Workers Comp Adjuster - Southeast

The Hanover has been committed to delivering on our promises for more than 170 years. We live our values daily through sustainability initiatives and an inclusive corporate culture. This role supports our Workers Compensation Lost Time Claims department, handling claims in Kentucky, North Carolina, South Carolina, Arkansas, Tennessee, Alabama, Georgia, Louisiana, and Florida. This is a remote, full-time, exempt position.

About the role

The Workers Compensation Claims Adjuster manages a caseload of moderately complex claims from intake through resolution. Responsibilities include conducting thorough investigations, assessing liability, negotiating settlements within defined authority limits, and maintaining clear communication with claimants, third parties, and legal representatives. The role requires strong analytical skills, sound judgment, and adherence to company policies and regulatory standards.

Responsibilities

• Manage a caseload of moderately complex casualty claims from intake through resolution.
• Conduct thorough investigations, assess liability, and evaluate damages using established procedures.
• Collaborate with underwriting, legal, and internal/external stakeholders to ensure comprehensive claim evaluation.
• Identify and refer potentially suspicious claims to the Special Investigations Unit.
• Apply comparative negligence laws and state-specific regulations to claim assessments.
• Set reserves, authorize payments, and demonstrate financial acumen within scope of authority.
• Utilize technology and data tools to enhance claims processing efficiency and accuracy.
• Communicate directly with claimants, legal representatives, and third parties to negotiate fair resolutions.
• Maintain detailed and compliant documentation of claim activities and communications.
• Participate in team collaboration, problem-solving discussions, and cross-functional coordination.
• Support subrogation efforts and risk transfer opportunities to benefit insureds and business partners.
• Handle sensitive communications professionally and translate complex information for diverse audiences.
• Mentor entry-level claim handlers and share best practices learned through training and experience.
• Attend ongoing training and education to maintain licensing and stay current on industry standards.
• Independently manage indemnity, medical, and basic arbitration or mediation components of claims with supervisory support.
• Possess or obtain and maintain appropriate state adjuster licenses.

Requirements

• Associate degree required; bachelor’s degree preferred or combination of education and experience.
• Typically has 1–4 years of relevant claims handling experience.
• Conduct independent analysis of contractual indemnification.
• Independently execute indemnity, medical, litigation/resolution management.
• Proficient with basic computer navigation; ability to use basic software systems/applications (Suite of MS Office Products) and the internet.
• Learn and handle negotiations independently within authority; understand common tactics for moderately complex claim resolution.
• Use judgment and effectively utilize the most suitable communication channel while displaying empathy toward all stakeholders.
• Knowledge of various types of insurance products and processes.
• Conduct thorough investigations; identify key issues and gather evidence.
• Provide effective, empathetic customer service; handle routine inquiries and issues.
• Ability to use a personal computer and other standard office equipment.
• Able to use all Microsoft Office products.
• Ability to sit and/or stand for extended periods.
• Required to work on-site as needed.
• Ability to travel as necessary.
• Ability to work in a fast-paced, changing, or stressful environment.
• Ability to perform work in a noisy/loud work environment.
• May be required to have and maintain a sufficient home-based internet connection.

Benefits

• Medical, dental, vision, life, and disability insurance.
• 401K with a company match.
• Tuition reimbursement.
• Paid time off (PTO).
• Company-paid holidays.
• Flexible work arrangements.
• Cultural Awareness Day in support of IDE.
• On-site medical/wellness center (Worcester only).

Career Development

Through on-the-job experiences, personalized coaching, and robust learning and development programs, we encourage growth and development at every level.