Claims Manager

Mt Kisco, NY Office (Hybrid 3/2)

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.

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 leaveAn opportunity to love what you do

About the role:

Analyzes and reviews legal pleadings, documents, insurance policies, and applicable laws to determine validity of liability claims. Oversees and supervises a team of direct reports, ensuring quality customer service criteria goals are met. Leads team to achieve goals and objectives by communicating expectations, training, monitoring and coaching. Specializes in claims arising under Employment Practices Liability policies, but may also manage claims, as well as claims staff, arising under other specialty liability insurance products.

Key Responsibilities

Supervise and lead a team of claims attorney professionals handling primarily Employment Practices Liability claims and manage team workflow.Build a team-oriented environment by establishing team and individual goals through empowerment.Educate and train team members in the duties and responsibilities of best claims practices.Regularly review and evaluate the performance of personnel and define goals.Perform quality reviews on claims in compliance with internal and external audit requirements.Communicate with internal and external stakeholders, including insureds, brokers/agents, and provide exceptional customer service.Analyze coverage issues, conduct investigations, and evaluate liability to determine validity of complex claims. Provide oversight to direct reports with regard to formulation and issuance of coverage position letters, negotiation and resolution of claims, and decision-making within defined authority through delegation and empowerment.Prepare and draft complex legal correspondence to affected parties. Maintain electronic claim files. Update files as needed.Oversee all aspects of the litigation process for high-exposure liability claims to minimize company risk of loss.Negotiate claim settlements within defined authority limit.Recommend and present proposed claim resolution and/or settlement terms to management for claims that are in excess of the defined authority limit.Develop and maintain processes and procedures for the team in coordination with Claims Department Management.Recommend and implement techniques to improve productivity and efficiency and cut costs.Oversee outside counsel and vendors related to claims handling responsibilities.Keep current on applicable laws, regulations, industry activities, and trendsAttend settlement conferences, mediations and facilitation hearings on the Company’s behalf as needed.Provide supervision and guidance to less experienced Claims personnel including the review of settlement payments and denials but obtain appropriate authority to issue denials.Provide timely and accurate reporting to management and other internal clients including summaries of open/closed claims or other related bordereaux.Support Claims Department Management and Underwriting unit(s) as needed.Obtain and maintain claims adjuster’s licenses or other professional designations as required by the Company

Minimum Knowledge, Qualifications and Education Requirements

4 years of relevant and progressive business experiencePreferred Graduate Degree – Doctor of Jurisprudence (JD) degree, a related field, or the equivalent education and/or degree 6 Years of relevant legal and/or professional experience in insurance claims3 Years of prior people management or team leadership roles

New York Residents Only 

For candidates working in person or remotely in the following locations, the reasonable pay range for this specific position is Mt Kisco, NY is $149,900 - $185,300 annually.  The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. 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. Even within the pay range, the actual compensation will vary depending on the above factors as well as market and business considerations.” 

The Tokio Marine HCC Group of Companies offers a competitive salary and employee benefits package. We are a successful, dynamic organization experiencing rapid growth and are seeking an energetic and confident individual to join our team of professionals. The Tokio Marine HCC Group of Companies are equal opportunity, employers. Please visit www.tmhcc.com for more information about our companies. 

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