Sr Workers Comp Adjuster

The Hanover Insurance Group•St. Louis, MO

1d•$70,000 - $95,000•Remote

About The Position

The Hanover is seeking a Senior Workers Compensation Claims Adjuster for its Central region Workers Compensation Lost Time Claims team, which handles claims in Iowa, Illinois, Indiana, Michigan, Nebraska, and South Dakota. This is a remote, full-time, exempt role. The Senior Adjuster independently manages moderate-to-complex and high-value casualty claims with minimal supervision, conducting advanced investigations and negotiations and working with internal and external experts, including legal counsel and technical specialists, to evaluate and resolve claims. The role represents the company in claim-related forums, handles escalated and sensitive situations, and ensures claims comply with regulatory and company standards. It also includes mentoring junior claim handlers and contributing to training and best practices. The posting notes that duties may include other essential, job-related functions and responsibilities beyond the examples provided.

Requirements

Typically 5–10 years of claims-handling experience.
Possess, or obtain and maintain, appropriate state adjuster licenses and continuing education credits.
Skill in negotiating complex claims and developing strategies to influence outcomes.
Sound judgment and decision-making on high-exposure cases, including litigation and compliance matters.
Clear and effective verbal and written communication across varied situations, with appropriate channel selection and empathy toward stakeholders.
Strong organization, time management, and desk management skills; ability to manage complex workflows and participate in project work.
In-depth understanding of the regulatory environment and jurisdictional requirements, including the ability to handle complex compliance matters and mentor others.
Ability to provide empathetic customer service and professionally manage escalated claims and sensitive customer concerns.
Ability to use a personal computer and standard office equipment.
Ability to sit and/or stand for extended periods.
Ability to work on-site as needed and travel as necessary.
Ability to work in a fast-paced, changing, or stressful environment and in a noisy or loud work environment.
May need to have and maintain a sufficient home-based internet connection.

Nice To Haves

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

Responsibilities

Independently manage moderate-to-complex, high-value casualty claims, ensuring thorough analysis and resolution.
Lead investigations, assess coverage, issue reservation-of-rights and coverage letters, and escalate issues as needed.
Identify risk-transfer and subrogation opportunities.
Resolve disputes, deescalate sensitive situations, and pursue optimal outcomes through strategic negotiation and litigation management.
Ensure claims activities comply with regulatory and company standards; maintain 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 legal, underwriting, vendors, agents, and other stakeholders; lead cross-functional meetings and communicate complex information clearly.
Use advanced tools and analytics to identify trends, correct inconsistencies, and improve claims-handling efficiency.
Ensure appropriate data ingestion and labeling and protect personally identifiable information.
Mentor junior claim handlers on complex claims, compliance, and litigation processes.
Support training initiatives and contribute to best practices and educational materials.