Claims Processor I (Insurance)

About 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.

Job Title: Claims Examiner I

Reports to: Claims Manager

Employment Type: Full time

Job Summary Resolves claims by investigating losses through the collecting and analyzing of data according to policy application and client/underwriter guidelines.

Key Responsibilities Determine insurance coverage by examining claim information, policies, and other records and interview claimants and other providers.

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.

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.

Competencies Planning Follow work plans, established timelines, and pre-defined goals for assigned work.

Communication Develop strong customer focus and high service level relationship with clients.

Business Controls and Policies Comply with all corporate policies and procedures.

Take all reasonable steps to safeguard company assets against waste, loss, unauthorized use and misappropriation.

May assist in orienting and training less experienced employees.

Experience Years of Experience: 2 Years Relevant and progressive claims or insurance experience in area of specialization

Intermediate proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word)

Superlative customer service skills Basic calculator knowledge

The hired applicant will be offered pay within the entire range based on the candidate’s geographic location, qualifications, work experience, education, and/or skill level. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of color, race, sex, national origin, sexual orientation, religion, age, veteran status, disability, pregnancy, citizenship status, genetic information, or any other basis protected by federal, state, or local pay equity laws.

California → Use CA Fair Chance language.

The Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC

1033(e))(the “VCCLEA”), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. As an insurance company, we comply with certain federal, state and local laws such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC

Where not restricted by law and for criminal history not covered by this law, the Company will consider qualified applicants with arrest or conviction history in compliance with applicable law.

The Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC

1033(e))(the “VCCLEA”), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. Applying our Mind Over Risk philosophy to writing insurance allows our customers to take on opportunity with confidence. We are much more than just an insurance company; All qualified applicants will receive consideration for employment without regard to age, ancestry, citizenship, color, family or medical care leave, gender identity, genetic information, marital status, medical condition, national origin, physical or mental disability, protected veteran or military status, race, ethnicity, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable local laws, regulations and ordinances.

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