Description

Our Claims team is currently seeking a Technical Consultant Casualty Claims .

This is a full-time, exempt role with a hybrid work schedule (two days in the office) in one of our Hanover offices:

• Howell, MI

• Southfield, MI

• Grand Rapids, MI

POSITION OVERVIEW:

The Technical Consultant, Casualty Claims, manages high-complexity no-faultclaims involving moderate to high injury and disability severity.Duties include thorough coverage analysis, evaluating medical bills and other no-fault benefits for payment consideration, coordination and contact with claimants, third-parties and medical providers, skillfully negotiating settlements, and/or oversight of litigation strategy. Technical Consultants will collaborate with legal counsel, SIU teams, and medical experts to resolve claims efficiently while ensuring compliance with no-fault statutes and contributing to mentoring early in career staff .

This role requires advanced investigative and negotiation skills to resolve disputes and handle escalated situations, while collaborating with legal teams and subject matter experts as needed. The consultant analyzes complex data, provides expert opinions to support claim resolution, and may represent the company in litigation forums. Operating with a high degree of autonomy and professionalism, the position demands strategic thinking, deep technical expertise , and strict adherence to regulatory and company standards in navigating sensitive, high-impact claim scenarios.

IN THIS ROLE, YOU WILL:

• Independently investigate moderate to complex and sensitive claims, ensuring thorough analysis and resolution.
• Collaborate with internal and external experts to evaluate claims and determine validity and value.
• Identify opportunities to transfer risk and pursue subrogation. Proactively resolve disputes, deescalate sensitive situations, and ensure optimal claim outcomes through strategic negotiation and litigation management.
• Assess and transfer risk where appropriate ; manage suspicious claims and refer to SIU as needed.
• Serve as a subject matter expert and contribute to departmental projects and initiatives.
• Draft coverage letters, including complex forms and endorsements; interpret commercial coverages and legal principles.
• Set reserves and authorize payments within high authority limits; manage litigation budgets and counsel.
• Lead quality and efficiency initiatives for complex claims workflows.
• Use technology and data tools to identify trends, correct inconsistencies, and optimize outcomes.
• Negotiate high-value and contested claims using advanced strategies.
• Ensure compliance with jurisdictional requirements; mentor others on regulatory standards.
• Maintain accurate records and prepare detailed reports; protect PII and educate peers on best practices.
• Lead cross-functional meetings and drive consensus on claim resolutions.
• Communicate complex information clearly to diverse stakeholders; manage sensitive customer interactions.
• Provide technical guidance and mentorship to less experienced adjusters.
• Represent the company in litigation forums including trials, mediations, and arbitrations.
• Support training development and evaluate program effectiveness.
• Influence product development by identifying coverage gaps and recommending updates.
• Attend industry events and continuing education seminars to stay current with best practices, legal developments, and emerging trends.
• Must possess or obtain and maintain appropriate state adjuster licenses and continuing education credits

WHAT YOU NEED TO APPLY:

• Bachelor's degree preferred or equivalent experience; typically 5+ years of industry experience; industry designation relevant to the role preferred
• Recognized authority in negotiating highly complex claims; shapes and implements best practices
• Skilled in negotiating complex claims and developing strategies to influence outcomes. Demonstrates sound judgment and decision-making on high-exposure cases, including litigation and compliance matters
• Communicates clearly and effectively in verbal and written formats; handles sensitive and complex issues with professionalism. Selects appropriate communication channels and consistently demonstrates empathy
• Maintains comprehensive and organized claim records and prepares detailed reports summarizing findings and recommendations
• Highly organized with the ability to manage complex workflows and participate in project work. Demonstrates strong time management and desk management skills, and mentors others in these areas
• Expert-level insurance knowledge; deep understanding of legal and regulatory frameworks
• Makes informed decisions independently; analyzes risks and understands financial impacts
• Exercises sound judgment and strategic insight in evaluating results and shaping policy
• Develops investigative techniques and protocols; expert in coverage analysis and liability assessment
• Designs empathetic customer service strategies; recognized for exceptional service

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; shows interest in and understanding of the needs and expectations of internal and external customers; gains customer trust and respect; meets or exceeds customer expectations.

• Digital Fluency: Effectively uses digital tools and technology appropriately to find, evaluate, create, and communicate information understands how to navigate digital platforms, use software applications, and leverage technology for productivity and communication purposes.

• Persuasion and Influence: Uses appropriate interpersonal skills and techniques to gain acceptance for ideas or solutions; uses influencing strategies to gain genuine agreements; seeks to persuade rather than force solutions or impose decisions or regulations.

• Professional Insurance Acumen: Demonstrates a deepening understanding of the insurance industry and the ability to apply specialized technical skills to address complex challenges, adapt to industry trends, and drive value for the organization.

• Planning and Execution: Plans, prioritizes and manages resources and time effectively to achieve specific goals or deadlines.

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:

• 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)
• Click here for the full list of Benefits

EEO 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. 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: [email protected] and include the link of the job posting in which you are interested.

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 .

Compensation:

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.
Requisition #: 45533

tcv57hlu2