Tokio marine claim

Tokio marine claim DEFAULT

Tokio Marine America and TM Claims Service: Insuring Children’s Happiness

The Pasadena branch of Tokio Marine America, a property and casualty insurer, and its sister company, TM Claims Service, work hard to insure companies against loss.  Yet the team of 250 employees in the Pasadena location is also committed to another project:  putting smiles on the faces of the children who live at Hillsides Residential Treatment services. Each year the office has provided the children with toys during the holidays and school backpacks in the fall. The company has also hosted several book drives for Hillsides and donated money raised from unique in-house fundraisers – such as employees paying for the privilege to wear jeans on Friday.

Peggy McCarte, vice president of underwriting operations for Tokio Marine America, discovered Hillsides in 2001 when she and a couple of coworkers googled local charities.  Hillsides popped up, and a relationship was established, driven by their desire to help children in need.  Luckily for Hillsides, the employees at Tokio Marine’s Pasadena location are competitive.  Every August, each department in the Pasadena office is asked to donate one full school backpack.  But each department tries to outdo each other and ends up doubling the amount of backpacks with enough left-overs to donate extra supplies to the teachers.  Another stroke of good fortune for Hillsides is that Tokio Marine’s Pasadena office is located kitty-corner to a Target store, making holiday shopping for the children of Hillsides very convenient for Tokio Marine employees.  

Tokio Marine, headquartered in Japan, operates under the Japanese concept of anshin, which means enduring safety, security and peace of mind.  Their corporate social responsibility philosophy encompasses another Japanese concept, magokoro, which loosely translates to “sincerity and acting with a pure heart.”  These concepts dovetail into the giving mentality of the company’s employees, and are why Tokio Marine employees are committed to helping others.  “We don’t give because we have to, we give because we want to,” said David Brooks, senior vice president of human resources for Tokio Marine America.  Hillsides can rest easy knowing that Tokio Marine is there for the children.


Tokio Marine Group

Our companies offer access to leading commercial insurance solutions spanning the property and casualty landscape, professional liability, workers’ compensation and employee benefits programs. Whether standalone coverage or comprehensive solution, you will find service and value at the core of Tokio Marine. 

Key Advantages for You

Get all your personal and business insurance protection from one local insurer. Our products are represented by a large statewide agency network, featuring 26 independent agencies.

Peace of Mind
Insure with the largest property and casualty insurer headquartered in Hawaii, offering superior financial strength backed by an “A+ (Superior)” rating from A.M. Best, with policyholder surplus of more than $288 million as of December 31, 2014.

Creative, Custom Solutions
Our brokerage operation, First Risk Management Services (FiRMS) finds solutions for non-standard risks.

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Sapiens cloud solution for claims will provide Tokio Marine Highland agility, effectiveness and functionality, while reducing overall costs

RALEIGH, N.C., Sept. 22, 2021 /PRNewswire/ -- Sapiens International Corporation (NASDAQ: SPNS) (TASE: SPNS), a leading global provider of software solutions for the insurance industry, today announced an agreement with TokioMarine Highland, a leading property and casualty underwriting agency, to implement Sapiens ClaimsPro, which is part of Sapiens CoreSuite for Property and Casualty. Tokio Marine Highland's decision to implement Sapiens' solution follows the successful implementation of their construction book using Sapiens PolicyPro and Sapiens BillingPro.

Sapiens Logo

Tokio Marine Highland, formerly WNC Insurance Services, offers a broad suite of specialty risk management solutions, including private flood, construction, fine art and specialty property products. Tokio Marine Highland made the strategic decision to complete their enterprise-wide insurance platform transformation with Sapiens ClaimsPro, an integral part of Sapiens CoreSuite for P&C. The company's modernization plan includes the core transformation and digitalization of their processes to improve their customer experience and enable fast growth.

"Sapiens was once again able to demonstrate the benefits of enhanced claims capabilities, and as a result, we are pleased to extend our growing partnership. Speed-to-market is a key driver for Tokio Marine Highland. Sapiens ClaimsPro platform is a natural fit that provides the capabilities we need to work effectively and seamlessly with our brokers and agents," said Kiran Achen, Chief Information Officer for Tokio Marine Highland. "We appreciate Sapiens' continual investment in modern, integrative and self-sufficient core insurance technology, as well as their investment in eco-partnerships that support our business lines and provide us with more innovation."

"Our business team has now engaged with our combined Sapiens/Tokio Marine Highland implementation team and is making solid progress in delivering a feature-rich and modern claims platform that will be a key tool as we grow our business," said Jeff Garretson, Chief Claims Officer for Tokio Marine Highland.

"The strategic partnership between Tokio Marine Highland and Sapiens has forged the foundation for significant growth," said Jamie Yoder, Sapiens North America President & General Manager. "Completing Sapiens CoreSuite enterprise platform will be highly beneficial to Tokio Marine Highland's business operations, by meeting today's industry demands and preparing them for the future."

