Senior Complex Claims Specialist, PL & Specialty Severity

Hiscox

. Handle high-severity primary Professional Lines claims, including Miscellaneous Professional Liability, A&E, Allied Health, and Media claims, from inception to resolution .

Posted 10/9/2026full-timeUnited StatesSenior💰 $140,000 - $170,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expert knowledge in Professional Liability claims handling and litigation processes, with a proven ability to mentor team members and achieve positive outcomes through negotiation and investigation. Strong analytical and communication skills are essential for effective collaboration and training within the claims team.

Highest-signal resume keywords

Professional Liability Claims HandlingLitigation Process ExpertiseNegotiation SkillsAdjuster LicensingMentoring and Training

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ManagementTechnical Coverage AnalysisAlternative Dispute ResolutionFraud DetectionFile DocumentationAnalytical SkillsProblem Solving

Soft Skills

Verbal CommunicationWritten CommunicationCollaborationLeadershipAdaptability

Certifications & Qualifications

Adjuster LicensingJD from ABA Accredited Law School

Industry Keywords

Professional Lines ClaimsMiscellaneous Professional LiabilityA&E ClaimsAllied Health ClaimsMedia ClaimsLitigation Best PracticesClaims TrendsRegulatory Compliance

About the role

Key responsibilities & impact

Handle high-severity primary Professional Lines claims, including Miscellaneous Professional Liability, A&E, Allied Health, and Media claims, from inception to resolution
Manage all aspects of the claims and litigation process
Liaise with external and internal business partners, including outside experts, legal counsel, and underwriting
Adjust the highest-severity claims to resolution with minimal supervision
Draft complex technical coverage analyses and letters
Act as a subject matter expert within the team
Model best practices for litigation and file integrity
Investigate, negotiate, and use alternative dispute resolutions to achieve positive claim outcomes
Identify matters appropriate for trial
Identify solutions for emerging exposures and claims trends
Identify suspected fraudulent claims and track them with the special investigations unit
Document claim files in compliance with company policies and regulatory authorities
Mentor team members and provide formalized training as needed
Develop content and conduct training for the claims team and underwriters
Collaborate with the US Claims team to deliver fair and fast claim resolution and support profitability

Requirements

What you’ll need

10+ years of Professional Liability and/or Specialty 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 highest severity claims outcomes through investigation, negotiation and effectively leading litigation
Ability to work in a fast-paced and changing environment
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 required, JD optimal
Adjuster licensing required or ability to obtain within 90 days of employment
Subject matter expertise or technical leadership in other lines of business and/or claim types
Demonstrates ability to work with minimal oversight
Demonstrates ability to advance product innovation or develop a greater understanding of other aspects of the business through training or other relevant projects across teams of lines of business
Demonstrates courage and confidence in addressing and solving difficult or severity matters with insureds, attorneys, and brokers

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