Claims Specialist II

2 weeks ago

Plano, United States Tokio Marine America Full time
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/multi-state commercial automobile losses to determine liability, identify coverage exposures, and negotiate settlements. The Claim Specialist II position will handle a pending of commercial automobile claims that will involve: Collision, Other Than Collision, Uninsured Motorist Property Damage, Med-Pay, Bodily Injury and Uninsured/Underinsured Motorist. Frequent oral and written communication with customers, claimants and attorneys is required and these communications must be timely and professional. Compliance with State specific Department of Insurance Regulations as well as the company's privacy and data security policy is required.

Essential Job Functions:
  • Strong telephone customer service skills and the ability to empathize with customers and claimants.
  • Ability to organize and prioritize work to assure productivity goals of a pending are met.
  • Ability to work both independently and in a team.
  • Document and preserve all verbal or written communication activity in the claim system.
  • Establish and maintain proper loss reserves.
  • Conduct in-house investigations, ordering police reports, ISO filings, assign field assignments to company approved appraisers and/or independent adjusters.
  • Attend any necessary meetings or appearances on assigned claims as directed or approved by Supervisor.
  • Evaluate 1st and 3rd party injury claims and negotiate settlements within your assigned authority.
  • Prepare Serious Loss Report (SLR) on claims which have loss exposure $300K or greater.
  • Provide detailed instructions to company approved business partners with emphasis of expense control on all claims handled.
  • Prepare file transfer request to Litigation Specialist when insured served with Summons & Complaint.
  • Maintain compliance with DOI regulation for the involved jurisdiction.
  • Keep Supervisor advised of significant developments in claims.
  • Timely respond to any inquiries from brokers/agents, insured's, claimants, attorneys, outside business partners or internal TMM staff.
  • Pursue all subrogation opportunities when appropriate.
  • Timely process all total loss vehicles with company salvage buyer.
  • Attend all company sponsored training as scheduled by the company. Responsible for complying with proper internal controls as necessary to conduct job functions and/or carry out responsibilities and/or administrative activities at Company.
Qualifications:
  • College degree preferred
  • At least two (2) years claims handling experience (automobile preferred)
  • Computer skills including proficiency with word processing and spreadsheet software
  • Knowledge of commercial auto policy and coverage (preferred)
  • Knowledge of tort law in various jurisdictions & motor vehicle law (preferred)
  • Ability to negotiate claim settlements in a timely and reasonable fashion
  • Strong oral and written communication skills
  • Works independently under general supervision. Work is reviewed for overall adequacy and accuracy
  • Makes decisions related to wide variety of situations within management limits
  • Develops solutions to a variety of problems, typically of moderate scope and complexity
  • Subrogation and arbitration experience
  • Position will be required to work from Plano, TX office


Salary range of $60k - $70k. 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.

TMA believes the perfect candidate is more than just a resume. If you don't meet every single requirement, but are still interested in the job, we encourage you to apply.

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.

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