Claims Specialist II

First Insurance Company Of Hawaii; Plano (TX); On-site; USD 56,000 - 65,000; Full time

Benefits offered by this job

401K match

Competitive benefits

Job summary

Tokio Marine Management in Plano, TX is seeking a skilled Claims Specialist II to screen and thoroughly investigate multi-line and multi-state commercial auto losses, determine liability, identify coverage exposures, and negotiate settlements.

The role requires frequent communication with customers, claimants, and attorneys, and compliance with state insurance regulations. Manage a pending caseload while maintaining loss reserves and coordinating with appraisers and adjusters.

Qualifications

• Two years of claims-handling experience, with automobile claims experience preferred.
• Proficiency with word-processing and spreadsheet software.
• Knowledge of commercial automobile policies and coverage preferred.
• Knowledge of tort law across jurisdictions and motor vehicle law preferred.
• Ability to negotiate claim settlements in a timely and reasonable manner.
• Strong oral and written communication skills.
• Ability to work independently under general supervision, with work reviewed for accuracy.
• Ability to make decisions within management limits.
• Subrogation and arbitration experience.

Responsibilities

• Demonstrate strong telephone customer service skills and empathy for customers and claimants.
• Organize and prioritize work to meet productivity goals for the assigned pending caseload.
• Work effectively both independently and as part of a team.
• Document and preserve all verbal and written communication activity in the claim system.
• Establish and maintain proper loss reserves.
• Conduct in-house investigations, including ordering police reports and ISO filings and assigning field work to approved appraisers and/or independent adjusters.
• Attend necessary meetings related to assigned claims as directed.
• Evaluate first- and third-party injury claims and negotiate settlements within authority.
• Prepare Serious Loss Reports for claims with exposure of $300,000 or greater.
• Provide detailed instructions to business partners with emphasis on expense control.
• Prepare file-transfer requests to Litigation Specialist when served with Summons and Complaint.
• Maintain compliance with Department of Insurance regulations.
• Keep supervisor informed of significant developments.
• Respond to inquiries from brokers, agents, insureds, claimants, attorneys, partners, and staff.
• Pursue all appropriate subrogation opportunities.
• Process total-loss vehicles with salvage buyer.
• Attend company-sponsored training as scheduled.
• Comply with internal controls in all job functions.

Skills

Claims-handling experience

Word processing & spreadsheets

Commercial auto policies knowledge

Tort law knowledge

Negotiation of settlements

Oral and written communication

Independent work

Decision making within mgmt limits

Subrogation/arbitration experience

Education

College degree preferred

Job description

Description

Marketing Statement

About Tokio Marine:

Tokio Marine has been conducting business in the U.S. market for over a century and we are licensed in all states, Puerto Rico and the District of Columbia, and write all major lines of Commercial Property and Casualty Insurance. We provide unique insurance and risk management tools from our experienced staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals. We work with major brokers and leading independent insurance agents throughout the United States to serve the world's largest and most distinguished organizations.
We are committed to creating value for our customers by providing ANSHIN (safety, security and peace of mind).We strive to be creative and passionate as we work towards our long-term success.
Tokio Marine Holdings is Japan's oldest, and one of the largest property and casualty insurers. Founded in 1879, TMNF operates worldwide in 47 countries. With annual revenues of approximately $50 billion and an A.M. Best rating of A++, one of the highest in the industry, we are one of the top 20 insurance providers worldwide.

Job Summary

Responsible for screening and thoroughly investigating multi-line and multi-state commercial automobile losses to determine liability, identify coverage exposures, and negotiate settlements.

The Claims Specialist II will manage a pending caseload of commercial automobile claims involving Collision, Other Than Collision, Uninsured Motorist Property Damage, MedPay, Bodily Injury, and Uninsured/Underinsured Motorist claims.

The position requires frequent oral and written communication with customers, claimants, and attorneys. All communications must be timely and professional. The role must also comply with state-specific Department of Insurance regulations and the company's privacy and data security policies.

Essential Job Functions

• Demonstrate strong telephone customer service skills and the ability to empathize with customers and claimants.
• Organize and prioritize work to ensure productivity goals for the assigned pending caseload are met.
• Work effectively both independently and as part of a team.
• Document and preserve all verbal and written communication activity in the claim system.
• Establish and maintain proper loss reserves.
• Conduct in-house investigations, including ordering police reports and ISO filings and assigning field work to company-approved appraisers and/or independent adjusters.
• Attend necessary meetings or appearances related to assigned claims, as directed or approved by the supervisor.
• Evaluate first- and third-party injury claims and negotiate settlements within assigned authority.
• Prepare a Serious Loss Report for claims with a loss exposure of $300,000 or greater.
• Provide detailed instructions to company-approved business partners, with an emphasis on expense control for all claims handled.
• Prepare file-transfer requests to the Litigation Specialist when an insured is served with a Summons and Complaint.
• Maintain compliance with Department of Insurance regulations for the applicable jurisdiction.
• Keep the supervisor informed of significant claim developments.
• Respond promptly to inquiries from brokers, agents, insureds, claimants, attorneys, outside business partners, and internal TMM staff.
• Pursue all appropriate subrogation opportunities.
• Process total-loss vehicles promptly with the company's salvage buyer.
• Attend all company-sponsored training as scheduled.
• Comply with appropriate internal controls when performing job functions, responsibilities, and administrative activities.

Qualifications

• College degree preferred.
• At least two years of claims-handling experience, with automobile claims experience preferred.
• Proficiency with word-processing and spreadsheet software.
• Knowledge of commercial automobile policies and coverage preferred.
• Knowledge of tort law across various jurisdictions and motor vehicle law preferred.
• Ability to negotiate claim settlements in a timely and reasonable manner.
• Strong oral and written communication skills.
• Ability to work independently under general supervision, with work reviewed for overall adequacy and accuracy.
• Ability to make decisions involving a wide variety of situations within management limits.
• Ability to develop solutions to problems of moderate scope and complexity.
• Subrogation and arbitration experience.

Salary range$56,000 to $65,000. Ultimate salary offered will be based on factors such as applicant experience and geographic location. Our company offers a competitive benefits package and bonus eligibility on top of base.

Benefits:

We offer a comprehensive benefit package, which includes a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities.

EEO Statement

Tokio Marine Management is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, or sexual orientation.