For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we CARE through our values, Sustainability initiatives and inclusive corporate culture.
Consultant Specialized Claims
Location
United States
Posted
20 days ago
Salary
$90K - $115K / year
Seniority
Mid Level
No structured requirement data.
Job Description
Consultant Specialized Claims
The Hanover Insurance Group
Role Description The Consultant Specialized Claims-Fidelity and Crime is responsible for managing highly complex coverage analysis, investigation, evaluation, negotiation, and resolution of specialized claims. These claims may originate from any jurisdiction across the country and often require field consultation and collaboration with internal and external experts. This role requires advanced technical skills, sound judgment, and the ability to manage complex and high-value claims with minimal supervision. The Consultant operates with a high level of autonomy and professionalism, ensuring compliance with regulatory and company standards while navigating sensitive and high-impact claim scenarios. The position offers opportunities to deepen expertise in specialized lines of business and contribute meaningfully to claim outcomes through strategic decision-making and expert consultation. Responsibilities/Essential Functions - Independently manages highly complex claims with significant financial exposure. - Demonstrate expert-level technical knowledge across products and industry practices. - Negotiate settlements on the company’s largest and most sensitive losses, applying advanced strategies to mitigate risk and control expenses. - Provide strategic consultation on large claim handling, supporting both staff and independent adjusters. - Participate in the development of resolution strategies and ensure consistency across high-impact cases. - Maintain ongoing communication with leadership, offering insights and updates on critical claim developments and emerging trends. - Serve as a subject matter expert, contributing to departmental initiatives and coordinating consistent handling of large losses across jurisdictions. - Co-adjust select cases to support learning and influence outcomes. - Provide technical guidance and mentorship to less experienced adjusters. - Lead cross-functional collaboration with underwriting, legal, agents, vendors, and other stakeholders to ensure thorough investigation and evaluation of complex claims. - Utilize data tools and analytics to identify trends, improve claim outcomes, and ensure compliance with documentation standards. - Prepare detailed reports for leadership and support continuous improvement efforts. - Maintain appropriate state adjuster licenses and complete required continuing education to stay current with regulatory and industry standards. Qualifications - Bachelor’s degree or equivalent experience required; typically 8+ years of professional experience in claims or related fields. - Demonstrates strong negotiation skills in high-stakes situations, consistently securing favorable outcomes while preserving relationships. - Makes confident, informed decisions independently and operates with latitude for unreviewed action. - Communicates clearly and effectively in both verbal and written formats. - Maintains constructive working relationships across diverse perspectives. - Highly organized with strong time management skills. - Demonstrates deep understanding of applicable statutes, regulations, and case law. - Drafts factual, relevant, and objective work products. - Navigates digital tools efficiently to support claim handling and reporting. - Mentors less experienced team members, offering guidance on compliance, communication, and conflict resolution. - Dedicated to meeting the expectations of internal and external customers. Core Capabilities - Analytical Reasoning: The ability to identify problems, understand your impact, gather input and data, and develop an effective solution. - Customer Centricity: Makes customers/clients and their needs a primary focus of one’s actions. - Digital Fluency: Effectively uses digital tools and technology appropriately to find, evaluate, create, and communicate information. - Persuasion and Influence: Uses appropriate interpersonal skills and techniques to gain acceptance for ideas or solutions. - Professional Insurance Acumen: Demonstrates a deepening understanding of the insurance industry. - Planning and Execution: Plans, prioritizes and manages resources and time effectively to achieve specific goals or deadlines. Physical Demands and Work Environment - Ability to use a personal computer and other standard office equipment. - Ability to sit and/or stand for extended periods. - Required to work on-site as needed. - Ability to travel as necessary. - Ability to work in a fast paced, changing or stressful environment. - Ability to perform work in a noisy/loud work environment. - May be required to have and maintain sufficient home-based internet connection. Benefits - 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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