Casualty Claims Specialist

Tokio Marine HCC

2d • $104,600 - $143,900 • Remote

About The Position

This role involves handling claims from investigation of coverage, liability, and damages to the resolution of both non-litigated and litigated claim files. The specialist will focus on primary casualty and excess lines, with a particular emphasis on Bodily Injury claims and Landlords & Tenant (OL&T) claims across the United States. The position also includes handling some small contractor artisan claims, as well as wrap and project-specific policies.

Requirements

• Bachelor’s degree in Business Administration, Accounting, Finance, a related field, or equivalent education and/or experience
• State Adjusting Licenses as required
• 8 years of relevant and progressive experience handling Bodily Injury cases, primary and excess, throughout the United States
• Experience in Artisan claims and OL&T claims, including New York Labor Law
• Deep knowledge of Construction Bodily Injury Claims
• Highly proficient in coverage with experience handling coverage litigation on behalf of a carrier
• Strong understanding of Risk Transfer and Recovery
• Proficient in Litigation Management, including legal budget creation and review
• Strong analytical, decision-making, and problem-solving skills
• Exceptional communication skills with ability to build internal and external relationships
• Flexibility and willingness to learn
• Advanced knowledge of principles, practices, and procedures
• Strong written and verbal communication skills with emphasis on confidentiality, tact, and diplomacy
• Knowledge of industry changes, legal updates, and technical developments
• Advanced proficiency in Microsoft Office (Excel, Access, PowerPoint, Word)

Nice To Haves

• Doctor of Jurisprudence preferred
• CPCU and/or AIC preferred

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; ensure all files are worked and brought current; understand and apply best practices; 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
• Direct and closely monitor outside vendors or experts when needed
• Draft high-quality reports, set timely reserves, or report to leadership cases wherein the reserves need to be set over authority
• Provide technical advice to claims leadership and underwriting
• Mentor and educate less experienced adjusters
• Travel to conferences, mediations, and trials as necessary
• Become proficient on all systems
• Develop work plans, timelines, and goals for work and projects; assign resources and meet deadlines
• Communicate results and recommendations internally and externally; lead multidisciplinary initiatives
• Improve business processes and drive innovation while maintaining cost efficiency and productivity
• Comply with corporate policies and procedures; report control breakdowns; ensure safe operations
• May lead projects or assist in personnel evaluation as needed

Benefits

• Competitive salary and comprehensive medical, vision, and dental benefit package, with eligibility beginning on your date of hire
• Strong learning culture with ongoing development opportunities
• Basic life and disability insurance
• 401(k) plan with 6% company match
• 20 days of PTO, two floating holidays, approximately 11 paid holidays, and volunteer time off
• Paid parental leave
• An opportunity to do meaningful work and love what you do

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Number of Employees: 11-50 employees