Lead Claims Attorney

Tokio Marine HCC (TMHCC) is a leading specialty insurance group with offices in the United States, the United Kingdom, Spain, and Ireland, transacting business in approximately 180 countries and underwriting more than 100 classes of specialty insurance. TMHCC products and capabilities set the standard for the industry, and many of the Company’s almost 4,000 employees are industry-leading experts.

About the role

Under supervision, evaluates and manages claims including the conducting of investigations, evaluation, and negotiation of settlements. Specializes in claims arising under Miscellaneous Medical Professional Liability and Social Services Professional Liability policies but may also manage claims arising under other specialty liability insurance products.

Responsibilities

• Oversee all aspects of the litigation process for claims to minimize company risk of loss.
• Analyze coverage issues, conduct investigations, and evaluate to determine validity of moderately complex claims; may work with outside counsel and effectuate same.
• Prepare and draft moderately complex legal correspondence to affected parties using mail, fax, or other electronic means.
• Maintain claim files - both physical and electronic. Update files as needed.
• Communicate with agents, principals, claimants, and other attorneys both orally and in writing concerning claim status, information requests, payment/denial of claim, or related information.
• May attend court hearings including mediations, settlement conferences, and trials.
• Assign designated claims to outside counsel including management of the process, compliance with company policy and procedure, and approval of company charges/billing.
• Negotiate claim settlement but must seek approval or denial for claims outside defined limit.
• Conduct legal research and other miscellaneous legal matters.

Requirements

• Minimum Doctor of Jurisprudence (JD) degree or a related field or the equivalent education and/or experience.
• Required licensure to practice law in the applicable state jurisdiction(s).
• 2 years relevant legal and/or professional experience in insurance claims.

Pay

For candidates working in person or remotely in New York, NY or Mount Kisco, New York, the reasonable pay range for this position is $119,480 - $175,660 annually. The salary offered is based on a number of legitimate, non-discriminatory factors set by the Company, including geographic location, work experience, education, and skill level.

Benefits

• Subsidized medical, prescription, dental, and vision insurance.
• Basic life and disability insurance.
• 401(k) plan with Company matching contributions.
• Paid parental leave.
• Paid time off and/or paid sick leave.
• Educational/loan assistance.

As an insurance company, we comply with certain federal, state, and local laws such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC 1033(e)), which restricts our ability to employ individuals with certain types of criminal convictions. Where not restricted by law and for criminal history not covered by this law, the Company will consider qualified applicants with arrest or conviction history in compliance with applicable law.