1 Claims Auditor Job in Worcester, MA
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The Hanover Insurance Group is Hiring a Claims Auditor Near Worcester, MA
Our Claims Quality team is currently seeking a Claims Auditor to join our growing team. This is a full time, exempt role. This role is eligible for a fully remote arrangement. POSITION OVERVIEW:
Conducts workgroup audits to identify trends that are affecting claim department performance and to measure and report workgroup adherence to best practices and results related to quality, leakage, compliance and brand behavior.
IN THIS ROLE, YOU WILL:
- Conduct file reviews to measure and report adherence to best practices and results related to the quality of file handling, leakage, compliance with state regulations and representation of the Hanover / Citizens brand
- Gather workgroup data / information to allow analysis of the various factors which might be driving workgroup performance or acting as predictors of workgroup performance
- Complete a performance summary for each file audited; requires management direction, review and oversight
- Collaborate with the claim training organization to develop and revise training programs
- Assist in planning, preparing and presenting the quarterly audit summary; including trends, findings and outcomes to Claim Senior Leadership
- Responsible for written audit reports provided to the Claim Senior Leadership; requires review and assistance from management
- Identify best practice concerns and recommend modifications for improvement
- Provide effective line of business feedback on adequacy of best practices
- Moderate coaching and guidance is required
- May provide technical advice to associates and other functional areas
- Bachelor's degree or equivalent training.
- 3 - 5 years of experience in the field
- Demonstrated ability to handle claims effectively in accordance with department best practices, state regulatory requirements and expectations of the Hanover / Citizens brand
- Sound judgment regarding the quality of file handling, existence of leakage, compliance with state regulation, representation of the Hanover / Citizens brand and the sharing of information
- A high degree of initiative and effective organization and time management skills
- An solid understanding of the organizational relationships within the company and the claim related needs other functional areas
- Strong leadership, negotiation, conflict resolution, written and verbal communication skills and ability to work effectively with front line staff and management
- Possesses the potential to move to a leadership or senior technical position
- College degree preferred - advanced degree a plus
- Adequate claim adjusting experience to demonstrate the required competency
- Computer experience (MS Office, excel, word, etc.)
- Proficient using Claims systems (i.e. CSS, PMS, HCS etc.)
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
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.
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 .Apply Now
Job Summary
Full Time
Insurance
$51k-64k (estimate)
07/26/2024
07/31/2024
hanover.com
WORCESTER, MA
3,000 - 7,500
1852
FREDERICK EPPINGER
$3B - $5B
Insurance
Related Companies
The job skills required for Claims Auditor include Time Management, Initiative, Planning, etc. Having related job skills and expertise will give you an advantage when applying to be a Claims Auditor. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Claims Auditor. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Claims Auditor positions, which can be used as a reference in future career path planning. As a Claims Auditor, it can be promoted into senior positions as a Claims Quality Auditor III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Claims Auditor. You can explore the career advancement for a Claims Auditor below and select your interested title to get hiring information.
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