Claims Attorney

Claims Attorney

Location: NY, NY

Reports to: Senior Claims Operations Manager

Employment Type: Full time

About Tokio Marine HCC (TMHCC): 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.

What We Offer

• 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
• An opportunity to love what you do

Job Summary

Under supervision, evaluates and manages claims including the conducting of investigations, evaluation, and negotiation of settlements. Specializes in claims arising under Miscellaneous Medical Professional Liability and Social Services Professional Liability policies but may also manage claims arising under other specialty liability insurance products.

Key Responsibilities

Relying on limited experience and knowledge, this role is responsible for accomplishing the following assignments. These assignments are varied in nature.

• Oversee all aspects of the litigation process for claims to minimize company risk of loss.
• Analyze coverage issues, conduct investigations, and evaluate to determine validity of moderately complex claims; may work with outside counsel and effectuate same.
• Prepare and draft moderately complex legal correspondence to affected parties using mail, fax, or other electronic means. Maintain claim files - both physical and electronic. Update files as needed.
• Communicate with agents, principals, claimants, and other attorneys both orally and in writing concerning claim status, information requests, payment/denial of claim, or related information.
• May attend court hearings including mediations, settlement conferences, and trials.
• Assign designated claims to outside counsel including management of the process, compliance with company policy and procedure, and approval of company charges/billing.
• Negotiate claim settlement but must seek approval or denial for claims outside defined limit.
• Conduct legal research and other miscellaneous legal matters.

Competencies

Planning

• Follow work plans, established timelines, and predefined goals for assigned work.

• Meet commitments on deadlines.

Communication

• Communicate activities, results, and observations with employees and management as appropriate.

Cost Management

• Identify areas for improvement in existing business practices.

• Perform work thoroughly in a cost-efficient manner and at a high productivity level.

Business Controls and Policies

• Comply with all corporate policies and procedures.

• Report any breakdowns in controls to management.

• Conduct all activities in a safe manner.

People Management

• No people management responsibility.

Education

Doctor of Jurisprudence (JD) degree or a related field or the equivalent education and/or experience preferred

Certifications, Licenses, and Designations

Licensure to practice law in the applicable state jurisdiction(s) preferred

Experience

2 Years relevant legal and/or professional experience in insurance claims

Other

• Possess and have ability to apply knowledge of principles, practices, and procedures
• Solid written and verbal communication skills with an emphasis on confidentiality, tact, and diplomacy
• Advanced organizational and analytical skills; demonstrated ability to manage multiple tasks simultaneously
• Knowledgeable of industry changes, legal updates, and technical developments related to applicable area of the Company's business to proactively respond to changing business environment
• Intermediate proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word)