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Claims Examiner I
Tokio Marine HCCClaims Examiner resolving claims by investigating losses at Tokio Marine HCC. Collaborating with clients and underwriters to ensure accuracy in claim processing.
About the role
Key responsibilities & impact- Resolves claims by investigating losses through the collecting and analyzing of data according to policy application and client/underwriter guidelines.
- Determine insurance coverage by examining claim information, policies, and other records and interview 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.
- Coordinate benefits with other insurance carriers when possible to minimize loss ratios for the client and the company.
- Contribute to phone support by prompt and accurate answering.
- 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
What you’ll need- Minimum High School or GED
- 2 Years Relevant and progressive claims or insurance experience
- Basic knowledge of principles, practices, and procedures
- Good written and verbal communication skills with an emphasis on confidentiality, tact, and diplomacy
- Good organizational and analytical skills; demonstrated ability to manage multiple tasks simultaneously
- Intermediate proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word)
Benefits
Comp & perks- Competitive salary and employee benefit package
- Strong learning culture
- Growth perspectives
- 6% 401K match
- 20 days of PTO and 2 Floating Days
- Paid parental leave
- An opportunity to love what you do
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims investigationdata analysisinsurance coverage determinationclaims resolutionliability assessmentbenefits coordinationclaims reportingunfair claims settlement complianceinsurance principlesanalytical skills
Soft Skills
communication skillsconfidentialitytactdiplomacyorganizational skillsmultitaskingteam collaborationprofessional networkingproblem-solvingattention to detail
Certifications
High School DiplomaGED