Claims Attorney, HPI

Tokio Marine HCC; Purchase (NY); On-site; USD 119,480 - 165,660; Full time

Benefits offered by this job

Subsidized medical, prescription, and dental insurance

401(k) plan with Company matching contributions

Paid parental leave

Educational/loan assistance

Job summary

A leading specialty insurance group in Purchase, NY is seeking a Legal Claims Professional to manage insurance claims including investigations and settlements. Ideal candidates will have a Juris Doctor degree and relevant experience in the insurance sector. This hybrid role involves overseeing litigation, analyzing coverage issues, and communicating with stakeholders. The compensation ranges from $119,480 to $165,660 annually, with a competitive benefits package.

Qualifications

• Minimum JD degree or equivalent education/experience.
• Required Licensure to practice law in applicable state.
• 2 Years relevant legal and/or professional experience.

Responsibilities

• Oversee litigation process for claims to minimize risk.
• Analyze coverage issues and evaluate moderately complex claims.
• Prepare and draft legal correspondence and maintain claim files.
• Communicate with stakeholders regarding claim status.
• Assign claims to outside counsel and manage the process.
• Negotiate claim settlements within defined limits.
• Conduct legal research and manage miscellaneous legal matters.

Skills

Legal research

Claim negotiation

Analytical skills

Education

Doctor of Jurisprudence (JD) or related field

Job description

Purchase, NY (Hybrid)

Tokio Marine HCC (TMHCC) is a leading specialty insurance group with offices in the United States, the United Kingdom, Spain and Ireland, transacting business in approximately 180 countries and underwriting more than 100 classes of specialty insurance. TMHCC products and capabilities set the standard for the industry, and many of the Company’s almost 4,000 employees are industry‑leading experts.

We are currently looking for a Legal Claims Professional to join our growing team. Under supervision, evaluates and manages claims including the conduction of investigations, evaluation, and negotiation of settlements. Specializes in claims arising under Miscellaneous Medical Professional Liability and Social Services Professional Liability policies but may also manage claims arising under other specialty liability insurance products.

Key Responsibilities

• Oversee all aspects of the litigation process for claims to minimize company risk of loss.
• Analyze coverage issues, conduct investigations, and evaluate to determine validity of moderately complex claims; may work with outside counsel and effectuate same.
• Prepare and draft moderately complex legal correspondence to affected parties using mail, fax, or other electronic means. Maintain claim files – both physical and electronic. Update files as needed.
• Communicate with agents, principals, claimants, and other attorneys both orally and in writing concerning claim status, information requests, payment/denial of claim, or related information.
• May attend court hearings including mediations, settlement conferences, and trials.
• Assign designated claims to outside counsel including management of the process, compliance with company policy and procedure, and approval of company charges/billing.
• Negotiate claim settlement but must seek approval or denial for claims outside defined limit.
• Conduct legal research and other miscellaneous legal matters.

Position Knowledge, Skills, And Requirements

• Minimum Doctor of Jurisprudence (JD) degree or a related field or the equivalent education and/or experience.
• Required Licensure to practice law in the applicable state jurisdiction(s).
• 2 Years Relevant legal and/or professional experience in insurance claims.

New York Residents Only

For candidates working in person or remotely in the following locations, the reasonable pay range for this specific position is New York, NY annually and Mount Kisco, New York, $119,480 – $165,660 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.

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 1033(e)), which restricts our ability to employ individuals with certain types of criminal convictions. 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.

Tokio Marine HCC offers a competitive salary and a generous employee benefits package including among other benefits, subsidized medical, prescription, dental, vision and basic life and disability insurance, 401(k) plan with Company matching contributions, paid parental leave, paid time off and/or paid sick leave, and educational/loan assistance.

Tokio Marine HCC is an equal opportunity employer. Please visit www.tmhcc.com for more information about our companies.