Sapiens cloud solution ClaimsPro provides fundamental claims transactions, workflow, tasks, diaries and management functions. ClaimsPro, is a modular solution which can be implemented together with other modules or stand alone. It offers robust capabilities, including a feature-rich set of claims management reports, as well as interactive dashboards and robust integration capabilities into third-party services.

One of the primary benefits ClaimsPro offers Tokio Marine Highland is that the solution allows information partitioning for agents and brokers, as well as workload balancing and integration to the company's PolicyPro/BillingPro platforms. The solution provides full lifecycle support for handling claims for all personal and commercial lines of business, including workers' compensation.

About Tokio Marine Highland

Tokio Marine Highland is a leading property and casualty underwriting agency that offers distinct solutions for private flood, construction, fine art and specialty property, and includes Precise Adjustments, a wholly owned subsidiary that provides industry-leading claims capabilities.

Founded in 1962, Tokio Marine Highland Insurance Services, Inc. (formerly WNC Insurance Services, Inc.) is a wholly owned company of Tokio Marine Kiln, one of the largest carriers in the Lloyd's of London insurance market, rated A (Excellent) by AM Best for financial strength, and a member of the Tokio Marine Group. Tokio Marine Highland's home office is located in Chicago, IL, with operating centers in Dallas, TX, Irvine, CA, Miami, FL, Naperville, IL, and South Pasadena, CA.

For more information, visit our website at

About Sapiens

Sapiens International Corporation (NASDAQ and TASE: SPNS) empowers the financial sector, with a focus on insurance, to transform and become digital, innovative and agile. Backed by more than 35 years of industry expertise, Sapiens offers a complete insurance platform, with pre-integrated, low-code solutions and a cloud-first approach that accelerates customers' digital transformation. Serving over 600 customers in 30 countries, Sapiens offers insurers across property and casualty, workers compensation and life markets the most comprehensive set of solutions, from core to complementary, including Reinsurance, Financial & Compliance, Data & Analytics, Digital, and Decision Management. For more information visit or follow us on LinkedIn.

Forward Looking Statements

Certain matters discussed in this press release that are incorporated herein by reference are forward-looking statements within the meaning of Section 27A of the Securities Act, Section 21E of the Exchange Act and the safe harbor provisions of the U.S. Private Securities Litigation Reform Act of 1995, that are based on our beliefs, assumptions and expectations, as well as information currently available to us. Such forward-looking statements may be identified by the use of the words "anticipate," "believe," "estimate," "expect," "may," "will," "plan" and similar expressions. Such statements reflect our current views with respect to future events and are subject to pandemic risks and uncertainties. Israel and our status as a Cayman Islands company.

While we believe such forward-looking statements are based on reasonable assumptions, should one or more of the underlying assumptions prove incorrect, or these risks or uncertainties materialize, our actual results may differ materially from those expressed or implied by the forward-looking statements. Please read the risks discussed under the heading "Risk Factors" in our most recent Annual Report on Form 20-F, in order to review conditions that we believe could cause actual results to differ materially from those contemplated by the forward-looking statements. You should not rely upon forward-looking statements as predictions of future events. Although we believe that the expectations reflected in the forward-looking statements are reasonable, we cannot guarantee that future results, levels of activity, performance and events and circumstances reflected in the forward-looking statements will be achieved or will occur. Except as required by law, we undertake no obligation to update publicly any forward-looking statements for any reason, to conform these statements to actual results or to changes in our expectations.


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SOURCE Sapiens International Corporation

A Day in the Life at Tokio Marine America

Global Network for Cargo Claims Settlement

While the global logistics of our clients have been increasingly expanded, it is essential for us to maintain a worldwide claim service network to settle international cargo claims promptly and properly.

In order to meet requirements of our clients anywhere in the world, we Tokio Marine Nichido provide two tiers of world wide claim service network in each region of the world, our own Claims Management Companies and a Claim Settling Agent Network.

Tokio Marine Claims Management Companies for high quality services

We have our own claims management companies in the United States, Europe and Asia as our claim services headquarters in each region, providing claims and loss control services for international cargo clients. These companies are also responsible for supervising Claim Settling Agents to maintain and improve high quality claim services.

A worldwide network of Claim Settling Agents

We appoint more than 250 Claim Settling Agents (incl. Sub Agents) around the world to settle the cargo claims on our behalf providing prompt and reliable claim services in each country. Our regional Claims Management Companies supervise their activities with our claims service standard.

  • For the list of offices of Claims Management Companies, clickmap iconname of the city
  • For the list of Claim Settling Agents, click a region of the map


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Tokio Marine Claims Service jobs

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Claims Assistant


Claims Trainee - Claims, Property


Honolulu, HI 96814

Supervisor - Claims, Workers' Compensation


Honolulu, HI 96814

Customer Relations Representative

On Call International, Inc.

Indianapolis, IN 46204

Customer Service Rep II - Customer Service


Honolulu, HI 96814

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Tractable and Tokio Marine: Create Seamless Claims Experiences with AI

Many providers are willing to bill us directly, and we are happy to work directly with the provider. The provider should submit to us original itemized bills. You, the patient, will still need to submit to us a completed "Claimant's Statement and Authorization" form.

