Casualty Claims Specialist

Tokio Marine HCC; New York (NY); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a Casualty Claims Specialist to join their dynamic team. This role offers a unique opportunity to manage complex claims, focusing on construction defects and liability issues. You will leverage your expertise to guide business partners, draft crucial documentation, and mentor junior adjusters. This innovative company values continuous improvement and empowers its employees to make impactful contributions. If you are passionate about the insurance industry and ready to take on new challenges, this position is perfect for you.

Qualifications

• 8+ years of experience in handling construction defect claims.
• State Adjusting Licenses required; CPCU and AIC preferred.

Responsibilities

• Handle complex claims from FNOL to resolution, advising business partners.
• Draft coverage letters and communicate coverage positions effectively.

Skills

Claims Handling

Investigation Skills

Communication Skills

Mentoring

Litigation Management

Risk Transfer Knowledge

Education

Bachelor's Degree in Business Administration, Accounting, or Finance

Graduate Degree (Doctor of Jurisprudence)

Tools

Claims Management Systems

Job description

Casualty Claims Specialist page is loaded

Casualty Claims Specialist

Apply locations Remote - New York time type Full time posted on Posted 3 Days Ago job requisition id 2025-189

About the job

Do you want to be part of an evolving insurance line of business and a growing team? Are you interested to continue working in insurance with one of the top-rated companies in the industry? Tokio Marine HCC – Casualty Group has an exciting opportunity for a Casualty Claims Specialist. This is a great opportunity to support a critical claim unit and add significant value to the organization. The Casualty Group, a member of Tokio Marine HCC, consists of Primary Casualty, Excess Casualty and Artisan Contractors. With more than 250 years of combined underwriting experience, the Casualty Group creates customized casualty products for sophisticated liability buyers.

Job Summary

Handles claims that involve the investigation of coverage, liability, damages and resolution of both non-litigated and litigated claim files for primary casualty lines, with emphasis on Artisan, small- to mid-level Construction Defect and Owners, Landlords & Tenant (OL&T) claims throughout the United States.

Key Responsibilities

Relying on broad and comprehensive expertise in technique or discipline, this role is accountable for accomplishing the following assignments and has substantial latitude for actions or decisions made without review and acts independently under general direction.

• 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 to1 open to close ratio while reducing average indemnity and additional living expense (ALE).
• Conduct and proactively handle investigation of claims whenever possible.
• If outside vendors or experts are needed, direct and closely monitor their work.
• Draft high-quality reports, set timely reserves, or report to leadership cases wherein the reserves need to be set over your authority.
• As an experienced adjuster, 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.

Education

• Minimum 4 Year / Bachelors Degree in Business Administration, Accounting, Finance, a related field, or the equivalent education and/or experience.
• Preferred Graduate Degree Doctor of Jurisprudence Certifications, Licenses, and Designations.

Required

• State Adjusting Licenses as required.
• Preferred Chartered Property Casualty Underwriter (CPCU).
• Preferred Associate in Claims (AIC).

Experience

• 8 Years Relevant and progressive experience in 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.

Other

• Deep knowledge of Construction defect claims.
• Must be highly proficient in coverage and have handled coverage litigation on behalf of a carrier.
• Must possess 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.

Your success is our priority. In a world that is rapidly changing, TMHCC enables you to take on opportunities with confidence.
At Tokio Marine HCC, we pride ourselves on hiring the smartest, most conscientious people, who want to make a difference no matter their background. And then we give them the support and trust they need.
We’re always looking for curious, creative transformative thinkers who want to change the status quo and have a passion for doing the right thing. If this is you, then we want you on our team.