Jobs · Finance

Lead Casualty Claims Adjuster

Tokio Marine HCC · United States · 1 mo ago
RemoteRemoteFinanceFull-time
We need to output HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule as needed. Must not repeat job title. Must not include Job ID etc. Remove boilerplate: About Us, Role Overview? Actually Role Overview is part of description; we can treat as About the role? The instruction: use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we need to map content accordingly. We have: - About Us: description of company. Could be part of About the role? Probably "About the role" includes role overview and maybe company description. But we should not duplicate. We'll include About the role with role overview and maybe company description? The instruction: "Do NOT repeat the job title as a heading (the page already shows it) and do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short

or drop it." So we can include a short paragraph for location, reports to, employment type maybe as metadata. We need to preserve all substantive information. So we need to include details: Location: Remote, Reports To: Sr. Casualty Claims Manager, Employment Type: FTE. Could be in a

under About the role. Then Responsibilities: list from Key Responsibilities bullet points. Requirements: maybe education and experience? Qualifications: maybe certifications? Skills: maybe specific skills. Benefits: from What We Offer. Pay: not specified (competitive salary) but we should not create Pay section unless posting actually states them. It says "Competitive salary" but no specific number. That's vague; we should not create Pay section because it's not specific. The instruction: never emit a heading followed by filler/placeholder text (e.g. "commensurate with experience", "not specified", "N/A", "varies", "TBD") and never create Pay/Schedule/Benefits sections unless the posting actually states them. Benefits: they list specific benefits, so we can include Benefits section. Schedule: not specified; they mention travel up to 50% but not schedule. So no Schedule section. Pay: they say Competitive salary but no number; that's vague; better to omit Pay section. Thus sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits. We need to decide what goes where. Requirements: maybe education and experience minimums: Bachelor's Degree, etc. Also experience: six years handling construction defect cases, etc. Also licensing. Qualifications: maybe preferred designations: CPCU, AIC, JD, etc. Skills: maybe specific skills: coverage knowledge, litigation management, analytical, communication, Microsoft Office, etc. We must not invent or summarize away detail. Must preserve all substantive information. So we need to include each piece of info somewhere. Let's extract all substantive info: From About Us: description of Tokio Marine HCC: leading global specialty insurance group, backed by Tokio Marine Group, >50 years growth, offices US, UK, Europe, other intl, >100 classes specialty insurance, covering crops, concerts, rescuing travelers abroad. Guided by Mind Over Risk philosophy, empower clients, culture rooted in innovation, collaboration, trust. Always Advancing, entrepreneurial spirit; Experts in Tomorrow anticipate what's next; Reaching Out build genuine connections. That's substantive; we can include in About the role. Role Overview: Handles claims that involve investigation of coverage, liability, damages and resolution of both non-litigated and litigated claim files for primary casualty lines. Emphasis on Artisan, small to mid-level Construction Defect and OL&T claims throughout the USA. Establishes a big picture view of the Casualty Claims coverage positions relative to the law and the industry. Adjusts claims (i.e., does not process claims). That's also substantive; include in About the role maybe after company description. Key Responsibilities list: many bullet points. What You Bring: education, experience, licenses, etc. What We Offer: benefits list. Also Travel: Regular travel (up to 50% of time). Passport required: No. Driver's License required: Yes. This is substantive; could be placed under About the role or maybe a separate section like "Travel Requirements". But we only have allowed headings; we could include under About the role as a paragraph. We must not create Pay or Schedule sections. Thus final HTML:

About the role

Location: Remote. Reports To: Sr. Casualty Claims Manager. Employment Type: FTE.

[Company description]

[Role overview]

[Travel details]

Then

Responsibilities

    ...

Requirements

    ...
(education, experience, licensing)

Qualifications

    ...
(preferred designations, JD, etc.)

Skills

    ...
(analytical, decision-making, communication, Microsoft Office, etc.)

