Sr Workers Comp Adjuster

Hanover Insurance Group•Chicago, IL

5d•Remote

About The Position

The Senior Workers Compensation Claims Adjuster manages moderate to complex, high-value casualty claims with minimal supervision. The role requires advanced investigative, negotiation, and litigation-management skills to resolve disputes and escalated situations. The adjuster works with internal and external experts, including legal counsel and technical specialists, to evaluate and resolve claims, and represents the company in claim-related forums. The position calls for strategic thinking, sound judgment, professionalism, and compliance with regulatory and company standards. This is a remote, full-time, exempt role on the Central region team, handling claims in Iowa, Illinois, Indiana, Michigan, Nebraska, and South Dakota. The position may require on-site work as needed and travel as necessary.

Requirements

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.
Demonstrates sound judgment and decision-making on high-exposure cases, including litigation and compliance matters.
Communicates clearly and effectively verbally and in writing across varied situations; selects appropriate communication channels and demonstrates empathy toward stakeholders.
Highly organized, with the ability to manage complex workflows and participate in project work.
Demonstrates strong time-management and desk-management skills, and mentors others in these areas.
In-depth understanding of the regulatory environment and jurisdictional requirements; able to handle complex compliance issues and mentor others on regulatory standards.
Provides exceptional, empathetic customer service and effectively manages escalated claims and sensitive customer concerns with professionalism and clarity.
Able to use a personal computer and other standard office equipment.
Able to sit and/or stand for extended periods.
Able to work in a fast-paced, changing, or stressful environment and in a noisy/loud work environment.
May be required 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 appropriate documentation such as reservation-of-rights and coverage letters, and escalate issues as needed.
Identify opportunities to transfer risk and pursue subrogation.
Resolve disputes proactively, de-escalate sensitive situations, and pursue optimal outcomes through strategic negotiation and litigation management.
Ensure 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; 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).
Mentor junior claim handlers on complex claims, compliance, and litigation processes.
Support training initiatives and contribute to best practices and educational materials.
Represent the company in forums related to claims litigation.