Claims Manager, EPL

Tokio Marine HccMount Kisco, NY
445d$149,900 - $185,300

About The Position

The Claims Manager at Tokio Marine HCC is responsible for overseeing a team of claims attorneys, primarily focusing on Employment Practices Liability claims. This role involves analyzing legal documents, managing claims processes, and ensuring high-quality customer service. The manager will lead the team in achieving goals through effective communication, training, and performance evaluation, while also handling complex claims and maintaining compliance with internal and external standards.

Requirements

  • 4 years of relevant and progressive business experience.
  • Preferred Graduate Degree - Doctor of Jurisprudence (JD) degree, a related field, or the equivalent education and/or degree.
  • 6 Years of relevant legal and/or professional experience in insurance claims.
  • 3 Years of prior people management or team leadership roles.

Responsibilities

  • Supervise and lead a team of claims attorney professionals handling primarily Employment Practices Liability claims and manage team workflow.
  • Build a team-oriented environment by establishing team and individual goals through empowerment.
  • Educate and train team members in the duties and responsibilities of best claims practices.
  • Regularly review and evaluate the performance of personnel and define goals.
  • Perform quality reviews on claims in compliance with internal and external audit requirements.
  • Communicate with internal and external stakeholders, including insureds, brokers/agents, and provide exceptional customer service.
  • Analyze coverage issues, conduct investigations, and evaluate liability to determine validity of complex claims.
  • Provide oversight to direct reports with regard to formulation and issuance of coverage position letters, negotiation and resolution of claims, and decision-making within defined authority through delegation and empowerment.
  • Prepare and draft complex legal correspondence to affected parties.
  • Maintain electronic claim files and update files as needed.
  • Oversee all aspects of the litigation process for high-exposure liability claims to minimize company risk of loss.
  • Negotiate claim settlements within defined authority limit.
  • Recommend and present proposed claim resolution and/or settlement terms to management for claims that are in excess of the defined authority limit.
  • Develop and maintain processes and procedures for the team in coordination with Claims Department Management.
  • Recommend and implement techniques to improve productivity and efficiency and cut costs.
  • Oversee outside counsel and vendors related to claims handling responsibilities.
  • Keep current on applicable laws, regulations, industry activities, and trends.
  • Attend settlement conferences, mediations and facilitation hearings on the Company's behalf as needed.
  • Provide supervision and guidance to less experienced Claims personnel including the review of settlement payments and denials but obtain appropriate authority to issue denials.
  • Provide timely and accurate reporting to management and other internal clients including summaries of open/closed claims or other related bordereaux.
  • Support Claims Department Management and Underwriting unit(s) as needed.
  • Obtain and maintain claims adjuster's licenses or other professional designations as required by the Company.

Benefits

  • 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

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Industry

Insurance Carriers and Related Activities

Education Level

Master's degree

Number of Employees

1,001-5,000 employees

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