Sr Workers Comp Adjuster

Wells Media Group; Northern (KY); Hybrid; USD 90,000 - 130,000; Full time

Job summary

The Hanover is seeking a Senior Workers Compensation Adjuster for the California team in a fully remote role. You will manage moderate to complex, high-value casualty claims with minimal supervision, applying advanced investigative and negotiation skills to resolve disputes and protect our clients.

Responsibilities include guiding subrogation efforts, maintaining precise records, and ensuring compliance with regulatory standards, while coordinating with legal, underwriting, vendors, and agents.

Qualifications

• 5–10+ years of workers compensation claims handling experience.
• Must possess or obtain state adjuster licenses and CE credits.
• Strong negotiation and decision-making on high-exposure cases.

Responsibilities

• Independently manage moderate to complex, high-value casualty claims with minimal supervision.
• Lead investigations, assess coverage, and issue reservations of rights and coverage letters.
• Escalate issues as needed and coordinate with legal counsel and specialists.
• Identify subrogation opportunities and pursue favorable outcomes through negotiation and litigation management.
• Maintain thorough records, ensure regulatory compliance, and prepare reports.
• Set reserves, authorize payments within authority, and support reserving accuracy.
• Mentor junior claim handlers and contribute to training and best practices.

Skills

Negotiation

Claims handling

Regulatory compliance

Data analytics

Mentoring

Communication

Education

Bachelor's degree

Job description

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. 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.

POSITION OVERVIEW:

The Senior Workers Compensation Adjuster is responsible for managing moderate to complex and high-value casualty claims with minimal supervision. This role requires advanced investigative and negotiation skills to effectively resolve disputes and handle escalated situations. 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.

IN THIS ROLE, YOU WILL:

• 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. Escalate issues as needed.
• 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. Demonstrate strong financial acumen and contribute to reserving accuracy and efficiency.
• 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. 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.

WHAT YOU NEED TO APPLY:

• 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.
• Communicates clearly and effectively in both verbal and written formats across a variety of situations. Selects appropriate communication channels and consistently demonstrates empathy toward all stakeholders