Casualty Claims Specialist

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

About the job

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.

Job Summary
Handles claims that involve the investigation of coverage, liability, damages and resolution of both non-litigated and litigated claim files for primary casualty lines, with emphasis on Artisan, small- to mid-level Construction Defect and Owners, Landlords & Tenant (OL&T) claims throughout the United States. Bodily Injury experience as well.

Key Responsibilities

• Proactively handle complex claims from the First Notice of Loss (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 additional living expense (ALE).
• Conduct and proactively handle investigation of claims whenever possible.
• If outside vendors or experts are needed, direct and closely monitor their work.
• Draft high-quality reports, set timely reserves, or report to leadership cases wherein the reserves need to be set over your authority
• 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

Education

• Minimum 4 Year / Bachelor's Degree in Business Administration, Accounting, Finance, a related field, or the equivalent education and/or experience
• Preferred Graduate Degree Doctor of Jurisprudence Certifications, Licenses, and Designations

Required

• State Adjusting Licenses as required
• Preferred Chartered Property Casualty Underwriter (CPCU)
• Preferred Associate in Claims (AIC)
• Preferred OCIPs (Owner Controlled Insurance Programs) and CCIPs (Contractor Controlled Insurance Programs)

Experience

• Relevant and progressive experience in handling construction defect and bodily injury cases throughout the United States.

• Deep knowledge of Construction defect claims
• Must be highly proficient in coverage and have handled coverage litigation on behalf of a carrier
• Must posses 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