Description

Senior Claims Adjuster

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

Tokio Marine HCC – Public Risk Group provides both first and third party coverages to public entities in multiple states. TMHCC- PRG is committed to supporting our insureds with the tools, resources, and support they need to meet the challenges faced in their day-to-day operations. We insure a variety of public entities such as, counties, cities, townships, police departments, prisons and fire departments in over 20 states throughout the Country. Our package policy provides a variety of coverages to support our insureds needs, including Law Enforcement Liability, Public Officials liability, Employment Practices Liability, Commercial General Liability, Property, First and Third-Party Auto, Inland Marine, Equipment Breakdown and more.

We are currently looking for a Senior Claims Adjuster to join our casualty/liability  team to handle a diverse range of Commercial General Liability and Third-Party Auto Liability claims. These claims include General Liability bodily injury and property damage claims from slip/trip and falls, negligent road signage/design and negligent maintenance of utilities and infrastructure, and Auto Liability bodily injury and property damage claims. This position does not involve first party property damage claims. The work of our claims department is diverse, dynamic, and engaging.

Job Responsibilities: 

• Review insurance policies to determine coverage.
• Investigate claims by conducting telephone interviews and/or preparing written correspondence with insureds, claimants and witnesses.
• Review police reports, medical records, independent adjuster reports, appraiser reports and more to determine liability and damages.
• Review state and federal laws to determine potential defenses such as governmental immunity.
• Assign and supervise independent adjusters and appraisers for on-site investigations when necessary.
• Assign defense counsel and manage litigation, as necessary.
• Determine and monitor indemnity and expense reserves throughout the life of the claim through resolution/closure in accordance with adjuster authority limits.
• Maintain claim files and documents in accordance with company policy and procedure.
• Seek approval when necessary for coverage and/or liability denials in accordance with company policy.
• Prepare internal large loss reports for executive circulation.
• Prepare loss reports for reinsurers as required by contracts.
• Collaborate with teammates, management, inter-departmental units, agents, insureds and others.
• Attend mediations, settlement conferences and trials as needed.

Experience and Education: 

• Minimum of 5 years of relevant and progressive professional experience in insurance claims.
• Ability to apply broad knowledge of principles, practices, and procedures.
• Excellent written and verbal communications skills with an emphasis on confidentiality, tact, and diplomacy.
• Exceptional organizational and analytical skills; demonstrate 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, PowerPoint, Word).
• Adjuster’s license required.

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