Claims Specialist II, Commercial Auto

Tokio Marine has been conducting business in the U.S. market for over a century and is licensed in all states, Puerto Rico, and the District of Columbia. We write all major lines of Commercial Property and Casualty Insurance, providing unique insurance and risk management tools through experienced account executives, underwriters, loss prevention engineers, and a skilled claims team. We partner with major brokers and leading independent insurance agents to serve the world’s largest and most distinguished organizations, delivering ANSHIN (safety, security, and peace of mind). Tokio Marine Holdings, Japan’s oldest and one of the largest property and casualty insurers, operates in 47 countries with annual revenues of approximately $50 billion and an A.M. Best rating of A++.

About the role

Responsible for screening and thoroughly investigating multi-line/multi-state commercial automobile losses to determine liability, identify coverage exposures, and negotiate settlements. This role handles a pending caseload of commercial automobile claims involving 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, ensuring timely and professional interactions. Compliance with state-specific Department of Insurance regulations and the company’s privacy and data security policies is mandatory.

Responsibilities

• Demonstrate strong telephone customer service skills and empathize with customers and claimants.
• Organize and prioritize work to meet productivity goals for pending claims.
• Work both independently and in a team environment.
• Document and preserve all verbal or written communication activity in the claim system.
• Establish and maintain proper loss reserves.
• Conduct in-house investigations, order police reports, ISO filings, and assign field assignments to company-approved appraisers and/or independent adjusters.
• Attend necessary meetings or appearances on assigned claims as directed or approved by a Supervisor.
• Evaluate 1st and 3rd party injury claims and negotiate settlements within assigned authority.
• Prepare Serious Loss Report (SLR) on claims with loss exposure of $300K or greater.
• Provide detailed instructions to company-approved business partners, emphasizing expense control on all claims.
• Prepare file transfer requests to Litigation Specialists when insured is served with Summons & Complaint.
• Maintain compliance with Department of Insurance regulations for the involved jurisdiction.
• Keep Supervisor advised of significant developments in claims.
• Respond timely to inquiries from brokers, agents, insureds, claimants, attorneys, outside business partners, or internal TMM staff.
• Pursue all subrogation opportunities when appropriate.
• Process total loss vehicles with the company salvage buyer in a timely manner.
• Attend all company-sponsored training as scheduled.
• Comply with proper internal controls to conduct job functions and administrative activities.

Requirements

• College degree preferred.
• At least two (2) years of claims handling experience (automobile preferred).
• Proficiency with word processing and spreadsheet software.
• Knowledge of commercial auto policy and coverage (preferred).
• Knowledge of tort law in various jurisdictions and 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 a wide variety of situations within management limits.
• Develops solutions to a variety of problems, typically of moderate scope and complexity.
• Subrogation and arbitration experience.

Pay

Salary range: $55,000 to $65,000. Ultimate salary offered will be based on factors such as applicant experience and geographic location.

Benefits

• Competitive benefits package.
• Bonus eligibility on top of base salary.
• Generous 401K match.
• Focus on continued growth, new products, people development, and internal career opportunities.