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Litigation Claims Specialist

Company: Tokio Marine America
Location: Pasadena
Posted on: December 4, 2019

Job Description:

Job Summary:In this role, you will handle coverage claims, litigated commercial general liability, auto liability and some product liability claims that will be high exposure and complexity, within specific limits of authority. Your caseload may include claims for dedicated accounts. The job requires you be client focused, and develop strong partnerships that include communications and interactions with insureds, brokers and other internal business unit contacts to ensure smooth claims settlement, negotiations and resolutions. You will ensure that claims are handled in the most efficient and effective manner to deliver on Tokio's best practices and commitment to customer centricity.Essential Job Functions:1. - - - -Handle litigated or complicated claims, including, but not limited to cases involving severe damage, coverage, sensitive issue, bad faith and declaratory relief action.2. - - - -Assist Supervisors and/or Assistant Manager in training and developing technical staff, scheduling and presenting seminars on important claims technical issues.3. - - - -Analyze and resolve coverage problems and issues. Recommend changes in policy language if/when necessary.4. - - - -Write Denial or Reservation of Rights letters when appropriate or necessary.5. - - - -Initially establish and maintain proper loss reserves and negotiate loss settlements.6. - - - -Conduct in-house investigation, by recording statements, ordering police reports, securing medical reports, reviewing repair estimates, etc.7. - - - - -Attend necessary meetings or appearances on assigned claims as directed or approved by Supervisor.8. - - - -Maintain control of outside vendors/attorneys and their expenses by directing assignments and limiting their scope so as to maximize cost efficiency while minimizing delays in claim handling. Such vendors/attorney must not be used unless pre-approved by the department manager.9. - - - -Adhere to provisions of Litigation Management Program and cost containment principles.10. -Maintain compliance with Fair Claims Practices Act or rules and internal instructions.11. -Keep supervisor, reinsurer and excess insurer informed regarding significant developments in claims. Prepare required reports and other notices in a timely manner.12. -Answer correspondence and inquiries promptly from brokers/agents, insureds, claimants, attorneys, outside vendors, TMM employees, etc.13. -Be familiar with and comply with all applicable provisions of Tokio Marine's Employee Handbook.14. -Responsible for complying with proper internal controls as necessary to conduct job functions and/or carry out responsibilities and/or administrative activities at Company.Qualifications:1. - - - - - -College Degree preferred2. - - - - - -Ten+ years preferred3. - - - - - -Extensive knowledge of general liability, product liability, and umbrella policy coverages4. - - - - - -Knowledge of tort law, legal terms, and current Case Law5. - - - - - -Knowledge of basic reinsurance and codings related to technical matters6. - - - - - -Ability to negotiate settlement of claims in timely and reasonable fashion by using structured settlement when appropriate7. - - - - - -Strong oral and written communication skills.

Keywords: Tokio Marine America, Pasadena , Litigation Claims Specialist, Legal , Pasadena, California

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