Job description

The Tokio Marine HCC Group of Companies offer a competitive salary and employee benefit package. We are a successful, dynamic organization experiencing rapid growth and are seeking an energetic and confident individual to join our team of professionals. The Tokio Marine HCC Group of Companies are equal-opportunity employers. Please visit www.tmhcc.com for more information about our companies.

Tokio Marine HCC – Public Risk Group has an opportunity for a Multi-Line Senior Claims Adjuster with experience in adjusting mid-level complexity claims involving automobile, general liability, and property. This opportunity will allow you to enhance your experience with the goal of developing skills that will lead to more challenging opportunities and advance your career.

Remote or Hybrid Work Schedule
(Remote work eligibility depends on the location of the candidate)

Qualifications include:

Bachelor's degree or the equivalent combination of education and/or work experience.
Minimum of 5 -7 years of relevant and progressive professional experience in insurance claims.
Active State Adjuster's License(s) or ability to obtain within six months from date of hire.
Excellent written and verbal communication skills.
Consistently presents oneself professionally in varied business settings.
Organizational and analytical focus with attention to detail.
Effective at managing time and resources to accomplish multiple tasks in a fast-paced, deadline-oriented environment.
Problem-solving approach to business issues.
Self-motivated and able to work independently with guidance from claim manager.
Strong interpersonal and negotiation skills.
Proficiency in Microsoft Office Suite, specifically Outlook, Word, and Excel.
Must have a valid driver's license.

Essential Responsibilities:

Review and apply coverage to assigned claims.
Draft coverage disclaimer letters for management’s review and approval.
Conduct investigative work which includes:
Gathering information from insured, claimants, and witnesses to determine the facts.
Assign and follow up with independent adjusters / appraisers regarding assigned investigations.
Obtain a police report and/or other documentation that supports damages.
Identify potential fraud indicators and make recommendations for assignment to SIU.
Determine if an expert is necessary and make recommendations to claim manager.
Determine if any potential subrogation and/ or salvage is applicable and complete the salvage worksheet if applicable.
Evaluate damages by analyzing auto appraisals, property estimates, medical records, and expenses.
Recommend appropriate reserve recommendations.
Evaluate settlement value.
Provide analysis of liability based on facts and applicable law.
Manage litigation with guidance from management.
Provide claim resolution by:
Negotiate claim settlements within authority.
Effectively and timely deny claims based on no applicable coverage or liability.
Prepare and obtain settlement releases when appropriate.
Facilitate claim payments.
Maintain active and current diaries throughout the life of assigned claims.
Document claim files and contact and communicate with insureds, claimants, and others throughout the life of a claim in accordance with claim handling guidelines and protocols.
Maintain effective communication with other TMHCC functional areas including underwriting, risk control, management, and agents.
Effectively and professionally communicate both orally and in writing.
Maintain and/or obtain adjuster’s licenses as directed by the Company.
Other related duties as assigned.

The Tokio Marine HCC Group of Companies offers a competitive salary and employee benefit package. We are a successful, dynamic organization experiencing rapid growth and are seeking energetic and confident individuals to join our team of professionals. The Tokio Marine HCC Group of Companies is an equal-opportunity employer. Please visit www.tokiomarinehcc.com for more information about our companies.

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