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About the Role

Manages hospital professional liability, general liability, auto, and managed care claims involving coverage investigation, liability and damages evaluation, and resolution, including settlement negotiations for the Excess Healthcare line of business.

Responsibilities

• Proactively oversee all aspects of high exposure claims to minimize company risk of loss.
• Analyze and draft coverage letters, communicating coverage positions to insureds, brokers, and agents.
• Conduct proactive claim investigations and maintain a diary applying best practices to all files.
• Set timely reserves and draft concise reports to leadership when authority is exceeded.
• Assign, direct, and closely monitor outside counsel and vendors.
• Negotiate claim settlements and attend court hearings, including mediations, settlement conferences, and trials.
• Complete all required regulatory reporting.
• Conduct legal research and other miscellaneous legal matters.
• Present complex claims and emerging trends to claims leadership and underwriting, providing technical advice.
• Mentor and educate less experienced adjusters.
• Represent TMHCC at industry conferences to establish TMHCC as a market thought leader.
• Conduct insured audits, loss runs reviews, and produce reports to senior leadership.
• Aid in the development of claims systems and processes.

Requirements

• Doctor of Jurisprudence (JD) degree or a related field or the equivalent education and/or experience.
• State Adjusting Licenses as required.
• 5 years of relevant and progressive experience in handling medical professional liability claims throughout the United States.
• Preference for prior litigation experience at an insurance defense law firm specializing in medical professional liability claims.
• Knowledge of most effective and efficient methods to get things done, with a focus on continuous improvement and innovation.
• Sound analytical skills, as well as strong decision-making and problem-solving aptitude.
• Exceptional communicator able to make connections externally and internally.
• Flexibility and a willingness to learn and adapt to new developing processes, systems, and procedures.
• Excellent written and verbal communications skills with an emphasis on confidentiality, tact, and diplomacy.
• Knowledge of industry changes, legal updates, and technical developments related to applicable area of the Company’s business to proactively respond to changing legal environment.
• Intermediate to advanced proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word).

Skills

• Microsoft Office Suite (Excel, Access, PowerPoint, Word)

Location

• New York, NY

Work Type

• Hybrid
• Full time

Experience Level

• 5 years of relevant and progressive experience

Education Level

• Doctor of Jurisprudence (JD) degree or a related field or the equivalent education and/or experience
• State Adjusting Licenses

Salary/Compensations

• $157,000-$235,800

Benefits

• Competitive salary and comprehensive benefits package
• Strong learning culture with ongoing development opportunities
• Opportunities for growth and career advancement
• Comprehensive medical, vision, and dental coverage, with eligibility beginning on your first day of employment
• 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
• Access to our award-winning wellness program, including mental health services, fitness network membership, and a complimentary Headspace subscription
• Student loan matching program
• Employee discount program

About the Company

• Tokio Marine HCC is a global industry-leading specialty insurance group, backed by the strength and stability of the Tokio Marine Group.
• Offering over 100 classes of specialty insurance, we empower clients to pursue opportunities confidently through our “Mind Over Risk” philosophy.
• More than an insurance company, we are an organization built on innovation, unity, and trust.
• At our core, we are Always Advancing, driven by innovation and an entrepreneurial spirit that keeps us moving forward.
• Our people are Experts in Tomorrow, using curiosity and smart working to anticipate what’s next.
• With a culture rooted in Reaching Out, we foster genuine collaboration and support, ensuring every individual has the opportunity to succeed and make a difference.
• Tokio Marine HCC is a leading specialty insurance group with offices in the United States, the United Kingdom, Europe and other exciting locations.
• With the strength and stability that comes from being a member of the Tokio Marine Group, and more than fifty years of growth, profitability, and stability, we offer important insurance products that most people don’t even know exist.
• Every policy we write is special, enabling our clients to do amazing things.

Equal Opportunity

• The Company is fully committed to ensuring equal pay opportunities for equal work regardless of color, race, sex, national origin, sexual orientation, religion, age, veteran status, disability, pregnancy, citizenship status, genetic information, or any other basis protected by federal, state, or local pay equity laws.
• 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.