Claims Examiner I
Job Location:
Encino, CA - USA
Monthly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
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
Pay Transparency
The pay range for this position is $46600-$69800 which includes geographic adjustments where applicable. The pay range is the range THMCC in good faith believes is the range of compensation for this role at the time of this posting. The hired applicant will be offered pay within the entire range based on the candidates geographic location qualifications work experience education and/or skill level. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of color race sex national origin sexual orientation religion age veteran status disability pregnancy citizenship status genetic information or any other basis protected by federal state or local pay equity laws.
California Use CA Fair Chance language.
The Company will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of applicable federal state and local laws such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC 1033(e))(the VCCLEA) which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. Where the hiring and employment of individuals is not restricted by the foregoing the Company will consider qualified applicants with arrest or conviction history in compliance with applicable law such as the California Fair Chance Act the Los Angeles Fair Chance Initiative for Hiring Ordinance the Los Angeles County Fair Chance Ordinance the San Diego Fair Chance Ordinance and the San Francisco Fair Chance Ordinance.
As an insurance company we comply with certain federal state and local laws such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC 1033(e)) which restricts our ability to employ individuals with certain types of criminal convictions. Where not restricted by law and for criminal history not covered by this law the Company will consider qualified applicants with arrest or conviction history in compliance with applicable law.
You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check if the Company is concerned about a conviction that is directly related to the job you will be given the chance to explain the circumstances surrounding the conviction or challenge the accuracy of the background report. The Company will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of applicable federal state and local laws such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC 1033(e))(the VCCLEA) which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. Where the hiring and employment of individuals is not restricted by the foregoing the Company will consider qualified applicants with arrest or conviction history in compliance with applicable law such as the California Fair Chance Act the Los Angeles Fair Chance Initiative for Hiring Ordinance the Los Angeles County Fair Chance Ordinance the San Diego Fair Chance Ordinance and the San Francisco Fair Chance Ordinance.
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.
Equal Opportunity Employer
TMHCC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age ancestry citizenship color family or medical care leave gender identity genetic information marital status medical condition national origin physical or mental disability protected veteran or military status race ethnicity religion sex (including pregnancy) sexual orientation or any other characteristic protected by applicable local laws regulations and ordinances.
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About Company
Tokio Marine HCC - Surety Group is a leading provider of surety bonds that help businesses and individuals provide their customers with confidence and security.
