Senior Medical Liability Claims Strategist (Remote)

Hanover Insurance Group, Inc.; Worcester (MA); Hybrid; USD 120,000 - 180,000; Full time

Benefits offered by this job

Remote work flexibility

Job summary

The Hanover Insurance Group, Inc. is seeking a Medical Professional Liability Claims Consultant to manage the full lifecycle of highly complex elder care and medical malpractice claims, with the option to work remotely.

This senior role emphasizes expert negotiation, coverage analysis, and cross‑functional collaboration to resolve high‑value exposures. Responsibilities include leading investigations, optimizing settlements, coordinating with internal and external experts, and ensuring regulatory

Qualifications

• Bachelor’s degree preferred; equivalent experience accepted, with 8+ years of relevant work experience required.
• JD preferred or equivalent legal/claims experience; Industry designations 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.
• Strong written and verbal communication skills; able to simplify complex information and handle sensitive issues with professionalism.

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 to ensure thorough evaluations and resolution.
• Identify and pursue risk transfer opportunities; manage suspicious claims and refer to Special Investigation Unit as needed.
• Ensure compliance across jurisdictions including licensing, forms, deadlines, and accounting; maintain accurate and complete claim records.
• Protect 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.
• 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.

Skills

Negotiation

Analytical thinking

Communication

Leadership

Education

Bachelor's degree

JD

CPCU

AIC

Job description

The Hanover Insurance Group, Inc. is seeking a Medical Professional Liability Claims Consultant to manage the full lifecycle of highly complex elder care and medical malpractice claims, with the option to work remotely.

This senior role emphasizes expert negotiation, coverage analysis, and cross‑functional collaboration to resolve high‑value exposures. Responsibilities include leading investigations, optimizing settlements, coordinating with internal and external experts, and ensuring regulatory