Professional Sports Senior Disability Claims Specialist

A professional sports team pays a guaranteed salary to an injured player. A major sporting event is shut down due to COVID. A movie production team cannot film an action scene due to adverse weather. These are all problems solved with Specialty insurance. Do you want to join an exciting company in the forefront of sports and entertainment insurance? If you possess experience independently managing disability claims and are looking to join a team where you can expand your knowledge learning from subject matter experts, work hard and grow within our company, this position may be right for you.

We are looking for a Professional Sports Senior Disability Claims Specialist to work in our new, state of the art office space in the Wakefield, MA headquarters location for TMHCC Specialty Group. Tokio Marine HCC is a leading specialty insurance group with offices in the United States, the United Kingdom, Europe, Ireland, and other exciting locations. With the strength and stability that comes from being a member of the Tokio Marine Group, and over fifty years of growth, profitability, and stability, we offer important insurance products that most people don’t even know exist. Every policy we write is special, enabling our clients to do amazing things. From insuring the crops that feed us to the rock concerts that entertain us, to rescuing international travelers in trouble, we offer more than 100 classes of specialty insurance. Applying our Mind Over Risk philosophy to writing insurance allows our customers to take on opportunity with confidence. That philosophy defines our way of thinking, unites us as a team, and differentiates us from our competitors. We are much more than just an insurance company; we are a good company.

Performance Objectives

• During the first 30 days: learn the technology (AS400 and ImageRight) systems, and overall insurance operations and types of risks insured in our office. Learn Disability policy, reinsurance relationship(s), understand reserving practices, learn to set up claims, enter claim payments, etc. Understand the roles held by inside and outside staff involved in the claims process – underwriters, accounting, compliance, outside brokers, Insureds, etc.
• By the end of the first 6 months: take ownership of the assigned claim programs and manage claim caseload. Keep key stakeholders apprised of claim developments, work with management to develop claim handling strategies on any disputed claims.
• Independently manage claims: One of the major objectives of this position is to manage disability claims independently, from first report to conclusion. In addition, this role may require assisting the Claims Dept with ad-hoc reporting and providing expertise and assistance to colleagues working on claims for other TMHCC programs.

Your Skills and Experience

• A bachelor’s degree in business administration, Accounting, Finance, or a related field is preferred.
• Seven (7) or more years of disability or related claims experience, and/or experience reviewing medical claims for accident and health, workers compensation, or personal injury claims.
• Critical thinking skills which translate into problem solving skills.
• Willing to go the extra mile, and willing to put in the extra time as needed to succeed.
• Able to work in dynamic environment where resourcefulness, adaptability and relationship building are critical assets.
• Outstanding organizational and time management skills.
• Able to proficiently navigate Microsoft 365 and learn new systems quickly.

What we offer:

Just as Tokio Marine HCC Group of Companies is customer centric, we are also employee centric offering our employees a competitive salary and employee benefit package, strong learning culture, collaboration, 401K match, paid parental leave, hybrid work schedule, and an opportunity to love what you do. The Tokio Marine Group of Companies is an equal-opportunity employer. Please visit www.tmhcc.com for more information about our companies. We have a fantastic location – conveniently located just north of Boston, MA on a scenic campus with a cafeteria, gym, walking trails and close proximity to MarketStreet Lynnfield. Our hybrid work schedule – is 4 days in the office and 1 day WFH, if desired, upon successful completion of a training period. Please consider this requirement before applying. If your experience matches these requirements, please apply WITH A COVER LETTER, expressing why you want to join our team.