Claims Examiner I

About the role

TMHCC Tokio Marine HCC (TMHCC) brings 50 years of service to the specialty insurance industry, offering over 100 products to commercial customers globally. The role involves resolving claims by investigating losses, maintaining accurate records, and coordinating with other insurance carriers.

Responsibilities

• Determine insurance coverage by examining claim information, policies, and other records and interviewing claimants and other providers.
• Maintain accurate system by collecting, analyzing, and summarizing information.
• Resolve questionable claims by investigation: comparing claims information with evidence.
• Settle claims by determining insurance carrier's liability, reaching agreement with claimant according to policy provisions.
• Cookordinate benefits with other insurance carriers when possible to minimize loss ratios for the client and the company.
• Record/update claims volume and activity in a bordereau for reporting as required by the client, director, or Accounting department.
• Maintain insurance product and the Company reputation by complying with claims guidelines and unfair claims settlement limitations.
• Maintain professional and technical knowledge by attending educational workshops and establishing professional networks.
• Perform special projects as required.
• Contribute to the team effort by accomplishing related tasks as needed.

Requirements

• Minimum High School or GED.
• 2 Years of relevant and progressive claims or insurance experience in area of specialization.
• Possess and have ability to apply basic knowledge of principles, practices, and procedures.
• Good written and verbal communication skills with an emphasis on confidentiality, tact, and diplomacy.
• Demonstrated ability to manage multiple tasks simultaneously.
• Intermediate proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word).
• Superlative customer service skills.
• Basic calculator knowledge.