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Tokio Marine HCC · 2 weeks ago

Senior Claims Adjuster - Casualty (Public Risk Group)

United States

Full-time

Remote

Senior Level

5+ years exp

Tokio Marine HCC – Public Risk Group provides comprehensive insurance coverages to public entities across multiple states. They are seeking a Senior Claims Adjuster to handle a range of Commercial General Liability and Third-Party Auto Liability claims, ensuring proper investigation and management of claims throughout their lifecycle.

CommercialFinancial ServicesInsurance

Comp. & Benefits

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

Qualification

Adjuster's licenseInsurance claims experienceCommercial General LiabilityMicrosoft Office proficiencyAnalytical skillsWritten communication skillsVerbal communication skillsOrganizational skills

Required

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