Senior Workers Compensation Claims Adjuster

🔥 1 hour ago

🏄 California – Remote

🏄 California – Remote

⏰ Full Time

🟠 Senior

📋 Claims Specialist

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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 a U. S. -based insurance company that provides personal and commercial insurance products and services. Hanover offers individual lines such as home, auto, motorcycle, umbrella, condominium, renters, and specialty coverages (collector cars, watercraft, valuable items), as well as comprehensive business products including business owner’s policies, commercial auto, workers' compensation, management liability, cyber, professional liability, property, surety, and industry-specific coverages for construction, healthcare, life sciences, retail, and more. The company supports customers and agents with claims services, policy management tools, educational resources, risk solutions, and an agent/broker distribution network. Hanover emphasizes customer service, preparedness resources, corporate responsibility, and agent support.

📋 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. • Execute jurisdictional compliance requirements and support others in understanding regulatory obligations. • Set reserves, authorize payments, and make financial decisions within authority. • Coordinate with internal and external stakeholders including legal, underwriting, vendors, and agents. • Lead cross-functional meetings and communicate complex information clearly to diverse audiences. • Use advanced tools and analytics to identify trends, correct inconsistencies, and improve claims handling efficiency. • Serve as a mentor to junior claim handlers, providing guidance on complex claims, compliance, and litigation processes. • 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. • 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. • 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

• Ability to use a personal computer and other standard office equipment. • Ability to sit and/or stand for extended periods. • Ability to travel as necessary.