For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we CARE through our values, Sustainability initiatives and inclusive corporate culture. Our Workers Comp Lost Time Claims department is seeking a Casualty Claims Consultant for the Northeast team, covering Maine, Vermont, New Hampshire, Massachusetts, Connecticut, and Rhode Island. This is a remote Full-time/Exempt role with field investigations. POSITION OVERVIEW: 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. IN THIS ROLE, YOU WILL: - 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 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. - 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. WHAT YOU NEED TO APPLY: - Associate degree required; bachelor's degree preferred or combination of education and experience. - Typically has 1-4 years of relevant claims handling experience. - Must possess or obtain and maintain appropriate state adjuster licenses. - 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. - Use judgement and effectively utilize the most suitable communication channel while displaying empathy towards 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 sufficient home-based internet connection. This job posting provides cursory examples of some of the job duties associated with this position. The examples provided are not complete, and the position may entail other essential and job-related functions and responsibilities that employees will be required to perform. CAREER DEVELOPMENT: It’s not just a job, it’s a career, and we are here to support you every step of the way. We want you to be successful and fulfilled. Through on-the-job experiences, personalized coaching and our robust learning and development programs, we encourage you – at every level – to grow and develop. BENEFITS: We offer comprehensive benefits to help you be healthy, build financial security, and balance work and home life. At The Hanover, you’ll enjoy what you do and have the support you need to succeed. Benefits include: - Medical, dental, vision, life, and disability insurance - 401K with a company match - Tuition reimbursement - PTO - Company paid holidays - Flexible work arrangements - Cultural Awareness Day in support of IDE - On-site medical/wellness center (Worcester only) - Click here for the full list of Benefits EEO statement: 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:HRServices@hanover.com and include the link of the job posting in which you are interested. Privacy Policy: To view our privacy policy and online privacy statement, click here. Applicants who are California residents: To see the types of information we may collect from applicants and employees and how we use it, please click here. Compensation: 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. The posted range reflects our ability to hire at different position titles and levels depending on background and experience.

• Provide technical supervision and guidance for BI and PIP claims handled by TPAs • Apply advanced knowledge to oversee rideshare claims, including coverage analysis and litigation management • Drive optimal claim outcomes by controlling indemnity, expense, and litigation costs • Conduct regular audits of TPA-managed claims • Review claims data, reserve adequacy, and performance metrics to identify trends • Stay informed on evolving rideshare regulations, policy changes, and litigation developments • Perform other related tasks as assigned

At Coaction, we’re a unique mix of leaders, achievers, thinkers, and team players with a high-performance mindset and a diverse skillset. We bring our industry expertise together to continually push the boundaries of what insurance can be for our clients. Equal Opportunity Employer Coaction is an Equal Employment Opportunity employer. Coaction’s policy is not to discriminate against any applicant or employee based on race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, and genetic information, or any other basis protected by applicable law. Coaction also prohibits harassment of applicants or employees based on any of these protected categories. If your application is selected, you will receive an email directly from the Coaction Recruiting Team at coaction@myworkday.com asking you to contact a member of the Coaction Recruiting Team. Any other method of contact may be fraudulent.

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Adjudication Associate (Omnicare) is responsible for the preparation and submission of claims for accounts to ensure timely reimbursements. This person will communicate with the nursing facility staff, physician offices, and insurance companies to maintain payment deliverables for online claim submissions. Responsibilities: - Follows established procedures to execute routine business support tasks for the Adjudication Omnicare function under general supervision. - Develops effective relationships with all team members to ensure daily communication to resolve issues and prevent delays in service. - Conducts review and research of rejected claims and takes action for resolution. - Handles work backlog of denied claims for timely resubmission. - Ensures compliance with all government and regulatory requirements. - Takes direction to execute techniques, processes, and responsibilities. Required Qualifications - At least 1 year of experience in customer service. - Basic proficiency with desktop software applications, particularly Microsoft Excel and Microsoft Access. - Must be able to work Monday-Friday from 9:00pm-5:30am Eastern Standard Time, as well as be willing to work weekends (rotating regularly) and holidays (several times per year). Preferred Qualifications - Pharmacy technician certification. - Previous experience in managed care and Medicaid and/or Medicare organizations. - Ability to perform multiple tasks effectively. - Ability to work both independently and as part of a team. - Ability to operate independently. - Dedicated and reliable nature. Education - High school diploma or GED. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $17.00 - $34.15 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: - Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. - No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. - Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 03/22/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.