Claims Liability Adjuster (Remote)

Claims Examiner
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.
Under general supervision, investigates and analyzes coverage for pre-litigation claims submitted under the applicable employment practices liability or other professional liability policy form. Discusses claim facts and coverage issues with insureds, defense counsel, and/or coverage counsel. Claims Examiner II is responsible for accomplishing the following assignments.
Review submitted claims for coverage and determine if a matter is covered under the applicable policy.
Review submitted claims for coverage and determine if a matter is covered under the applicable policy.
Investigate claims and coverage issues.
Draft actions plans, including coverage recommendations, for the approval of Claims Managers for claims.
Independently handle claims presenting moderately complex coverage issues.
Establish and revise claim reserves within designated authority based on claim developments and counsel liability assessments.
Draft timely coverage determination letters, including reservation of rights and denial letters.
Update claims diary as needed based on activity
Review, approve, and process payment for legal, expert/vendor invoices, and settlement.
Maintain a claim file by accurately documenting all communications, activity, etc.
Communicate with agents, brokers and policyholders to obtain information necessary for processing claims.
Obtain and maintain claims adjuster's licenses or other professional designations as required by the Company.
High school diploma or the equivalent
~4-year bachelor's degree preferred

Minimum of two years of relevant and progressive professional experience as a Claims Examiner

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
Experience using Microsoft Office package (Excel, Access, PowerPoint, Word)
New York Residents Only
For candidates working in person or remotely in the following location, the reasonable pay range for this specific position is $74,500 - $102,300 annually in Mount Kisco, New York. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of color, race, sex, national origin, sexual orientation, gender identity, gender expression, religion, age, veteran status, disability, pregnancy, citizenship status, genetic information, or any other basis protected by federal, state, or local pay equity laws. The salary range is the range THMCC, in good faith, believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future, and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. The Tokio Marine HCC Group of Companies offers a competitive salary and employee benefits package. The Tokio Marine HCC Group of Companies are equal opportunity, employers.