Lead Casualty Claims Adjuster

Tokio Marine HCC

9d • Remote

About The Position

Handles claims that involve the investigation of coverage, liability, damages and resolution of both non-litigated and litigated claim files for primary casualty lines. Emphasis on Artisan, small to mid-level Construction Defect and OL&T claims throughout the USA. Establishes a big picture view of the Casualty Claims coverage positions relative to the law and the industry. Adjusts claims (i.e., does not process claims).

Requirements

• Bachelor's Degree in Business Administration, Accounting, Finance, a related field, or the equivalent education and/or experience.
• Possess or attain State Adjusting License(s).
• Minimum of six years of experience handling construction defect cases throughout the United States.
• Experience in Artisan claims as well as OL&T claim which could include New York Labor Law claims.
• Deep knowledge of Construction defect claims.
• Must be highly proficient in coverage and have handled coverage litigation on behalf of a carrier.
• Must possess a high understanding of Risk Transfer and Recovery.
• Proficient in Litigation Management with an emphasis on legal budget creation and review.
• Knows the most effective and efficient methods to get things done, with a focus on continuous improvement and innovation.
• Sound analytical skills, as well as strong decision-making and problem-solving aptitude.
• Must be an exceptional communicator and able to make connections externally and internally.
• Flexibility and a willingness to learn.
• Proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word).

Nice To Haves

• Doctor of Jurisprudence preferred but not necessary.
• Chartered Property Casualty Underwriter (CPCU) or Associate in Claims (AIC) designation 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 have been worked on and brought current.
• Understand and apply best practices to all files.
• Maintain a 1-to-1 open-to-close ratio while reducing average indemnity and ALE.
• Conduct and proactively handle investigation of claims whenever possible. If outside vendors or experts are needed, direct and closely monitor their work.
• Draft high-quality reports, set timely reserves or report to leadership cases wherein the reserves need to be set over your authority.
• Provide technical advice to claims leadership and underwriting.
• Mentor and educate less experienced adjusters.
• Travel to conferences, mediations, and trials as is necessary.
• Become Proficient on all systems.
• Develop work plans, establish timelines, and set goals for assigned work and work unit; assign resources as needed; meet commitments on deadlines.
• Communicate team or work unit results and recommendations with management and clients as appropriate.
• Drive improvement in existing business processes and assist in the implementation of new processes; ensure unit performs work thoroughly in a cost-efficient manner and at a high productivity level.
• Comply with all corporate policies and procedures; report any breakdown in controls to management; conduct all activities in a safe manner; ensure all the above are followed within assigned work unit.
• Plan, conduct, and supervise assignments; train assigned personnel and assign work; may assist with the review and evaluation of assigned personnel.

Benefits

• Competitive salary
• 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