Senior CA WC Claims Expert - Remote

The Hanover Insurance Group; Las Vegas (NV); Remote; USD 100,000 - 130,000; Full time

Benefits offered by this job

Medical, dental, vision, life, and dis

401K with company match

Tuition reimbursement

PTO

Company paid holidays

Job summary

The Hanover Insurance Group is seeking a Senior Workers Compensation Adjuster to join the California team in a fully remote capacity. You will manage moderate to complex, high-value casualty claims with minimal supervision and leverage advanced investigative and negotiation skills.

The role requires license compliance and 5–10+ years of workers' compensation experience, strong decision-making, and mentoring of junior staff.

Qualifications

• Bachelor’s degree preferred or equivalent experience.
• 5–10+ years of workers compensation claims handling with an insurer.
• Must possess or obtain state adjuster licenses and continuing education credits.
• Strong negotiation, judgment, and regulatory/compliance skills.

Responsibilities

• Independently manage moderate to complex, high-value casualty claims with minimal supervision.
• Lead investigations, assess coverage, and issue documentation including reservation of rights and coverage letters.
• Identify opportunities to transfer risk and pursue subrogation; negotiate and manage litigation as needed.
• Ensure claims activities comply with regulatory and company standards and maintain detailed records and reports.
• Set reserves, authorize payments, and make financial decisions within authority.
• Coordinate with legal, underwriting, vendors, and agents; lead cross-functional meetings.
• Use analytics to identify trends and protect PII while improving handling efficiency.

Skills

Negotiation skills

Regulatory knowledge

Communication

Mentoring

Organizational skills

Investigative skills

Financial acumen

Education

Bachelor's degree

Job description

The Hanover Insurance Group is seeking a Senior Workers Compensation Adjuster to join the California team in a fully remote capacity. You will manage moderate to complex, high-value casualty claims with minimal supervision and leverage advanced investigative and negotiation skills.

The role requires license compliance and 5–10+ years of workers' compensation experience, strong decision-making, and mentoring of junior staff.