Tokio Marine HCC
Vice President of Claims
Imagine a City Manager of a large municipality with a police department that is involved in a joint task force made up of several officers from different local municipalities. The task force, in executing a warrant, enters the home to find the occupant with a weapon pointed at them. The officers fire at the occupant causing severe injuries including permanent paralysis resulting in millions of future medical care. What does the City Manager do now?
This is an example of the types of claims we handle at Tokio Marine HCC (TMHCC) - Public Risk Group (PRG).
TMHCC - PRG is a public entity group providing municipal liability, automobile and property coverage to public entities in multiple states.
The Public Risk Group covers counties, cities, townships, villages, police department, prisons, fire departments and more. Our coverage includes automobiles (including patrol cars, fire trucks, etc.), property (fire stations, schools, playgrounds, etc.) and services (emergency responders, elected officials, etc.).
This means we adjust a wide variety of claims: Damage to vehicles from rear-end collisions and roof collapses. Claims involving the operations of law enforcement, township operations, corrections facilities, etc. The work of our claims department is diverse, dynamic, and engaging.
We are looking for a Vice President of Claims for our office in Auburn Hills, Michigan. The ideal candidate will have a minimum of 15 years of experience in insurance litigation claims specifically related to property and casualty. This person would possess a Doctor of Jurisprudence (JD) and have a minimum of 10 years management experience. They would have previously worked with commercial insurer. It is an asset for this person to possess municipal experience.
The VP of Claims is:
- Responsible for managing the day-to-day operations of the claims department.
- Oversee subordinates responsible for the analysis and review of legal pleadings, documents, and applicable statutes to determine validity of claims.
- Manage assignment of work to ensure effective and timely handling of claims.
- Review, evaluate, and settle/resolve litigated, complex and potential high-exposure claims.
- Develop key metrics for assessing the performance and effectiveness of claims staff and outside counsel.
- Work closely with various functions such as Accounting, Underwriting, Administration, IT, and Compliance.
- Serve as primary liaison between various departments and teams including the coordination of quarterly Claims/Underwriting meetings.
- Coordinate and/or conduct regular internal departmental audits, as well as, financial/claims audits of third-party administrators (TPAs) to ensure units meet established guidelines and adhere to company policy and procedures.
- Review and respond to inquiries from reinsurers and participate in the audits by reinsurers.
- Design, review, and recommend policies, processes, and procedures to meet internal and external reporting requirements, improve operational efficiency, and
safeguard corporate assets.
- Serve as a resource to departmental staff with regards to claims procedures, departmental guidelines, and industry trends and developments. Coordinate and conduct educational sessions for Claims personnel.
- Responsible for handling ECO and bad faith actions of claims in coordination with Corporate claims management, Legal and Compliance.
- Prepare and draft complex legal correspondence to affected parties; review and approve correspondence prepared by subordinates.
- Approve or deny majority of claims including claims processed by unit personnel, but must seek approval or denial for claims outside defined limit. Monitor
losses and reserves.
- Provide deep knowledge and expertise to claims staff on handling of claims.
- Participate in client and insured meetings to address service level agreements and other operational issues.
- Prepare and analyze various reports to present to senior management team.
- Other duties as assigned by senior leadership.
1. Gain understanding of the insurance policies and procedures: During the first 30 days understand how the claims department operates within the Tokio Marine HCC structure through direct training and interactions with different claims staff, underwriters and brokers.
2. Be proficient with internal systems and processes: During the first 30 days, be able to navigate the claims systems and claims of limited complexity and exposure.
3. Be proficient in insured/broker communications: During the first 60 to 90 days, serves as the primary liaison between various departments and teams including the coordination of quarterly Claims/Underwriting meetings.
4. Develop independent working environment: Within 6 months, provide guidance on coverage to staff; learn the judicial environment of new states; review current and look for new panel counsel in growth states; begin analyzing loss data for trends and insights to share with claims and the broader team; begin reporting to executive management; exercise decision-making authority within authority levels; provide strategic direction for the claims team; work with underwriting to improve communication loop; and claim file reviews/audits.
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.tokiomarinehcc.com for more information about our companies.