Claims Counsel

Tokio Marine HCC – D&O Group, a member of the Tokio Marine HCC group of companies, has an exciting opportunity for a Claims Counsel in our office in Farmington, CT. A Claims Counsel analyzes coverage for claims submitted under the applicable policy form. The duties of a Claims Counsel include discussing claim facts and coverage issues with insureds, defense counsel and/or coverage counsel. Claims Counsel must possess critical thinking and strong oral/written communication skills.

Essential Duties and Responsibilities:

• 
  Reviews submitted claims for coverage and make a determination as to whether a matter is covered under the applicable policy.
• Investigates coverage issues.
• Drafts actions plans, including coverage recommendations, for the approval of claims managers.
• Establishes and revises claim reserves based on claim developments and counsel liability assessments.
• Drafts coverage determination letters, including reservation of rights and denial letters.
• Appoints defense and/or coverage counsel, as appropriate.
• Obtains updates from defense counsel and/or coverage counsel and/or the Insured, as appropriate.
• Updates claim diary as needed based on activity.
• Authorizes settlements based on liability and other considerations after receiving approval from claims management.
• Reviews, approves, and reimburses the Insured for legal, expert/vendor invoices and settlement.
• Conducts detailed bill reviews to ensure appropriate payment.
• Maintains a claim file by accurately documenting all communications, activity, etc.
• Communicates with brokers or reinsured clients to obtain information necessary for processing claims.

Education and Experience:

• Juris Doctor (J.D.) degree.
• Two (2) to (5) years of relevant legal experience, or two-plus (2+) years of relevant claims handling experience.
• Technical Skills
• Intermediate proficiency and experience in Microsoft Office Suite, specifically Outlook, Word, Excel and PowerPoint.
• Key Competencies
  • Excellent written and verbal communication skills.
  • Advanced organizational and analytical skills with high attention to detail.
  • Ability to work independently, managing time and resources to accomplish multiple tasks in fast-paced, deadline-oriented environment.
  • Strong interpersonal and negotiation skills.
  • Ability to conduct oneself professionally in varied business settings.

The Tokio Marine HCC Group of Companies offers a competitive salary and employee benefit package. We are a successful, dynamic organization experiencing rapid growth and are seeking energetic and confident individuals to join our team of professionals. The Tokio Marine HCC Group of Companies is an equal-opportunity employer. Please visit www.tmhcc.com for more information about our companies.

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