Lead Casualty Claims Adjuster

Tokio Marine HCC

. Handle complex claims proactively from First Notice of Loss (FNOL) through resolution while advising business partners .

Posted 9/21/2026full-timeRemote • United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing complex claims, particularly in construction defect cases, while providing technical advice and mentoring to less experienced adjusters. Proficient in litigation management and coverage analysis, ensuring compliance with corporate policies and effective communication with stakeholders.

Highest-signal resume keywords

Bachelor's Degree in Business AdministrationChartered Property Casualty Underwriter (CPCU)State Adjusting LicenseConstruction Defect Claims ManagementLitigation Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims HandlingCoverage AnalysisRisk TransferLitigation ManagementAnalytical SkillsDecision-MakingProblem-SolvingReport DraftingWork Plan DevelopmentResource Assignment

Soft Skills

Exceptional CommunicationFlexibilityMentoringTeam CollaborationClient Relationship Management

Tools & Technologies

Microsoft Office (Excel, Access, PowerPoint, Word)

Certifications & Qualifications

Chartered Property Casualty Underwriter (CPCU)Associate in Claims (AIC)State Adjusting License

Industry Keywords

Construction Defect ClaimsArtisan ClaimsOL&T ClaimsNew York Labor Law ClaimsCoverage Litigation

About the role

Key responsibilities & impact

Handle complex claims proactively from First Notice of Loss (FNOL) through resolution while advising business partners
Analyze and draft coverage letters and communicate coverage positions to insureds, brokers, and agents
Assimilate transfer cases and maintain current diaries on all files
Work on and bring all files current
Apply best practices to all files
Maintain a 1-to-1 open-to-close ratio while reducing average indemnity and ALE
Investigate claims and direct and monitor outside vendors or experts when needed
Draft high-quality reports and set timely reserves or escalate cases exceeding authority
Provide technical advice to claims leadership and underwriting
Mentor and educate less experienced adjusters
Travel to conferences, mediations, and trials as necessary
Become proficient on all systems
Develop work plans, timelines, and goals; assign resources and meet deadlines
Communicate team or work-unit results and recommendations to management and clients
Improve business processes and assist with implementing new processes
Ensure thorough, cost-efficient, and productive work
Comply with corporate policies and procedures and report control breakdowns
Plan, conduct, supervise, train, and assign work; may assist with personnel reviews and evaluations

Requirements

What you’ll need

Bachelor's Degree in Business Administration, Accounting, Finance, a related field, or the equivalent education and/or experience
Doctor of Jurisprudence preferred but not necessary
Chartered Property Casualty Underwriter (CPCU) or Associate in Claims (AIC) designation preferred
Possess or attain State Adjusting License(s)
Minimum of six years of experience handling construction defect cases throughout the United States
Experience in Artisan claims and OL&T claims, which could include New York Labor Law claims
Deep knowledge of Construction defect claims
Highly proficient in coverage and experience handling coverage litigation on behalf of a carrier
High understanding of Risk Transfer and Recovery
Proficient in Litigation Management, with emphasis on legal budget creation and review
Sound analytical skills, decision-making, and problem-solving aptitude
Exceptional communication skills and ability to make connections externally and internally
Flexibility and willingness to learn
Proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word)
Regular travel up to 50% of time
Driver's License required

Benefits

Comp & perks

Competitive salary and comprehensive medical, vision, and dental benefit package, with eligibility beginning on your date of hire
Strong learning culture with ongoing development opportunities
Basic life and disability insurance
401(k) plan with 6% company match
20 days of PTO
Two floating holidays
Approximately 11 paid holidays
Volunteer time off
Paid parental leave
Opportunity to do meaningful work and love what you do