional Liability claims handling, litigation processes, and negotiation strategies, with a proven ability to mentor and train claims examiners while achieving positive outcomes in complex claims. Strong analytical and communication skills are essential for effective collaboration with internal and external partners.

Highest-signal resume keywords
Professional Liability Claims HandlingLitigation Process ExpertiseNegotiation SkillsMentoring and TrainingAdjuster Licensing

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Claims DocumentationCoverage AnalysisLitigation Strategy DevelopmentAlternative Dispute ResolutionFraud DetectionComplex Claims ResolutionLegal Filing ReviewClaims Trend IdentificationMediation and Arbitration ExperienceAnalytical Skills
Soft Skills
Verbal CommunicationWritten CommunicationProblem SolvingTeam LeadershipAdaptability
Certifications & Qualifications
Adjuster Licensing
Industry Keywords
Miscellaneous Professional LiabilitySpecialty LinesFinancial LinesClaims HandlingRegulatory Compliance

About the role

Key responsibilities & impact
  • Handle mid- to high-severity primary Miscellaneous Professional Liability claims from inception to resolution
  • Adjust and resolve complex claims through all phases of litigation
  • Draft complex coverage letters, including reservation of rights and denial letters, with minimal supervision
  • Review and analyze claim documentation and legal filings
  • Lead defense strategy on litigated files and drive litigation best practices
  • Mentor team members and train other claims examiners
  • Investigate, negotiate and use alternative dispute resolutions to achieve positive claim outcomes
  • Identify emerging exposures and claims trends
  • Identify suspected fraudulent claims and track them with the special investigations unit
  • Accurately document claim files in compliance with company policies and applicable regulatory authorities
  • Liaise with external and internal business partners, including outside experts, legal counsel and underwriting

Requirements

What you’ll need
  • 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 required within 90 days of employment
  • Ability to work with minimal oversight
  • Ability to advance product innovation or develop a greater understanding of other aspects of the business through training or relevant cross-team projects
  • Ability to address and solve difficult or complex matters with insureds, attorneys and brokers
  • Experience attending and leading mediations, arbitrations and trials

Benefits

Comp & perks
  • 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
  • Best-in-class health and wellness program
  • Dynamic, creative and values-driven culture
  • Modern and open office spaces, complimentary drinks