Qureos Mentor

Tokio Marine HCC

<div>Help us insure it
Tokio Marine HCC is a global industry-leading specialty insurance group, backed by the strength and stability of the Tokio Marine Group. Offering over 100 classes of specialty insurance, we empower clients to pursue opportunities confidently through our &ldquo;Mind Over Risk&rdquo; philosophy. More than an insurance company, we are an organization built on innovation, unity, and trust.
At our core, we are Always Advancing, driven by innovation and an entrepreneurial spirit that keeps us moving forward. Our people are Experts in Tomorrow, using curiosity and smart working to anticipate what&rsquo;s next. With a culture rooted in Reaching Out, we foster genuine collaboration and support, ensuring every individual has the opportunity to succeed and make a difference.
Role Overview
Under supervision, provides clerical assistance to Claims Examiners and Support staff. Performs routine tasks associated with the processing of stop-loss, reinsurance, and life/disability claims.
Key Responsibilities
<ul><li>Process life/disability claims by entering into system. Track the turn-around time to/from third-party administrators (TPAs) and/or carriers.
</li></ul><ul><li>Ensure forms needed are provided to auditors for processing claims.
</li></ul><ul><li>Enter received mail (initials and supplements) into document management system under the proper claimant.
</li></ul><ul><li>Input all claims department information into system such as received mail and log all mail received for production tracking purposes daily.
</li></ul><ul><li>Distribute the mail to the proper Auditor.
</li></ul><ul><li>Scan all letters and documents received to the proper claimant.
</li></ul><ul><li>Retrieve and return claimant files on a daily basis as needed by the Auditors.
</li></ul><ul><li>Create new claim folders when a new claim is entered into the system.
</li></ul><ul><li>Pull checks requested by auditors from all checks received.
</li></ul><ul><li>Run outstanding reports for supervisors for production purposes twice a day.
</li></ul><ul><li>Prepare files and ship the files to off-site storage. These are files that are finalized and are not needed on a regular basis. Pull off-site storage files as requested by Auditors.
</li></ul>What You Bring
High School or GED
What We Offer
<ul><li>Competitive salary and comprehensive benefit package
</li><li>Strong learning culture with ongoing development opportunities
</li><li>Opportunities for growth and career advancement
</li><li>Comprehensive medical, vision, and dental coverage, with eligibility beginning on your first day of employment
</li><li>Basic life and disability insurance
</li><li>401(k) plan with 6% company match
</li><li>20 days of PTO, two floating holidays, approximately 11 paid holidays, and volunteer time off
</li><li>Paid parental leave
</li><li>Access to our award-winning wellness program, including mental health services, fitness network membership, and a complimentary Headspace subscription
</li><li>Student loan matching program
</li><li>Employee discount program
</li><li>An opportunity to do meaningful work and love what you do
</li></ul>The pay range for this position is $32,100-$70,800 , 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 candidate&rsquo;s 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.
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 &sect; 1033(e))(the &ldquo;VCCLEA&rdquo;), 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 &sect; 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 &sect; 1033(e))(the &ldquo;VCCLEA&rdquo;), 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.]
About Us
Tokio Marine HCC is a leading specialty insurance group with offices in the United States,the United Kingdom, Europe, and other exciting locations. With the strength and stability that comes from being a member of the Tokio Marine Group, and more than fifty years of growth, profitability, and stability, we offer important insurance products that most people don&rsquo;t even know exist. Every policy we write is special, enabling our clients to do amazing things.
For over 50 years, HCC Life Insurance Company, operating as Tokio Marine HCC &ndash; A&amp;H Group, has been at the forefront of medical stop loss insurance. In addition to traditional stop loss, we offer captive and Taft-Hartley stop loss solutions, level funded stop loss, Organ &amp; Tissue Transplant insurance and MedPlus insurance. Tokio Marine HCC &ndash; A&amp;H Group is rated A++ (Superior) by A.M. Best Company and benefits from the financial stability of its parent company, Tokio Marine HCC.
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.
#LI-KK1
#stoploss1</div>

