The Hanover Insurance Group · 1 day ago
Major Case Claims Consultant
United States
Full-time
Remote
Senior LevelThe Hanover Insurance Group is a company with a long-standing commitment to delivering on promises and maintaining an inclusive corporate culture. They are seeking a Major Case Claims Consultant responsible for managing complex and high-value specialized claims, including investigation, evaluation, negotiation, and resolution of such claims.
Insurance
Responsibilities
Independently lead investigations and manage the full lifecycle of highly complex, sensitive, and specialized claims
Analyze coverage, liability, and financial exposure; develop tailored resolution strategies and negotiate high-value or contested claims
Set activities, reserves, and authorize payments within high authority limits; manage litigation budgets and direct counsel payouts
Coordinate with internal and external experts (e.g., forensic analysts, underwriters, legal counsel, contractors) to ensure thorough evaluations and resolution
Identify and pursue risk transfer opportunities; manage suspicious claims and refer to Special Investigation Unit as needed
Serve as a subject matter expert (SME) for consistent handling of large losses; provide consultation on claim strategies and co-adjust files to support development
Ensure compliance across jurisdictions including licensing, forms, deadlines, and accounting; maintain accurate and complete claim records
Protect personally identifiable information (PII) and promote best practices across the team
Represent the company in litigation, mediations, settlement conferences, and arbitrations; provide large loss and reinsurance reporting to underwriting
Lead cross-functional meetings and collaborate with underwriting, agents, vendors, and legal teams to drive consensus and resolve claims
Identify coverage gaps and partner with product management to enhance offerings
Mentor and support less experienced adjusters; evaluate training programs and recommend improvements
Lead quality initiatives to streamline workflows; use data tools to analyze trends and correct inconsistencies
Maintain strong time and desk management skills; prepare reports and contribute to special projects
Attend industry events and continuing education seminars to stay current on best practices
Tailor communication strategies for specialized claims and maintain regular updates with leadership
Build and maintain strong relationships with customers and stakeholders
Qualification
Required
Bachelor's degree preferred; equivalent experience accepted
JD preferred or equivalent legal/claims experience
Industry designations (e.g., CPCU, AIC) strongly preferred
Extensive experience handling highly complex, high-value claims with significant legal, financial, and reputational exposure
Recognized authority in negotiation and resolution of complex claims; able to shape best practices and influence outcomes
Demonstrated expertise in analyzing policy coverage, legal liability, and regulatory frameworks across jurisdictions
Proven ability to manage litigation strategy, direct counsel, and represent the company in trials, mediations, and arbitrations
Experience mentoring others and contributing to the development of investigative techniques, compliance protocols, and claims handling standards
Strong written and verbal communication skills; able to simplify complex information and handle sensitive issues with professionalism
Skilled in selecting appropriate communication channels and demonstrating empathy across diverse stakeholder groups
Ability to draft clear, factual, and objective work product without opinion
Highly organized with proven ability to manage complex workflows, projects, and competing priorities
Demonstrated time management and organizational skills; able to coach others in these areas
Deep understanding of insurance principles, coverage interpretation, and jurisdictional requirements
Strategic thinker with sound judgment; able to make informed decisions independently and assess financial implications
Expert in identifying and mitigating legal, regulatory, and reputational risks
Recognized for developing empathetic customer service strategies and delivering exceptional service
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)
Company
The Hanover Insurance Group
The Hanover Insurance Group, Inc., based in Worcester, Mass., is the holding company for several property and casualty insurance companies.
Founded in 1852
5001-10000 employees
Funding
Current Stage
Public CompanyTotal Funding
$500M2025-08-19Post Ipo Debt· $500M
1995-10-20IPO
Leadership Team
Mark Coderre
Vice President, Deputy CISO
Kate B. Williams
President, E&S
Recent News
2025-11-03
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