Claims - Workers Comp Claims Representative

Claims Representative

Our Workers Comp Claims team is currently seeking a Claims Representative to join our Level One team in our Worcester, MA, Syracuse, NY, or Itasca, IL offices. This is a full-time / non-exempt role.

Position Overview

Responsible for the investigation and resolution of complex medical only and lost time claims of low complexity 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 within specific limits and authority on assignments of moderate technical complexity.
• Use discretion and independent judgment in claim handling.
• Possess functional knowledge and skills reflective of fully competent practitioner.
• Identify possibly suspicious claims.
• Investigate, analyze, evaluate and negotiate personal and / or commercial lines claims of minimal to moderate complexity.
• Responsible for managing all aspects of each claim and maintaining a high level of productivity, confidentiality and customer service.
• Implement and coordinate the most effective management techniques to mitigate loss and expense payments.
• Reserving and expense authority levels are moderate.
• Work with the Special Investigations Unit, where appropriate.
• May be required to have and maintain sufficient home-based internet connection.

What You Need To Apply :

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 :

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 : HRServices@hanover.com and include the link of the job posting in which you are interested.

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The target hiring range for this role may vary based on geographic location and other factors, including merit or performance, demonstrated proficiency, skills for the role, education, travel requirements, and experience. Additional compensation may include an annual bonus (which could take the form of a general bonus, sales incentive, or short-term incentive), long-term incentive or spot recognition awards. The posted range reflects our ability to hire at different position titles and levels depending on background and experience.