Teams at Tokio Marine

Investigates individual claims to determine liability under health coverage and excess insurance plans. Reviews claim documentation, verifies benefit payments, establishes and updates reserves, authorizes liability checks, communicates with third-party administrators and clients, and explains uncovered amounts. Refers high-value claims and trigger diagnoses to appropriate departments. Requires medical terminology and coding knowledge, strong analytical and organizational skills, confidentiality, communication abilities, and proficiency with Microsoft Office.

Investigates individual claims, interprets health and excess insurance plans, audits claim documentation and benefit payments, determines liability, establishes and updates reserves, authorizes appropriate payments, and communicates coverage decisions to third-party administrators and clients. The role also refers high-dollar or trigger-diagnosis claims to specialized departments and requires medical terminology, claims analysis, policy interpretation, confidentiality, and Microsoft Office proficiency.

Lead and execute DFIR investigations for ransomware and BEC incidents: act as incident commander, manage triage/response, mentor and build DFIR team, develop IR processes, perform forensic analysis across endpoints, networks, memory and cloud, and communicate findings to clients and stakeholders.