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Claims Attorney

Role overview

Qualifications

  • Juris Doctor (JD) degree or equivalent education and/or experience; preferred
  • Licensure to practice law in the applicable state jurisdiction(s); preferred
  • At least 2 years of relevant legal and/or professional experience in insurance claims
  • Proficiency with Microsoft Office (Word, Excel, PowerPoint, Access) and strong written/verbal communication skills; ability to manage multiple tasks and stay current with industry/legal developments

Responsibilities

  • Oversee all aspects of the litigation process for claims to minimize company risk of loss
  • Analyze coverage issues, conduct investigations, and evaluate the validity of moderately complex claims; coordinate with outside counsel as needed
  • Manage claim documentation and communications, including preparing/moderately complex legal correspondence and maintaining physical and electronic claim files
  • Negotiate settlements and manage outside counsel, including assignment, policy compliance, and approval of charges/billing; attend court hearings as needed

About the company

Tokio Marine HCC – A&H Group logo

Tokio Marine HCC – A&H Group

For over 50 years, HCC Life Insurance Company, operating as Tokio Marine HCC – A&H Group, has been at the forefront of medical stop loss insurance. In addition to traditional stop loss, we offer captive and Taft-Hartley stop loss solutions, level-funded stop loss, Organ & Tissue Transplant insurance and Supplemental Health insurance. Tokio Marine HCC – Stop Loss Group is rated A++ (Superior) by A.M. Best Company and benefits from the financial stability of its parent company, Tokio Marine HCC. tmhcc.com/AHGroup #TMHCC_AHGroup

Company details

Company size501 - 1000

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Job description

Job Title: Claims Attorney
Location: Atlanta, GA
Reports to: Senior Claims Operations Manager
Employment Type: Full time
Job Req ID: 2026
Req Begin Date: 5/12/2026
About TMHCC
Tokio Marine HCC (TMHCC) brings 50 years of service to the specialty insurance industry, today offering over 100 products to commercial customers in 180 countries around the world. Every policy we write is special, enabling our clients to do amazing things. From insuring the crops that feed us to the rock concerts that entertain us, to rescuing international travelers in trouble.
Organic growth and over 60 successful acquisitions have grown our 2023 Gross Written Premium (GWP) to over $7.5 Billion. Our workforce has grown to 4,300 worldwide … big, but not so big that you cannot make a difference. Our Good Company values, including integrity, empowerment, and commitment to customer service, and a culture of innovation, communication, and collaboration make TMHCC a great place to work.
What We Offer

  • Competitive salary and employee benefit package
  • Strong learning culture
  • Growth perspectives
  • 6% 401K match
  • 20 days of PTO and 2 Floating Days
  • Paid parental leave
  • An opportunity to love what you do

Job Summary

Under supervision, evaluates and manages claims including the conducting of investigations, evaluation, and negotiation of settlements. Specializes in claims arising under Miscellaneous Medical Professional Liability and Social Services Professional Liability policies but may also manage claims arising under other specialty liability insurance products.

Key Responsibilities

Relying on limited experience and knowledge, this role is responsible for accomplishing the following assignments. These assignments are varied in nature.

  • Oversee all aspects of the litigation process for claims to minimize company risk of loss.
  • Analyze coverage issues, conduct investigations, and evaluate to determine validity of moderately complex claims; may work with outside counsel and effectuate same.
  • Prepare and draft moderately complex legal correspondence to affected parties using mail, fax, or other electronic means. Maintain claim files - both physical and electronic. Update files as needed.
  • Communicate with agents, principals, claimants, and other attorneys both orally and in writing concerning claim status, information requests, payment/denial of claim, or related information.
  • May attend court hearings including mediations, settlement conferences, and trials.
  • Assign designated claims to outside counsel including management of the process, compliance with company policy and procedure, and approval of company charges/billing.
  • Negotiate claim settlement but must seek approval or denial for claims outside defined limit.
  • Conduct legal research and other miscellaneous legal matters.

Competencies

Planning

• Follow work plans, established timelines, and predefined goals for assigned work.

• Meet commitments on deadlines.

Communication

• Communicate activities, results, and observations with employees and management as appropriate.

Cost Management

• Identify areas for improvement in existing business practices.

• Perform work thoroughly in a cost-efficient manner and at a high productivity level.

Business Controls and Policies

• Comply with all corporate policies and procedures.

• Report any breakdowns in controls to management.

• Conduct all activities in a safe manner.

People Management

• No people management responsibility.

Education

Doctor of Jurisprudence (JD) degree or a related field or the equivalent education and/or experience preferred

Certifications, Licenses, and Designations

Licensure to practice law in the applicable state jurisdiction(s) preferred

Experience

2 Years relevant legal and/or professional experience in insurance claims

Other

  • Possess and have ability to apply knowledge of principles, practices, and procedures
  • Solid written and verbal communication skills with an emphasis on confidentiality, tact, and diplomacy
  • Advanced organizational and analytical skills; demonstrated ability to manage multiple tasks simultaneously
  • Knowledgeable of industry changes, legal updates, and technical developments related to applicable area of the Company’s business to proactively respond to changing business environment
  • Intermediate proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word)

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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