Claims - Workers Compensation Claim Representative

Hanover Insurance Group • Howell, MI

387d

About The Position

The Workers Compensation Claim Representative is responsible for managing and handling claims of minimal to moderate complexity, utilizing discretion and independent judgment. This role requires maintaining appropriate state adjuster licenses and continuing education credits while ensuring high productivity and customer service. The representative will investigate, analyze, evaluate, and negotiate claims, working closely with the Special Investigations Unit when necessary.

Requirements

• 1 - 3 years of experience in claims handling.
• Technical knowledge in Auto and/or Workers Compensation coverages.
• Excellent written and verbal communication skills.
• Knowledge of medical terminology.
• Strong organizational skills for time management and task prioritization.
• Proficient data entry skills and high proficiency in MS Word and Excel.
• Ability to meet and exceed goals and metrics consistently.
• Self-directed and self-motivated with strong customer service skills.
• Ability to negotiate skillfully in difficult situations.
• Understanding of applicable statutes, regulations, and case law.
• Critical thinking skills to develop timely solutions to problems.

Nice To Haves

• Experience with claims systems (i.e. CSS, PMS).
• Ability to adapt to changing situations and requirements.
• Experience in a team-oriented environment.

Responsibilities

• Secure and maintain appropriate state adjuster license(s) and continuing education credits.
• Handle claims of moderate technical complexity using discretion and independent judgment.
• Identify possibly suspicious claims and investigate them thoroughly.
• Analyze, evaluate, and negotiate personal and/or commercial lines claims.
• Manage all aspects of each claim while maintaining confidentiality and customer service.
• Implement effective management techniques to mitigate loss and expense payments.
• Work with the Special Investigations Unit as needed.

Benefits

• Medical, dental, vision, life, and disability insurance
• 401K with a company match
• Tuition reimbursement
• Paid Time Off (PTO)
• Company paid holidays
• Flexible work arrangements
• Cultural Awareness Day in support of IDE
• On-site medical/wellness center (Worcester only)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: No Education Listed