Tokio Marine HCC is a global specialty insurance and reinsurance group serving commercial clients, brokers, and program partners across more than 180 countries. Its underwriting portfolio spans over 100 specialty classes, including accident and health, aviation, casualty, cyber and technology, energy, marine, travel, crop, and transactional risk. The company combines specialist underwriting with program management and claims services as part of the Tokio Marine Group, supporting organizations with complex or industry-specific insurance needs.
Lead Casualty Claims Adjuster, United States Remote
Lead complex U.S. casualty claims for Tokio Marine HCC, with a focus on construction defect, Artisan, and OL&T matters. Oversee coverage, liability, damages, litigation, vendor coordination, and claim resolution.
Description
- Manage complex claims from First Notice of Loss through resolution while advising internal business partners
- Prepare coverage analyses and letters, and explain coverage positions to insureds, brokers, and agents
- Integrate transferred claims and keep file diaries accurate and up to date
- Bring assigned claim files fully current and maintain ongoing file ownership
- Apply established claims best practices consistently across all files
- Maintain a one-to-one open-to-close ratio while working to reduce indemnity and alternative living expense costs
- Investigate claims and coordinate, direct, and monitor outside experts and vendors as appropriate
- Produce thorough reports, establish timely reserves, and escalate matters that exceed authority
- Offer technical guidance to claims leadership and underwriting teams
- Coach and develop less experienced adjusters through mentoring and education
- Attend conferences, mediations, and trials as business needs require
- Build proficiency across all relevant claims and business systems
- Create work plans, schedules, and objectives; allocate resources and deliver against deadlines
- Present team or work-unit results and recommendations to management and clients
- Identify process improvements and support the rollout of updated business processes
- Deliver work that is thorough, efficient, cost-conscious, and productive
- Follow corporate policies and procedures and report control failures or breakdowns
- Plan, lead, supervise, train, and assign work, with potential involvement in personnel reviews and evaluations
Requirements
- Bachelor’s degree in business administration, accounting, finance, a related discipline, or equivalent education and experience
- Juris Doctor degree is preferred but not required
- CPCU or AIC designation is preferred
- Hold or obtain the required state adjuster licenses
- At least six years of experience managing construction defect claims across the United States
- Experience handling Artisan and OL&T claims, potentially including New York Labor Law matters
- Extensive knowledge of construction defect claims
- Advanced coverage expertise, including carrier-side coverage litigation experience
- Strong understanding of risk transfer and recovery
- Litigation management expertise, particularly legal budget preparation and review
- Strong analytical, judgment, decision-making, and problem-solving abilities
- Excellent communication skills with the ability to build effective internal and external relationships
- Adaptable, curious, and willing to learn
- Proficiency with Microsoft Office applications, including Excel, Access, PowerPoint, and Word
- Willingness to travel regularly, up to 50% of the time
- Valid driver’s license
Benefits
- Competitive salary plus comprehensive medical, vision, and dental coverage starting on the hire date
- Ongoing learning and professional development opportunities
- Basic life and disability insurance
- 401(k) plan with a six percent company match
- 20 days of paid time off
- Two floating holidays
- Approximately 11 paid holidays
- Volunteer time off
- Paid parental leave
- Opportunity to contribute to meaningful work