Sr Workers Comp Adjuster

Hanover Insurance Group•Itasca, IL

5d•Hybrid

About The Position

The Senior Workers Compensation Claims Adjuster manages moderate-to-complex and high-value casualty claims with minimal supervision for the Workers Compensation Lost Time Claims department’s Central region team, which handles claims in Iowa, Illinois, Indiana, Michigan, Nebraska, and South Dakota. The role requires advanced investigative and negotiation skills to resolve disputes and manage escalated situations. The adjuster works with internal and external experts, including legal counsel and technical specialists, and represents the company in forums related to claims litigation. The position requires sound judgment, strategic thinking, professionalism, and compliance with regulatory and company standards. This is a hybrid, full-time, exempt role reporting to the Worcester, Massachusetts; Itasca, Illinois; or Farmington Hills, Michigan office. The role may require on-site work as needed and travel as necessary.

Requirements

Typically 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.
Sound judgment and decision-making on high-exposure cases, including litigation and compliance matters.
Clear and effective verbal and written communication across a variety of situations, with appropriate communication-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 issues.
Exceptional, empathetic customer service and ability to manage escalated claims and sensitive customer concerns professionally and clearly.
Ability to use a personal computer and standard office equipment.
Ability to sit and/or stand for extended periods.
Ability to work in a fast-paced, changing, or stressful environment and in a noisy or loud work environment.
Ability to travel as necessary.
Required to work on-site as needed.
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 risk-transfer opportunities and pursue subrogation.
Resolve disputes proactively, de-escalate sensitive situations, and pursue optimal claim 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.
Mentor junior claim handlers on complex claims, compliance, and litigation processes.
Support training initiatives and contribute to best practices and educational materials.