Claims Examiner I

Job Title:Claims Examiner I
Location:Encino CA
Reports to:Claims Manager
Employment Type:Full time
Job Req ID:2026
Req Begin Date:6/12/2026
About TMHCC
Tokio Marine HCC (TMHCC) brings 50 years of service to the specialty insurance industry today offering over 100 products to commercial customers in 180 countries around the world. 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.
Organic growth and over 60 successful acquisitions have grown our 2023 Gross Written Premium (GWP) to over $7.5 Billion. Our workforce has grown to 4300 worldwide big but not so big that you cannot make a difference. Our Good Company values including integrity empowerment and commitment to customer service and a culture of innovation communication and collaboration make TMHCC a great place to work.
What We Offer

• Competitive salary and employee benefit package
• Strong learning culture
• Growth perspectives
• 6% 401K match
• 20 days of PTO and 2 Floating Days
• Paid parental leave
• An opportunity to love what you do

Job Summary

Resolves claims by investigating losses through the collecting and analyzing of data according to policy application and client/underwriter guidelines.

Key Responsibilities

Relying on limited experience and knowledge this role is responsible for accomplishing the following assignments. These assignments are varied in nature and frequently non-routine.

• Determine insurance coverage by examining claim information policies and other records and interview claimants and other providers.

• Maintain accurate system by collecting analyzing and summarizing information.

• Resolve questionable claims by investigation: comparing claims information with evidence.

• Settle claims by determining insurance carriers liability reaching agreement with claimant according to policy provisions.

• Coordinate benefits with other insurance carriers when possible to minimize loss ratios for the client and the company.

• Contribute to phone support by prompt and accurate answering.

• Record/update claims volume and activity in a bordereau for reporting as required by the client director or Accounting department.

• Maintain insurance product and the Company reputation by complying with claims guidelines and unfair claims settlement limitations.

• Maintain professional and technical knowledge by attending educational workshops and establishing professional networks.

• Perform special projects as required.

• Contribute to the team effort by accomplishing related tasks as needed.

Competencies

Planning

Follow work plans established timelines and pre-defined goals for assigned work.

Meet commitments on deadlines.

Communication

Develop strong customer focus and high service level relationship with clients.

Cost Management

Perform work thoroughly in a cost-efficient manner and at a high productivity level.

Utilize company resources effectively.

Business Controls and Policies

Comply with all corporate policies and procedures.

Take all reasonable steps to safeguard company assets against waste loss unauthorized use and misappropriation.

Report any breakdown in controls to a supervisor or manager.

People Management

No people management responsibility

May assist in orienting and training less experienced employees.

Position Knowledge Skills and Requirements

Education

Min/Preferred

Minimum High School or GED

Experience

Years of Experience

2 Years Relevant and progressive claims or insurance experience in area of specialization

Other

• Possess and have ability to apply basic knowledge of principles practices and procedures

• Good written and verbal communication skills with an emphasis on confidentiality tact and diplomacy

• Good organizational and analytical skills; demonstrated ability to manage multiple tasks simultaneously

• Intermediate proficiency and experience using Microsoft Office package (Excel Access PowerPoint Word)

• Superlative customer service skills Basic calculator knowledge