Casualty Claims Specialist
Description
Casualty Claims Specialist (NY Labor Law Focus)
Do you want to be part of an evolving insurance line of business and a growing team?
Are you interested to continue working in insurance with one of the top-rated companies in the industry?
Tokio Marine HCC – Casualty Group has an exciting opportunity for a Casualty Claims Specialist. This is a great opportunity to support a critical claim unit and add significant value to the organization. The Casualty Group, a member of Tokio Marine HCC, consists of Primary Casualty, Excess Casualty and Artisan Contractors. With more than 250 years of combined underwriting experience, the Casualty Group creates customized casualty products for sophisticated liability buyers.
Overview:
Handles claims that involve the investigation of coverage, liability, damages and resolution of both non-litigated and litigated claim files for primary casualty lines. This individual will be involved in establishing a big picture view of the Casualty Claims coverage positions relative to the law and the industry. You have the freedom to be creative and think out of the box. The claims professional will be focusing on adjusting the claims and not processing the claims.
Performance Objectives:
- Claim handling: Proactively handle complex claims from the FNOL to resolution of the claim while working with and advising business partners. Analyze and draft coverage letters while properly communicating coverage positions to insureds, brokers and agents. Assimilate all transfer cases and have current diary on all files. All files should have been worked on and brought current. Understand and apply best practices to all files. Maintain a 1 to1 open to close ratio while reducing average indemnity and ALE.
- Investigation: Conduct and proactively handle investigation of claims whenever possible. If outside vendors or experts are needed, direct and closely monitor their work.
- Reports: Draft high-quality reports, set timely reserves or report to leadership cases wherein the reserves need to be set over your authority.
- Other duties: As an experienced adjuster provide technical advice to claims leadership and underwriting. Mentor and educate less experienced adjusters. Travel to conferences, mediations, and trials as is necessary. Become Proficient on all systems
Qualifications:
- The successful candidate ideally will have a minimum of 5 years of experience handling construction injury cases throughout the United States. The candidate will have experience in OL&T, New York Labor Law and large third-party property damage claims
- Knowledge of Construction Injury claims stemming from OCIP and CCIP policies.
- Must be highly proficient in coverage and have handled coverage litigation on behalf of a carrier.
- Must possess a high understanding of Risk Transfer and Recovery.
- Proficient in Litigation Management with an emphasis on legal budget creation and review
- Knows the most effective and efficient methods to get things done, with a focus on continuous improvement and innovation.
- Sound analytical skills, as well as strong decision-making and problem-solving aptitude.
- Must be an exceptional communicator and able to make connections externally and internally.
- Flexibility and a willingness to learn.
- Possess or attain State Adjusting Licenses as required.
- Proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word).
- Some travel
“For candidates working in person or remotely in New York or California, the reasonable pay range for this specific position is $128,600 - $168,500.
The salary offered for this specific position is based on a number of legitimate, nondiscriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of color, race, sex, national origin, sexual orientation, gender identity, gender expression, religion, age, veteran status, disability, pregnancy, citizenship status, genetic information, or any other basis protected by federal, state, or local pay equity laws. The salary range is the range THMCC, in good faith, believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future, and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the pay range, the actual compensation will vary depending on the above factors as well as market and business considerations.”
What we offer: Just as Tokio Marine HCC Group of Companies is customer centric, we are also employee centric offering our employees a competitive salary and employee benefit package, strong learning culture, collaboration, 401K match, paid parental leave, hybrid work schedule, travel opportunities and an opportunity to love what you do.
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