Benefits

    ...
(competitive salary? maybe we include as part of benefits? It says Competitive salary and comprehensive medical, vision, dental benefit package... So we can include competitive salary as a benefit item.) We must not include Pay section separately. Now we need to ensure we preserve all substantive information. Let's list each piece and map. Company description: - Tokio Marine HCC is a leading global specialty insurance group, backed by the strength and stability of the Tokio Marine Group. - More than 50 years of sustained growth and profitability. - Offices across US, UK, Europe, and other international locations. - Offers more than 100 classes of specialty insurance—covering everything from crops, concerts, rescuing travelers abroad. - Guided by Mind Over Risk philosophy, empower clients to pursue opportunities with confidence while fostering a culture rooted in innovation, collaboration, and trust. - Always Advancing, embrace entrepreneurial spirit; as Experts in Tomorrow, anticipate what’s next; and by Reaching Out, build genuine connections that enable our people and business to thrive. Role Overview: - Handles claims that involve investigation of coverage, liability, damages and resolution of both non-litigated and litigated claim files for primary casualty lines. - Emphasis on Artisan, small to mid-level Construction Defect and OL&T claims throughout the USA. - Establishes a big picture view of the Casualty Claims coverage positions relative to the law and the industry. - Adjusts claims (i.e., does not process claims). Travel details: - Regular travel (up to 50% of time). - Passport required: No. - Driver's License required: Yes. Responsibilities list (from Key Responsibilities): - Proactively handle complex claims from FNOL to resolution while working with and advising business partners. - Analyze and draft coverage letters while properly communicating coverage positions to insureds, brokers and agents. - Assimilate all transfer cases and have current diary on all files. All files should have been worked on and brought current. - Understand and apply best practices to all files. - Maintain a 1-to-1 open-to-close ratio while reducing average indemnity and ALE. - Investigation: Conduct and proactively handle investigation of claims whenever possible. If outside vendors or experts are needed, direct and closely monitor their work. - Reports: Draft high-quality reports, set timely reserves or report to leadership cases wherein the reserves need to be set over your authority. - Provide technical advice to claims leadership and underwriting. - Mentor and educate less experienced adjusters. - Travel to conferences, mediations, and trials as is necessary. - Become Proficient on all systems. - Planning: Develop work plans, establish timelines, and set goals for assigned work and work unit; assign resources as needed; meet commitments on deadlines. - Communication: Communicate team or work unit results and recommendations with management and clients as appropriate. - Cost Management: Drive improvement in existing business processes and assist in implementation of new processes; ensure unit performs work thoroughly in a cost-efficient manner and at a high productivity level. - Business Controls and Policies: Comply with all corporate policies and procedures; report any breakdown in controls to management; conduct all activities in a safe manner; ensure all the above are followed within assigned work unit. - People Management: Plan, conduct, and supervise assignments; train assigned personnel and assign work; may assist with review and evaluation of assigned personnel. What You Bring (requirements): - Bachelor's Degree in Business Administration, Accounting, Finance, a related field, or equivalent education/experience. - Doctor of Jurisprudence preferred but not necessary. - Chartered Property Casualty Underwriter (CPCU) or Associate in Claims (AIC) designation preferred. - Possess or attain State Adjusting License(s). - Minimum six years of experience handling construction defect cases throughout the United States. - Experience in Artisan claims as well as OL&T claim which could include New York Labor Law claims. - Deep knowledge of Construction defect claims. - Must be highly proficient in coverage and have handled coverage litigation on behalf of a carrier. - Must possess a high understanding of Risk Transfer and Recovery. - Proficient in Litigation Management with emphasis on legal budget creation and review. - Knows the most effective and efficient methods to get things done, with focus on continuous improvement and innovation. - Sound analytical skills, as well as strong decision-making and problem-solving aptitude. - Must be an exceptional communicator and able to make connections externally and internally. - Flexibility and a willingness to learn. - Proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word). What We Offer (benefits): - Competitive salary and comprehensive medical, vision, and dental benefit package, with eligibility beginning on date of hire. - Strong learning culture with ongoing development opportunities. - Basic life and disability insurance. - 401(k) plan with 6% company match. - 20 days of PTO, two floating holidays, approximately 11 paid holidays, and volunteer time off. - Paid parental leave. - An opportunity to do meaningful work and love what you do. We also have Equal Opportunity Employer statement; that's boilerplate; we should remove. Now we need to map to sections. About the role: include company description, role overview, location/reports/employment type, travel details. Responsibilities: list as above. Requirements: maybe education, experience, licensing (Bachelor's degree, six years experience, state adjusting license). Could also include JD preferred? But that's more qualification. Qualifications: preferred designations (CPCU, AIC), JD preferred, maybe also other preferred qualifications. Skills: analytical, decision-making, problem-solving, communication, flexibility, willingness to learn, Microsoft Office proficiency, coverage proficiency, litigation management, risk transfer/recovery, etc. We must ensure we don't duplicate info across sections; but it's okay if some overlap as long as we preserve all info. However we should aim to not repeat same sentence verbatim in multiple sections? Not prohibited but better to avoid redundancy. We'll distribute. Let's craft. About the role:

Location: Remote. Reports To: Sr. Casualty Claims Manager. Employment Type: FTE.

Tokio Marine HCC is a leading global specialty insurance group, backed by the strength and stability of the Tokio Marine Group. With more than 50 years of sustained growth and profitability, and offices across the United States, the United Kingdom, Europe, and other international locations, we offer more than 100 classes of specialty insurance—covering everything from the crops that feed us and the concerts that entertain us to rescuing travelers abroad. Guided by our Mind Over Risk philosophy, we empower clients to pursue opportunities with confidence while fostering a culture rooted in innovation, collaboration, and trust. Always Advancing, we embrace an entrepreneurial spirit; as Experts in Tomorrow, we anticipate what’s next; and by Reaching Out, we build genuine connections that enable our people and our business to thrive.

The role handles claims that involve the investigation of coverage, liability, damages and resolution of both

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