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Complex Claims Analyst

Employer
Mitsui Sumitomo Marine Management (U.S.A.), Inc.
Location
Warren, New Jersey
Salary
Competitive
Closing date
Sep 18, 2022

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Category
Claims
Job Type
Full Time
Career Level
Experienced (Non-Manager)

Job Details

Company Overview:

Mitsui Sumitomo Marine Management U.S.A., Inc. is one of the world’s top ten property/casualty insurance carriers with over 40,000 employees worldwide.

 

Position Overview:

Responsible for the handling of complex claims including coverage issues, high exposure severity claims and some moderate claim matters. Ensures compliance with all MSMM claim handling procedures, guidelines and manuals and other special unit procedures, as developed. Provides timely claim handling and service, timely compliance with case reserve practices, Fair Claim Practices Acts, and other compliance policies as adopted by MSMM.

 

Essential Duties and Responsibilities include the following. Other duties may be assigned.

  • Investigates, researches and analyzes moderate to highly complex or severe claims, including litigation, coverage issues and legal issues affecting liability and damages.
  • Accountable for establishing and authorizing timely and adequate case reserves within delegated reserve/settlement authority and provides appropriate recommendations to Senior Management where reserve evaluation exceeds delegated authority.
  • Attends pre-trials, trials, settlement conferences, mediations and other meetings on assigned cases as required
  • Assigns lawsuits to approved defense counsel; directs and monitors quality and performance of approved defense counsel. Maintains compliance with all requirements of the company’s Litigation Management Program. Reviews and adjusts, where appropriate, fee bills and legal expenses for accuracy and reasonableness.
  • Maintains regular reporting of case status, developments and direction to Home Office staff, MSI Japan, Reinsurers and other appropriate parties as necessary. Ensures appropriate hard copy file reports and system documentation as required by company claim manuals and procedures.
  • Assists the Director of Liability Claims and the Chief Claim Officer in the completion of Audits as necessary.
  • Participates in miscellaneous associations; trade groups to remain up to date in all regulatory, coverage and industry affairs.
  • Participates and/or manages special projects and assignments as needed.

 

Education and/or Experience:

  • Bachelor's degree (B. A.) from four-year College or university is required. JD is required
  • 7+ years liability claims experience
  • 5+ years related Insurance Litigation experience
  • Experience handling Long term environmental claims required
  • Multistate Adjuster Licensing a plus
  • Overnight travel required
  • Required to be in office at a minimum of 2 days/week and as required for business needs

 

The Company is an Equal Opportunity / Affirmative Action employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

Company

The primary purpose of Mitsui Sumitomo Marine Management (U.S.A.), Inc. (MSMM) is to manage the business affairs of two insurance companies: Mitsui Sumitomo Insurance Company of America and Mitsui Sumitomo Insurance USA Inc.

Our organization is structured in a manner that allows our service professionals to work hand-in-hand with our insured and producers to create coverage and service plans unique to each client. The resulting programs are geared toward the proper implementation of sound risk management procedures which lead to the effective management of exposures to loss, loss costs and total premium expense.

When joining MSMM, you are becoming part of a worldwide team that is dedicated to:

  • Making a lasting contribution to the enrichment of society by bringing security and safety to people and businesses around the world through the sale and servicing of its insurance products;
  • Realizing customer satisfaction by working to provide the finest products and services to consistently meet our clients' growing needs; and
  • Meeting our shareholders' expectations and strengthening their trust in us by continuously improving our business.

 

We value each employee's unique set of skills and contributions and believe that each employee plays an important role in the success of MSMM. 

Company info
Website
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Mitsui Sumitomo Marine Management (U.S.A.), Inc.

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