36 applicants
Tokio Marine Highland ยท 3 days ago
Claims Examiner (Adjuster)
South Pasadena, CA
Full-time
Hybrid
Mid Level
$50K/yr - $80K/yr
3+ years exp
Wonder how qualified you are to the job?
Maximize your interview chancesAuto InsuranceFinancial Services
Insider Connection @Tokio Marine Highland
Responsibilities
Provides customer service support to lenders, borrowers, insureds, claimants and all internal and customers.
On occasion, takes claim information via telephone, fax, e-mail, or regular mail and creates a record of loss in the appropriate claim system.
Verifies the claim coverage and reviews submitted claim forms for completeness and accuracy.
Sends instructions to the field personnel regarding claim file issues.
Utilizes the claim systems to assist customers with inquiries.
Enters notes into the claim system regarding conversations or incidences with customers.
Directs the efforts of the field adjuster.
Provides any required functions relating to the Claims Department at the direction of management.
Reviews reports from the field adjusters to ensure that the information and interpretation of the policy language are correct.
Corrects any errors seen in the field reports.
Interprets policy language and applies that policy language to loss situations.
Enters claim and expense payments into the systems that are within their authority.
Composes denial letters based upon the facts of the files as it relates to potential coverage issues.
Provides any required functions relating to the Claims Department at the direction of management.
Participation in audits of claim files.
Works with other departmental internal personnel on special projects.
Exposure to more intricate and complex claims, including attorney-represented claims.
Qualification
Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.
Required
3-6 years of relevant claims handling experience
Strong customer service skills, including the ability to manage demanding requests
Experience in property claims preferred
Company
Tokio Marine Highland
Tokio Marine Highland is a property and casualty underwriting agency.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Norman Heinrich
Chief Executive Officer
Eric Wurmser
Chief Operating Officer
Company data provided by crunchbase
