Sr California Workers Compensation Adjuster

The Hanover Insurance Group; California City (CA); Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

Tuition reimbursement

Flexible work arrangements

Job summary

The Hanover Insurance Group is seeking a Senior Workers' Compensation Adjuster for the California team in a fully remote, exempt position. You will independently manage moderate to complex, high-value casualty claims, work with legal and technical experts, and lead strategic negotiations and litigation management.

Preferred candidates hold 5-10+ years of workers' comp experience, possess state adjuster licenses, and excel in complex negotiations, regulatory compliance, and mentorship of junior

Qualifications

• 5-10+ years of workers' compensation claims handling with an insurance carrier.
• 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 on high-exposure cases.
• Highly organized with the ability to manage complex workflows and participate in project work.
• Provides exceptional, empathetic customer service and handles escalated claims with professionalism.

Responsibilities

• Independently manage moderate to complex, high-value casualty claims with minimal supervision.
• Represent the company in claims litigation forums and ensure regulatory compliance.
• Set reserves, authorize payments, and make financial decisions within authority.
• Coordinate with internal and external stakeholders including legal, underwriting, vendors, and agents; use analytics to identify trends and improve handling efficiency.
• Mentor junior claim handlers and contribute to training initiatives.

Skills

Negotiation skills

Regulatory knowledge

Mentoring

Organization

Communication

Education

Bachelor's degree preferred

Job description

We live our values every day, demonstrating we CARE through our values, Sustainability initiatives and inclusive corporate culture. Our Workers Compensation Lost Time Claims department is seeking a Senior Workers Compensation Adjuster for the California team. This is a Full-time/Exempt role with a fully remote schedule.

The Senior Workers Compensation Adjuster is responsible for managing moderate to complex and high-value casualty claims with minimal supervision. The Consultant works closely with internal and external experts, including legal counsel and technical specialists, to ensure thorough claim evaluation and resolution.

Key responsibilities include representing the company in various forums related to claims litigation, maintaining a high standard of professionalism, and ensuring compliance with regulatory and company standards. The role demands strategic thinking, sound judgment, and the ability to navigate sensitive and high-impact claim scenarios.

Independently manage moderate to complex, high-value casualty claims, ensuring thorough analysis and resolution. 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. Execute jurisdictional compliance requirements and support others in understanding regulatory obligations.

Set reserves, authorize payments, and make financial decisions within authority. Demonstrate strong financial acumen and contribute to reserving accuracy and efficiency.

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. Ensure proper data ingestion, labeling, and protection of personally identifiable information (PII).

Serve as a mentor to junior claim handlers, providing guidance on complex claims, compliance, and litigation processes. Support training initiatives and contribute to the development of best practices and educational materials.

Bachelor's degree preferred, or a combination of education and equivalent experience.

• 5-10+ years of workers compensation claims handling experience with an insurance carrier.
• 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.
• Highly organized with the ability to manage complex workflows and participate in project work. Possesses in-depth understanding of the regulatory environment and jurisdictional requirements. Handles complex compliance issues and mentors others on regulatory standards.
• Provides exceptional, empathetic customer service. Effectively manages escalated claims and sensitive customer concerns with professionalism and clarity.
• Ability to use a personal computer and other standard office equipment.
• Required to work on-site as needed.
• Ability to travel as necessary.
• May be required to have and maintain sufficient home-based internet connection.

LI-Remote

Through on-the-job experiences, personalized coaching and our robust learning and development programs, we encourage you - at every level - to grow and develop.

We offer comprehensive benefits to help you be healthy, build financial security, and balance work and home life. Medical, dental, vision, life, and disability insurance

• Tuition reimbursement
• Company paid holidays
• Flexible work arrangements
• On-site medical/wellness center (Worcester only)
• The Hanover values diversity in the workplace and among our customers. The company provides equal opportunity for employment and promotion to all qualified employees and applicants on the basis of experience, training, education, and ability to do the available work without regard to race, religion, color, age, sex/gender, sexual orientation, national origin, gender identity, disability, marital status, veteran status, genetic information, ancestry or any other status protected by law.

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: Policy:

Applicants who are California residents: The target hiring range for this role may vary based on geographic location and other factors, including merit or performance, demonstrated proficiency, skills for the role, education, travel requirements, and experience. Additional compensation may include an annual bonus (which could take the form of a general bonus, sales incentive, or short-term incentive), long-term incentive or spot recognition awards.