Aggregate Claims Assistant

<div>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 4,300 worldwide &hellip; 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
<ul><li>Competitive salary and employee benefit package</li>
<li>Strong learning culture</li>
<li>Growth perspectives</li>
<li>6% 401K match</li>
<li>20 days of PTO and 2 Floating Days</li>
<li>Paid parental leave</li>
<li>An opportunity to love what you do</li>
</ul>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.
<ul><li>Determine insurance coverage by examining claim information, policies, and other records and interview claimants and other providers.</li>
</ul><ul><li>Maintain accurate system by collecting, analyzing, and summarizing information.</li>
</ul><ul><li>Resolve questionable claims by investigation: comparing claims information with evidence.</li>
</ul><ul><li>Settle claims by determining insurance carrier's liability, reaching agreement with claimant according to policy provisions.</li>
</ul><ul><li>Coordinate benefits with other insurance carriers when possible to minimize loss ratios for the client and the company.</li>
</ul><ul><li>Contribute to phone support by prompt and accurate answering.</li>
</ul><ul><li>Record/update claims volume and activity in a bordereau for reporting as required by the client, director, or Accounting department.</li>
</ul><ul><li>Maintain insurance product and the Company reputation by complying with claims guidelines and unfair claims settlement limitations.</li>
</ul><ul><li>Maintain professional and technical knowledge by attending educational workshops and establishing professional networks.</li>
</ul><ul><li>Perform special projects as required.</li>
</ul><ul><li>Contribute to the team effort by accomplishing related tasks as needed.</li>
</ul>Competencies
Planning
<ul><li>Follow work plans, established timelines, and pre-defined goals for assigned work.</li></ul>
<ul><li>Meet commitments on deadlines.</li></ul>
Communication
<ul><li>Develop strong customer focus and high service level relationship with clients.</li></ul>
Cost Management
<ul><li>Perform work thoroughly in a cost-efficient manner and at a high productivity level.</li></ul>
<ul><li>Utilize company resources effectively.</li></ul>
Business Controls and Policies
<ul><li>Comply with all corporate policies and procedures.</li></ul>
<ul><li>Take all reasonable steps to safeguard company assets against waste, loss, unauthorized use and misappropriation.</li></ul>
<ul><li>Report any breakdown in controls to a supervisor or manager.</li></ul>
People Management
<ul><li>No people management responsibility</li></ul>
<ul><li>May assist in orienting and training less experienced employees.</li></ul>
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
<ul><li>Possess and have ability to apply basic knowledge of principles, practices, and procedures</li>
</ul><ul><li>Good written and verbal communication skills with an emphasis on confidentiality, tact, and diplomacy</li>
</ul><ul><li>Good organizational and analytical skills; demonstrated ability to manage multiple tasks simultaneously</li>
</ul><ul><li>Intermediate proficiency and experience using Microsoft Office package (Excel, Access, PowerPoint, Word)</li>
</ul><ul><li>Superlative customer service skills Basic calculator knowledge</li></ul></div>

Claims Examiner I

<div>Engagement: DevOps, AI and Automation Engineer
Engagement Type: Outside IR35 Contract
Duration: 6 months
Why Tokio Marine HCC?
Standing still is not an option in the current world of Insurance. TMHCC are one of the world&rsquo;s leading Specialty Insurers. With deep expertise in our chosen lines of business, our unparalleled track record and a solid balance sheet, TMHCC evaluates and manages risk like no one else in the industry. Looking beyond profit, empowering our people and delivering on our commitments are at the core of our customer values, and so is a desire to grow and provide creative and innovative solutions to our clients.
This assignment is to deliver a defined AI-enabled DevOps and automation capability for TMHCC, including CI/CD patterns, platform automation, operational tooling, Infrastructure-as-Code standards, documentation, and deliver a structured knowledge transfer, including documentation, to support scalable adoption of AI-enabled engineering practices.
Deliverables
<ul><li>Deliver scalable CI/CD patterns and deployment processes for AI-enabled platforms and services.</li>
<li>Integrate Azure AI Foundry and approved AI services into enterprise deployment workflows and operational processes.</li>
<li>Identify tooling, controls, deployment patterns, and operational requirements required to integrate AI services into enterprise CI/CD pipelines.</li>
<li>Provide structured knowledge transfer and operational handover of AI deployments to TMHCCI DevOps and Engineering teams.</li>
<li>Deliver agreed outcomes in line with defined milestones, providing concise progress reporting against deliverables, risks, and key decisions.</li>
<li>Identify and contribute to delivering targeted improvements to the SDLC leveraging AI capabilities, with demonstrable impact on efficiency, quality, or speed of delivery</li>
</ul>Technologies
<ul><li>CI/CD &amp; DevSecOps: Azure DevOps, GitHub Actions, CheckMarx, JFrog Artifactory, Octopus Deploy</li>
<li>Infrastructure &amp; Automation: Terraform, Ansible</li>
<li>Containers &amp; Platforms: Docker, Kubernetes, Rancher, Azure, Windows, Linux</li>
<li>Observability: Datadog, Grafana, Prometheus, OpenTelemetry</li>
<li>AI Enablement: Azure AI Foundry, Model Context Protocol (MCP)</li>
</ul>Expected Outcomes
<ul><li>Establish scalable and secure CI/CD processes for AI-enabled platforms and services.</li>
<li>Improve automation, deployment consistency, and operational reliability.</li>
<li>Deliver reusable engineering standards and Infrastructure-as-Code patterns.</li>
<li>Improve observability, operational visibility, and deployment governance.</li>
<li>Enable long-term adoption through documentation, structured knowledge transfer, and operational maturity across TMHCC engineering teams.</li></ul></div>

DevOps, AI and Automation Engineer (Contract)

Join Tokio Marine HCC and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Tokio Marine HCC

About Company

Aggregate Claims Assistant

Claims Examiner I

DevOps, AI and Automation Engineer (Contract)