If the provider requires you to pay for medical treatment at the time of service, you will need to file a claim for reimbursement. When seeking treatment, please ensure that you provide your name in the same format as provided for your insurance policy. You can check your name format on your fulfillment documents, ID card, or in Client Zone. At the time of service, ask your medical provider for an itemized bill with the following information:

  • Provider name and address
  • Provider tax ID (if U.S.-based)
  • Your name, date of birth, and certificate ID number
  • Itemized charges
  • DX (diagnosis) code and CPT (Current Procedural Terminology) code (these are the codes your physician's office uses to tell our claims examiners which procedures, diagnoses, and services you received during your visit)

Also request your receipt for the payment and your complete medical records from the visit. You will send the itemized bill, medical records, and receipt directly to us, along with a completed "Claimant's Statement and Authorization" form.

NOTE: For plans that offer a coinsurance waiver for expenses incurred in-network, the provider must bill expenses directly to us.

See "How do I submit the 'Claimant's Statement and Authorization' form?" for submission options.

You can also learn more about the claims process by reading "How to Submit a Claim: A Step-by-Step Guide to the Claims Process for Members."


You will also be interested:

We are looking for a Graduate who is keen to take their first step into corporate insurance within a highly profitable and growing organisation which is constantly evolving.


  • Tokio Marine HCC is one of the largestTrade Credit Insurers in the UK. The Claims department is forward-thinking, with clear customer service objectives and great development opportunities.
  • Providing a superb step into corporate insurance, as a Claims Technician within the team, you will have daily contact with internal and external customers with touch points across various departments of the business and differing industry sectors, as well as with brokers.
  • The successful applicant will be able to challenge the norm and bring new ideas to the department, through projects, customer service initiatives and training, both on and offsite.

Location:Rearsby, Nr Leicester, the office is a newly converted manor house which provides a unique and beautiful place to work.

Dynamic working:4 days in the office, 1 day working from home during the 3 month probationary period.

This role may switch to 3 days in the office and 2 working from home depending on the needs of the team and the business.

Excellent Benefits:Competitive salary, discretionary bonus scheme, annual salary reviews, excellent non-contributary pension scheme, wellness allowance, regular social events and much more.

Job Purpose:

Investigation, examination, negotiation, and settlement of credit insurance claims within established guidelines and parameters set. Provide administrative support and information collection to the Claims Team.

Full training for the role will be given with no previous experience in a similar role required. Training will be provided both internally and externally along with support being provided towards aligned professional qualifications.

Key Responsibilities:

  • Recording and / or monitoring insolvency dates forming the claim event.
  • Mathematically checking claims
  • Calculating and entering provisions
  • Confirming insolvency events and setting up spreadsheets to collect data
  • Liaison with Insolvency Practitioners and external stakeholders
  • Examining and assessing claims submitted including making settlement within agreed authority schedules and specified timescales with advance notice to sales staff where required
  • Identifying fraudulent claims
  • Input and retrieval of data on bespoke database including basic Excel spreadsheet management
  • Monitoring salvages by use of diary system and spreadsheet recording
  • Reporting (where appropriate) concerns to Risk / Underwriters for limit / cover reviews
  • Informing management of potential large losses and recording same on department Trawl spreadsheet
  • Calling customers to collect data
  • Setting up and paying claims using bespoke IT system
  • Chasing customers for information and refunds
  • Handling general email and telephone queries
  • Management of paperless filing system
  • Receiving and handling basic complaints with referral to management where required
  • Advising Policyholders on claims procedures
  • Other reasonable duties as instructed by the Claims Manager
  • Ensuring a professional and fair approach is portrayed at all times
  • Taking an active role in Team discussions and helping shape the way we do things.

Performance Objectives: 

  • Ensure all Claims are handled and resolved within defined KPI’s
  • Deliver first class service to internal and external customers
  • Understand the policies we operate and differentiate service levels accordingly

Skills and Experience Specification:


  • Educated to A Level standard /BTEC Level 3 or equivalent
  • Good written communication skills, including letter writing,
  • Good verbal communication skills, Confident telephone manner and clearly spoken.
  • Word Processing & spreadsheet skills & working knowledge of Microsoft tools
  • Flexible, inquisitive, with a desire to develop and grow
  • Commercial awareness


  • Educated to Degree level – Business, Legal or Construction based subjects preferred
  • Experience or knowledge of credit management
  • Knowledge of different types of insolvencies & debt collection processes
  • Experience or knowledge of Legal recoveries
  • Experience or knowledge of the construction industry

“Tokio Marine HCC is a leading specialty insurance group with offices in the United States, the United Kingdom, Europe, and other locations. With the strength and stability that comes from being a member of the Tokio Marine group, and more than forty years of growth, profitability, and stability, we offer important insurance products that most people do not even know exist.

The Tokio Marine HCC Group of companies is an equal opportunity employer. Please visit www.tmhcc.comfor more information about our companies. #LI-TS1


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