Tokio Marine HCC je globalna skupina za specializirano zavarovanje in pozavarovanje, ki oskrbuje poslovne stranke, posrednike in programske partnerje v več kot 180 državah. Njen portfelj sklepanja zavarovanj obsega več kot 100 specializiranih področij, vključno z nezgodnim in zdravstvenim zavarovanjem, letalstvom, odgovornostjo, kibernetskimi tveganji in tehnologijo, energetiko, pomorskim zavarovanjem, potovanji, zavarovanjem pridelkov in transakcijskimi tveganji. Kot del skupine Tokio Marine družba združuje specializirano sklepanje zavarovanj z upravljanjem programov in storitvami obravnave škod ter podpira organizacije s kompleksnimi ali panogam prilagojenimi zavarovalnimi potrebami.
Lead Hospital Professional Liability Claims Specialist
Lead hospital professional liability and related healthcare claims at Tokio Marine HCC. Assess coverage, liability, and damages, negotiate settlements, and guide claims work across the Excess Healthcare line.
Opis
- Handle hospital professional liability, general liability, auto, and managed care claims in the Excess Healthcare line.
- Investigate coverage and assess liability and damages.
- Resolve claims, including by negotiating settlements.
- Oversee claims proactively to reduce the company’s risk of loss.
- Draft and review coverage letters, then explain coverage positions to insureds, brokers, and agents.
- Investigate claims proactively and maintain a best-practice diary.
- Set reserves promptly and prepare concise leadership reports when claims exceed your authority.
- Select, direct, and monitor outside counsel and vendors.
- Negotiate settlements and attend court hearings, mediations, settlement conferences, and trials.
- Complete required regulatory reports.
- Coach and develop less experienced adjusters.
- Represent TMHCC at industry conferences when needed.
- Audit insureds, review loss runs, and report findings to senior leadership.
- Help develop claims systems and processes.
- Create work plans, set timelines and goals, allocate resources, and meet deadlines.
- Share team or unit results and recommendations with management and clients.
- Improve business processes and help put new processes into practice.
- Deliver thorough, cost-conscious, and productive work.
- Follow corporate policies and procedures, and report control breakdowns.
- Plan, carry out, and supervise assignments; train staff and allocate work.
- May help review and assess assigned personnel.
Zahteve
- Bachelor’s degree in business administration, risk management, or insurance.
- Required state adjuster licenses.
- Six years of progressive experience handling medical professional liability claims across the United States.
- Knowledge of effective, efficient methods and a focus on continuous improvement and innovation.
- Strong analytical skills, sound judgment, and problem-solving ability.
- Excellent communication skills and ability to build internal and external relationships.
- Adaptability and willingness to learn new processes, systems, and procedures.
- Excellent written and spoken communication, with discretion, tact, and diplomacy.
- Intermediate to advanced experience with Microsoft Office, including Excel, Access, PowerPoint, and Word.
- Availability for regular travel up to 50% of the time.
- State adjuster licenses must be held.
- A passport is not required.
- A driver’s license is not required.
Ugodnosti
- Competitive salary and comprehensive medical, vision, and dental coverage, available from the hire date.
- A strong learning culture with ongoing development opportunities.
- Basic life and disability insurance.
- 401(k) plan with a 6% company match.
- 20 days of paid time off.
- Two floating holidays.
- Approximately 11 paid holidays.
- Paid volunteer time off.
- Paid parental leave.
- The opportunity to do meaningful work.