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Claims - Sr PIP Adjuster, MI

Company: The Hanover Insurance Group
Location: Howell
Posted on: November 22, 2021

Job Description:

Our Claims team is currently seeking a Sr. PIP Adjuster in our Howell, MI location.
The Hanover Insurance Group has adopted a Hybrid work model that allows for 2 or 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:

  • Have or secure and maintain appropriate states adjuster license(s) and continuing education credits.
  • 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 settlementWHAT YOU NEED TO APPLY:
    • Bachelor's Degree or equivalent experience.
    • Typically 3 - 10 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 systemsThis 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.

      BENEFITS:
      We offer comprehensive benefits to enrich your health, financial security, and work/life balance. 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 dollar-to-dollar company matching up to 6%
      • Tuition reimbursement
      • Paid time off
      • 9 company holidays
      • Flexible spending account
      • Health savings accountEEO 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. If you require a reasonable accommodation, as a candidate for employment, please inform The Hanover Talent Acquisition office.

        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.

Keywords: The Hanover Insurance Group, Flint , Claims - Sr PIP Adjuster, MI, Other , Howell, Michigan

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