Claims Examiner I

Tokio Marine HCC•Los Angeles, CA

1d•Onsite

About The Position

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.

Requirements

Minimum High School or GED
2 Years Relevant and progressive claims or insurance experience in area of specialization
Possess and have ability to apply basic knowledge of principles, practices, and procedures
Good written and verbal communication skills with an emphasis on confidentiality, tact, and diplomacy
Good organizational and analytical skills; demonstrated ability to manage multiple tasks simultaneously
Intermediate proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word)
Superlative customer service skills
Basic calculator knowledge

Responsibilities

Determine insurance coverage by examining claim information, policies, and other records and interview claimants and other providers.
Maintain accurate system by collecting, analyzing, and summarizing information.
Resolve questionable claims by investigation: comparing claims information with evidence.
Settle claims by determining insurance carrier's liability, reaching agreement with claimant according to policy provisions.
Coordinate benefits with other insurance carriers when possible to minimize loss ratios for the client and the company.
Contribute to phone support by prompt and accurate answering.
Record/update claims volume and activity in a bordereau for reporting as required by the client, director, or Accounting department.
Maintain insurance product and the Company reputation by complying with claims guidelines and unfair claims settlement limitations.
Maintain professional and technical knowledge by attending educational workshops and establishing professional networks.
Perform special projects as required.
Contribute to the team effort by accomplishing related tasks as needed.