Sr. PIP Adjuster

2 weeks ago

Grand Rapids, Michigan, United States The Hanover Insurance Group Full time

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we CARE through our values, ESG initiatives and IDE journey.

Our Claims team is currently seeking a Sr. PIP Adjuster in our Howell MI - Southfield, MI or Grand Rapids, MI locations.

The Hanover Insurance Group has adopted a Hybrid work model that allows for 3 days of remote work each week with the balance of time being in the office.

This is a full time, exempt role.

POSITION OVERVIEW:

Responsible for the investigation, negotiation and resolution of claims in accordance with policy provisions, best practices and jurisdictional requirements. Includes the input of claim data and guiding insureds and claimants through the claim process and options.

IN THIS ROLE, YOU WILL:

  • Work within significant limits and authority on assignments of higher technical complexity and coordination.
  • Use discretion and independent judgment in claim handling
  • Possess demonstrated technical knowledge and skills, including product and industry, reflective of successful progression through various job family levels.
  • Handle Claims of greater complexity and will require a higher level of investigation, analysis, evaluation and negotiation including interpretation of commercial coverage's.
  • Be responsible for all aspects of each claim, including informal hearings, arbitrations and small claims litigation and maintaining a high level of productivity, confidentiality and customer service.
  • Identify possibly suspicious claims
  • Handle Claims that involve moderate to high complexity, severity and exposures including litigation.
  • Have authority levels higher in recognition of the higher proficiency associated with this level.
  • Take recorded statements
  • Work with the Special Investigations Unit to resolve and negotiate settlement
WHAT YOU NEED TO APPLY:
  • Bachelor's Degree or equivalent PIP handling experience.
  • Typically years experience
  • Possess strong customer service skills and behaviors
  • Maintain constructive working relationships despite differing perspectives
  • Strong organizational and time management skills
  • Ability to negotiate skillfully in difficult situations with both internal and external groups
  • Demonstrates strong written and verbal communication skills. Promotes and facilitates free and open communication.
  • Understanding of applicable statutes, regulations and case law
  • Think critically and anticipate, recognize, identify and develop solutions to problems in a timely manner.
  • Easily adapts to new or different changing situations, requirements or priorities.
  • Operates with latitude for un-reviewed action or decision.
  • Proficient using paperless Claims systems
This job posting provides cursory examples of some of the job duties associated with this position. The examples provided are not complete, and the position may entail other essential and job-related functions and responsibilities that employees will be required to perform.

CAREER DEVELOPMENT:

It's not just a job, it's a career, and we are here to support you every step of the way. We want you to be successful and fulfilled. Through on-the-job experiences, personalized coaching and our robust learning and development programs, we encourage you - at every level - to grow and develop.

BENEFITS:

We offer comprehensive benefits to help you be healthy, build financial security, and balance work and home life. At The Hanover, you'll enjoy what you do and have the support you need to succeed.

Benefits include:
  • Medical, dental, vision, life, and disability insurance
  • 401K with a company match
  • Tuition reimbursement
  • PTO
  • Company paid holidays
  • Flexible work arrangements
  • Cultural Awareness Day in support of IDE
  • On-site medical/wellness center (Worcester only)
  • Click here for the full list of Benefits
EEO statement:

The Hanover values diversity in the workplace and among our customers. The company provides equal opportunity for employment and promotion to all qualified employees and applicants on the basis of experience, training, education, and ability to do the available work without regard to race, religion, color, age, sex/gender, sexual orientation, national origin, gender identity, disability, marital status, veteran status, genetic information, ancestry or any other status protected by law.

Furthermore, The Hanover Insurance Group is committed to providing an equal opportunity workplace that is free of discrimination and harassment based on national origin, race, color, religion, gender, ancestry, age, sexual orientation, gender identity, disability, marital status, veteran status, genetic information or any other status protected by law."

As an equal opportunity employer, Hanover does not discriminate against qualified individuals with disabilities. Individuals with disabilities who wish to request a reasonable accommodation to participate in the job application or interview process, or to perform essential job functions, should contact us at: and include the link of the job posting in which you are interested.

Privacy Policy:

To view our privacy policy and online privacy statement, click here.

Applicants who are California residents: To see the types of information we may collect from applicants and employees and how we use it, please click here

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