高级技术财产理赔员
Sr Technical Property Adjuster
超过170年来,汉诺威一直致力于兑现我们的承诺,在最重要的时刻始终如一。我们每天践行我们的价值观,通过我们的价值观、可持续发展举措和包容性的企业文化来体现我们对客户的关怀。
我们的财产严重程度理赔部门正在寻找一名高级技术财产理赔员。这是一个远程全职/免职岗位,需要进行现场调查。
职位概述:
高级技术财产理赔员负责独立处理高复杂度和高价值的现场财产服务理赔。该职位需要具备先进的调查、评估和谈判技能,能够在最少监督的情况下解决现场财产理赔。该工作涉及深入分析、与内部团队和外部专家合作,并可能需要在短时间内出差。具备强大的专业技术知识以及根据保单条款、法规和最佳实践管理理赔的能力对于提供高质量的服务和结果至关重要。
在此职位中,您将:
- 独立调查高度复杂和敏感的现场财产服务理赔,包括需要外部现场调查和灾害(CAT)响应的案件,确保彻底分析和解决。
- 主导全面调查,评估保障范围,并出具适当的文件,包括保留权利信和保障信。必要时向上级汇报问题。
- 与内部和外部专家合作,包括法律、承保、供应商和代理,以评估理赔并确定其有效性和价值。
- 主持跨职能会议,并向不同受众清晰传达复杂信息。
- 担任专业领域专家,参与部门项目和倡议;为其他理赔员提供技术支持。
- 识别并积极寻求将风险转移至适当实体的机会,以利于被保险人和业务合作伙伴。
- 维护全面且详细的理赔记录,确保正确记录并符合司法管辖区的要求。
- 领导复杂理赔流程的质量和效率改进计划。
- 正确识别和分配代位求偿的可能性;建立文件以支持成功的追偿工作。
- 确保所有理赔活动符合监管和公司标准。执行司法管辖区的合规要求,并帮助他人理解监管义务。
- 使用技术工具
查看英文原文
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.
Our Property Severity Claims department is seeking a Senior Technical Property Adjuster. This is a remote Full-time/Exempt role with field investigations.
POSITION OVERVIEW:
The Sr Technical Property Adjuster is responsible for independently managing highly complex and high-value field property service claims. This role requires advanced investigation, evaluation, and negotiation skills to resolve field property claims with minimal oversight. It involves thorough analysis, collaboration with internal teams and external experts, and will require travel on short notice. Strong technical expertise and the ability to manage claims in accordance with policy provisions, regulations, and best practices are essential to delivering high-quality service and outcomes.
IN THIS ROLE, YOU WILL:
- Independently investigate highly complex and sensitive field property service claims, including those requiring outside field investigations and catastrophe (CAT) response, ensuring thorough analysis and resolution.
- Lead thorough investigations, assess coverage, and issue appropriate documentation including reservation of rights and coverage letters. Escalate issues as needed.
- Collaborate with internal and external experts, including legal, underwriting, vendors, and agents, to evaluate claims and determine validity and value.
- Lead cross-functional meetings and communicate complex information clearly to diverse audiences.
- Serve as a subject matter expert and contribute to departmental projects and initiatives; act as a technical resource for other adjusters.
- Identify and proactively pursue opportunities to transfer risk to the appropriate entities for the benefit of insureds and business partners.
- Maintain comprehensive and detailed claim records, ensuring proper documentation and compliance with jurisdictional requirements.
- Lead quality and efficiency initiatives for complex claims workflows.
- Identify and assign subrogation potential appropriately; set up files to support successful recovery efforts.
- Ensure all claims activities comply with regulatory and company standards. Execute jurisdictional compliance requirements and support others in understanding regulatory obligations.
- Use technology and data tools to identify trends, correct inconsistencies, and optimize outcomes.
- Negotiate high-value and contested claims using advanced strategies.
- Investigate and manage suspicious claims using advanced techniques and tools; refer to the Special Investigation Unit (SIU) as needed. Maintain awareness of fraud indicators and regulatory reporting obligations.
- Set reserves, authorize payments, and make financial decisions within authority and contribute to reserving accuracy and efficiency.
- Use advanced tools and analytics to identify trends, correct inconsistencies, and improve claims handling efficiency. Ensure proper data ingestion, labeling, and protection of personally identifiable information (PII).
- Maintains comprehensive factual and organized claim records and prepares detailed reports summarizing findings and recommendations.
- Serve as a mentor to junior adjusters, providing guidance on complex claims, compliance, and litigation processes. Support training initiatives and contribute to the development of best practices and educational materials.
- Deliver empathetic, clear communication throughout the claims process. Educate claimants and stakeholders, affirm next steps, and ensure a positive customer experience.
- May represent the company in mediations, arbitrations, and trials.
- Must possess or obtain and maintain appropriate state adjuster licenses and continuing education credits, and a valid driver’s license.
WHAT YOU NEED TO APPLY:
- Bachelor’s degree preferred or equivalent experience; typically 8+ years of industry experience; industry designation relevant to the role preferred.
- Recognized authority in negotiating highly complex claims; shapes and implements best practices.
- Fluent in Xactimate usage with level 3 certification or the ability to achieve.
- Strong knowledge of local geography, regulations, and public safety agencies, as well as the ability to build rapport with insureds and navigate the insurance and legal climate. Strong working knowledge of applicable statues, regulations, case law, and third-party legal liability concepts.
- Skilled in negotiation and developing strategies to influence outcomes. Demonstrates sound judgment and decision-making, including litigation and compliance matters.
- Expert-level insurance knowledge; deep understanding of legal and regulatory frameworks.
- Communicates clearly and effectively in both verbal and written formats across a variety of situations. Selects appropriate communication channels and consistently demonstrates empathy toward all stakeholders.
- Highly organized with the ability to manage complex workflows and project work. Demonstrates strong time management and desk management skills.
- Makes informed decisions based on thorough analysis of complex issues. Evaluates risks and outcomes, acts independently within authority, and identifies patterns in claims to support resolution strategies.
- Ability to collaborate with internal and external experts, including legal, underwriting, and other stakeholders, to ensure thorough evaluation.
- Designs empathetic customer service strategies; recognized for exceptional service.
- Ability to quickly assess customer concerns and anticipate questions, communicate and translate complex and technical terms clearly with easily understood language; deliver difficult messages when needed.
- Skilled in using claims systems and Microsoft Office Suite.
- 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.
- Ability to operate a motor vehicle 4-5 hours per day and to get in and out of the vehicle numerous times during the day.
- Ability to load and unload equipment and supplies weighing up to 30 pounds from a motor vehicle as needed to perform field work.
- Ability to bend, walk, and climb for several consecutive hours while inspecting damaged buildings, often with utilities turned off or inoperable.
- Ability to use a ladder safely to get on and off roofs and maintain balance while inspecting roofs.
- Ability to perform field work in adverse weather.
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:
- 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: 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.
Originally posted on Himalayas