Lead Casualty Claims Adjuster

Role Details
Job Title: Lead Casualty Claims Adjuster
Location: Remote
Reports To: Sr. Casualty Claims Manager
Employment Type: FTE

About Us

Help us insure it. Tokio Marine HCC is a leading global specialty insurance group, backed by the strength and stability of the Tokio Marine Group. With more than 50 years of sustained growth and profitability, and offices across the United States, the United Kingdom, Europe, and other international locations, we offer more than 100 classes of specialty insurance—covering everything from the crops that feed us and the concerts that entertain us to rescuing travelers abroad.

Guided by our Mind Over Risk philosophy, we empower clients to pursue opportunities with confidence while fostering a culture rooted in innovation, collaboration, and trust. Always Advancing, we embrace an entrepreneurial spirit; as Experts in Tomorrow, we anticipate what’s next; and by Reaching Out, we build genuine connections that enable our people and our business to thrive.

Role Overview

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).

Key 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.
• All files should 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.
• Investigation: Conduct and proactively handle investigation of claims whenever possible. If outside vendors or experts are needed, direct and closely monitor their work.
• Reports: 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

• Planning: Develop work plans, establish timelines, and set goals for assigned work and work unit; assign resources as needed; meet commitments on deadlines.
• Communication: Communicate team or work unit results and recommendations with management and clients as appropriate.
• Cost Management: 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.
• Business Controls and Policies: 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.
• People Management: Plan, conduct, and supervise assignments; train assigned personnel and assign work; may assist with the review and evaluation of assigned personnel.

What You Bring

• Bachelor's Degree in Business Administration, Accounting, Finance, a related field, or the equivalent education and/or experience.
• Doctor of Jurisprudence preferred but not necessary.
• Chartered Property Casualty Underwriter (CPCU) or Associate in Claims (AIC) designation preferred.
• Possess or attain State Adjusting License(s).
• The successful candidate ideally will have a minimum of six years of experience handling construction defect cases throughout the United States. The candidate will have 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 posses 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).

Travel (if required/needed)

Regular travel (up to 50% of time). Passport required: No. Driver's License required: Yes.

What We Offer

• Competitive salary and 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

Equal Opportunity Employer

TMHCC is an equal opportunity employer. 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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