Claims - Sr Workers Comp Adjuster

5 months ago

Worcester, United States The Hanover Insurance Group Full time

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: Must have or secure and maintain appropriate states adjuster license(s) and continuing education credits. Work with some the following jurisdictions: NY, PA, NJ, DE, VA, MD, DC Works within significant limits and authority on assignments of higher technical complexity and coordination. Uses discretion and independent judgment in claim handling Possesses demonstrated technical knowledge and skills, including product and industry, reflective of successful progression through various job family levels. Claims handled will be of greater complexity and will require a higher level of investigation, analysis, evaluation and negotiation including interpretation of commercial coverage’s. Identifies possibly suspicious claims Claims handled will involve moderate to high complexity, severity and exposures including litigation. Responsible for managing all aspects of each claim, including informal hearings and small claims litigation and maintaining a high level of productivity, confidentiality and customer service. Authority levels are 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 May be required to have and maintain sufficient home-based internet connection


WHAT YOU NEED TO APPLY:

Bachelor’s Degree or equivalent experience. Typically has 3 - 10 years’ experience Possesses strong customer service skills and behaviors Makes decisions in an informed, confident and timely manner Maintains 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 ability to win concessions without damaging relationships. Demonstrates strong written and verbal communication skills. Promotes and facilitates free and open communication. Understanding of applicable statutes, regulations and case law Thinks critically and anticipates, recognizes, identifies and develops solutions to problems in a timely manner. Easily adapts to new or different changing situations, requirements or priorities. Cultivates an environment of teamwork and collaboration Operates with latitude for un-reviewed action or decision. Computer experience (MS Office, excels, word, etc.) Proficient using Claims systems (i.e. CSS, PMS, etc.)

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)

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