Liability Claims Adjuster - Remote Home Based Worker

Workers Compensation Claims Adjuster - Southeast

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 Casualty Claims Consultant for the Southeast team. This is a remote Full-time/Exempt role.
The Consultant Casualty Claims is responsible for managing a caseload of moderate complexity claims from start to finish. This includes 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 throughout the claims process .
Manage a caseload of moderately complex casualty claims from intake through resolution.
Collaborate with underwriting, legal, and internal/external stakeholders as needed 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.
Support subrogation efforts and risk transfer opportunities to benefit insureds and business partners.
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.
Must possess or obtain and maintain appropriate state adjuster licenses.
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 use of internet.
Learn and handle negotiations independently within authority, understand common tactics for moderately complex claim resolution.
Knowledge of various types of insurance products and processes.
Provide effective empathetic customer service; Ability to use a personal computer and other standard office equipment.
Able to use all Microsoft office products
Required to work on-site as needed.
Ability to travel as necessary.
May be required to have and maintain sufficient home-based internet connection .
Through on-the-job experiences, personalized coaching and our robust learning and development programs, we encourage you – at every level – to grow and develop.
We offer comprehensive benefits to help you be healthy, build financial security, and balance work and home life. Medical, dental, vision, life, and disability insurance
~On-site medical/wellness center (Worcester only)

The Hanover values diversity in the workplace and among our customers. The company provides equal opportunity for employment and promotion to all qualified employees and applicants on the basis of experience, training, education, and ability to do the available work without regard to race, religion, color, age, sex/gender, sexual orientation, national origin, gender identity, disability, marital status, veteran status, genetic information, ancestry or any other status protected by law. Furthermore, The Hanover Insurance Group is committed to providing an equal opportunity workplace that is free of discrimination and harassment based on national origin, race, color, religion, gender, ancestry, age, sexual orientation, gender identity, disability, marital status, veteran status, genetic information or any other status protected by law. As an equal opportunity employer, Hanover does not discriminate against qualified individuals with disabilities. Individuals with disabilities who wish to request a reasonable accommodation to participate in the job application or interview process, or to perform essential job functions, should contact us at: View email address on click.appcast.io Policy:
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Applicants who are California residents: The target hiring range for this role may vary based on geographic location and other factors, including merit or performance, demonstrated proficiency, skills for the role, education, travel requirements, and experience. Additional compensation may include an annual bonus (which could take the form of a general bonus, sales incentive, or short-term incentive), long-term incentive or spot recognition awards.