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Property Claims Adjuster

1 month ago

South Pasadena, United States Tokio Marine Highland Full time

We are Precise Adjustments, Inc. - a full-service claims administration and adjustment company. We are a wholly owned company of Tokio Marine Highland, a leading property and casualty underwriting agency and a subsidiary of Tokio Marine Kiln, one of the largest carriers in the Lloyd’s of London insurance market. We are looking for a Claims Examiner (Adjuster) to join our team.


If you’re looking to step up your career, Tokio Marine Highland is the perfect professional home. At Tokio Marine Highland, you’ll have a chance to innovate with the world’s leading businesses, put that expertise into action on major projects, and work on game-changing initiatives. You’ll also make long-lasting professional connections through sharing different perspectives, and you’ll be inspired by the best.


Qualifications

· 3-6 years of relevant claims handling experience

· Strong customer service skills, including the ability to manage demanding requests

· Experience in property claims preferred


Responsibilities

· Provides customer service support to lenders, borrowers, insureds, claimants and all internal and customers.

· On occasion, takes claim information via telephone, fax, e-mail, or regular mail and creates a record of loss in the appropriate claim system.

· Verifies the claim coverage and reviews submitted claim forms for completeness and accuracy.

· Sends instructions to the field personnel regarding claim file issues.

· Utilizes the claim systems to assist customers with inquiries.

· Enters notes into the claim system regarding conversations or incidences with customers.

· Directs the efforts of the field adjuster.

· Provides any required functions relating to the Claims Department at the direction of management.

· Reviews reports from the field adjusters to ensure that the information and interpretation of the policy language are correct.

· Corrects any errors seen in the field reports.

· Interprets policy language and applies that policy language to loss situations.

· Enters claim and expense payments into the systems that are within their authority.

· Composes denial letters based upon the facts of the files as it relates to potential coverage issues.

· Provides any required functions relating to the Claims Department at the direction of management.

· Participation in audits of claim files.

· Works with other departmental internal personnel on special projects.

· Exposure to more intricate and complex claims, including attorney-represented claims.


This position is hybrid, out of our South Pasadena office.


About Tokio Marine Highland

Tokio Marine Highland, LLC (TMH) is an Equal Opportunity Employer. TMH’s success depends heavily on the effective utilization of qualified people, regardless of their race, ancestry, religion, color, sex, national origin, sexual orientation, gender identity and/or expression, disability, veteran status, or any characteristic protected by law. As a company, we adhere to and promote equal employment opportunities for all.


Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is TMH’s policy to provide reasonable accommodation when requested by qualified individuals with disabilities during the recruitment process, unless such accommodation would cause an undue hardship. To make an accommodation request, please contact humanresources@tmhighland.com.

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