Job Description

Reference # : 17-04652Title : Senior Claims Specialist
Location : NEW YORK, NY
Position Type : Contract
Experience Level : Start Date : 05/16/2017
Job Summary:
Responsible for coverage verification, investigation, damage assessment, evaluation, negotiation and resolution of claims. Accountable for proper payout and quality of claim files. Handles some or all of the following: No-Fault/PIP, bodily injury, property damage, product liability, and general liability claims.

Essential Job Functions:
  • Contact and establish a rapport with customer, injured party or property owner to obtain information. Comply with 24-hour contact requirements.
  • Obtain all relevant facts to determine coverage, liability or compensability on claims files.
  • Determine and analyze damages through appraisal, inspection and investigation.
  • Utilize and manage experts to determine facts, damages and exposure, ensuring that the value of the service is greater than the cost.
  • Evaluate information to assess proper resolution of claims to determine appropriate and fair payout.
  • Negotiate settlement based upon strategies and plans that ensure appropriate fair settlement of the claims.
  • Provide customer satisfaction by establishing a rapport with customers and by resolving issues.
  • Comply with Quality Validation, TAACC instructions, Customer Service Manual, Information Security procedures and the Tokio Marine SIU program.
  • Determine subrogation and salvage potential of claims.
  • Handle No-Fault/PIP claims.
  • Utilize inter-company arbitration to resolve claims, as well as, use of mediation, settlement conferences and alternate dispute resolution (ADR).
  • Communicate and work with both internal and external customers.
  • Handle automobile bodily injury, property damage, product liability and general liability claims.
  • Establish and monitor indemnity and expense reserves on claim files.
  • Responsible for complying with proper internal controls as necessary to conduct job functions and/or carry out responsibilities and/or administrative activities at Company. Other Functions:
  • Keep updated on important developments in tort and insurance law.
  • Regular and reliable attendance.
  • Perform special projects and other duties as may be assigned.

  • Five years or greater Property/Casualty claims experience required
  • Knowledge of specific line of business required ? automobile, liability
  • Japanese Language a plus
  • Ability to negotiate first and third party claims required.
  • Computer knowledge, especially Microsoft Word and Excel, desired.

Application Instructions

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