Lead Casualty Claims Adjuster

Tokio Marine HCC

121d

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

• Broad experience and judgment in handling complex claims.
• Ability to analyze and draft coverage letters.
• Experience in conducting investigations of claims.
• Strong communication skills to convey results and recommendations.
• Ability to mentor and educate less experienced personnel.

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.
• 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.
• Direct and closely monitor the work of outside vendors or experts if needed.
• 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 necessary.

What This Job Offers

• Number of Employees: 1,001-5,000 employees