Senior Workers Compensation Claims Adjuster

🔥 30 minutes ago

🏄 California – Remote

🏄 California – Remote

⏰ Full Time

🟠 Senior

📋 Claims Specialist

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The Hanover Insurance Group

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1852

🛡️ Insurance

🤝 B2B

👥 B2C

🔥 Funding within the last year

💰 $500M Post-IPO Debt - The Hanover Insurance Group on 2025-08

Insurance • B2B • B2C

The Hanover Insurance Group is an American property and casualty insurance company based in Worcester, Massachusetts. It provides both personal lines (home, auto, umbrella, renters, watercraft, collector cars, motorcycles, valuable items, and bundled policies) and commercial lines (business owner’s policies, general and professional liability, workers’ compensation, cyber, management liability, marine, property, surety, umbrella and industry-specific coverages). Hanover distributes through local agents and broker channels, offers claims services, risk solutions, education and prevention resources, and emphasizes corporate responsibility and customer support for individuals and businesses across a wide set of industries.

📋 Description

• Independently manage moderate to complex, high-value casualty claims, ensuring thorough analysis and resolution • Lead thorough investigations, assess coverage, and issue appropriate documentation including reservation of rights and coverage letters • 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 • Ensure all claims activities comply with regulatory and company standards • Maintain accurate, detailed records and prepare comprehensive reports • Set reserves, authorize payments, and make financial decisions within authority • Coordinate with internal and external stakeholders including legal, underwriting, vendors, and agents • Use advanced tools and analytics to identify trends, correct inconsistencies, and improve claims handling efficiency • Serve as a mentor to junior claim handlers • Deliver empathetic, clear communication throughout the claims process

🎯 Requirements

• Bachelor’s degree preferred, or a combination of education and equivalent experience • Typically requires 5–10 years of claims handling experience • Must possess or obtain and maintain appropriate state adjuster licenses and continuing education credits • 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 both verbal and written formats across a variety of situations • 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 • Makes informed decisions based on thorough analysis of complex issues • Highly skilled in investigating complex cases and collaborating with internal and external experts • Possesses in-depth understanding of the regulatory environment and jurisdictional requirements • Provides exceptional, empathetic customer service

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development • Continuing education credits • Equipment allowances