Workers Comp - Sr Adjuster WC

Hanover Insurance Group, Inc.•Worcester, MA

46d•Hybrid

About The Position

Our Workers Compensation Claims team is currently seeking a Senior Adjuster with a focus on southern jurisdictions including Alabama, Florida, Georgia, North Carolina, South Carolina, and Tennessee. This is a full-time, exempt position with a hybrid or remote work schedule. 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 with some the following jurisdictions: AL, FL, GA, NC, SC, TN. 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 coverages. 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.

Requirements

Must have or secure and maintain appropriate states adjuster license(s) and continuing education credits.
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.).
May be required to have and maintain sufficient home-based internet connection.

Responsibilities

investigation, negotiation and resolution of claims
input of claim data
guiding insureds and claimants through the claim process and options
Work with some the following jurisdictions: AL, FL, GA, NC, SC, TN
handling assignments of higher technical complexity and coordination
claim handling
interpretation of commercial coverages
identifies possibly suspicious claims
managing all aspects of each claim, including informal hearings and small claims litigation
Take recorded statements
Work with the Special Investigations Unit to resolve and negotiate settlement