Jobs · Finance

Sr California Workers Compensation Adjuster

The Hanover Insurance Group · Sacramento, CA · 1 mo ago
RemoteRemoteFinanceFull-time
We need to output HTML fragment with sections: About the role? The posting includes overview and responsibilities. Use

for section headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections with real specific content. We need to preserve all substantive info, no boilerplate. Remove EEO, legal, application instructions, etc. We need to extract: - Overview: "For more than 170 years..." maybe part of About the role? Could be company description. Could be part of About the role. - POSITION OVERVIEW: description. - IN THIS ROLE, YOU WILL: list of duties. - WHAT YOU NEED TO APPLY: qualifications/requirements. - BENEFITS: list. - Schedule: "Full-time/Exempt role with a schedule that is either hybrid at our Roseville office or fully remote." - Pay: "Compensation: The target hiring range for this role may vary..." This is vague; but it's still compensation info. However rule: do NOT create Pay section unless posting actually states them. It does state compensation info, albeit vague. Should we include? It says "The target hiring range for this role may vary based on geographic location and other factors..." That's not a specific range, but it's still compensation info. The rule: never emit a heading followed by filler/placeholder text (e.g., "commensurate with experience", "not specified", "N/A", "varies", "TBD") and never create Pay/Schedule/Benefits sections unless the posting actually states them. Here compensation is stated but vague: "may vary". That's like "varies". Might be considered filler. Safer to omit Pay section because it's not a concrete range. The instruction: never create Pay/Schedule/Benefits sections unless the posting actually states them. It does state compensation but it's vague. I'd interpret that as not sufficient to create a Pay section. So omit Pay. Schedule: we have explicit schedule: Full-time/Exempt role with schedule either hybrid at Roseville office or fully remote. That's specific enough. So include Schedule section. Benefits: we have list: 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). That's specific. Include Benefits. Now sections: About the role (company overview + position overview). Responsibilities (list from IN THIS ROLE, YOU WILL). Requirements (WHAT YOU NEED TO APPLY). Qualifications? Could be overlapping with Requirements. The instruction: prefer few substantive sections over many thin ones. Could combine Requirements and Qualifications into one? But we have headings list; we can include Requirements and maybe Qualifications if distinct. The posting includes education, experience, licenses, skills. That's more like Requirements/Qualifications. Could make a single section "Requirements" covering all. Or we could have "Requirements" and "Qualifications" but they'd be similar. Better to have one section "Requirements". Also Skills could be separate but many skills listed in requirements. Could combine. Thus sections: About the role, Responsibilities, Requirements, Benefits, Schedule. Check if any other sections like "Skills" needed separate? The posting includes many skill items; but they are within requirements. We'll keep them inside Requirements. Now format: Use

for each heading. Use
  • for any list of duties/requirements/benefits. Use

    for prose. We need to preserve all substantive information; do not invent or summarize away detail. Let's extract prose for About the role: combine company description and position overview. Company description: "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 Compensation Lost Time Claims department is seeking a Senior Workers Compensation Adjuster for the California team." Position overview: "The Senior Workers Compensation Adjuster is responsible for managing moderate to complex and high-value casualty claims with minimal supervision. This role requires advanced investigative and negotiation skills to effectively resolve disputes and handle escalated situations. The Consultant works closely with internal and external experts, including legal counsel and technical specialists, to ensure thorough claim evaluation and resolution. Key responsibilities include representing the company in various forums related to claims litigation, maintaining a high standard of professionalism, and ensuring compliance with regulatory and company standards. The role demands strategic thinking, sound judgment, and the ability to navigate sensitive and high-impact claim scenarios." We can combine into a few paragraphs. Now Responsibilities: list from "IN THIS ROLE, YOU WILL:" each bullet. Let's extract each bullet: - Independently manage moderate to complex, high-value casualty claims, ensuring thorough analysis and resolution. - Lead thorough investigations, assess coverage, and issue appropriate documentation including reservation of rights and coverage letters. - Escalate issues as needed. - Identify opportunities to transfer risk and pursue subrogation. - Proactively resolve disputes, deescalate sensitive situations, and ensure optimal claim outcomes through strategic negotiation and litigation management. - Ensure all 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. - Demonstrate strong financial acumen and 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). - Serve as a mentor to junior claim handlers, providing guidance on complex claims, compliance, and litigation processes. - Support training initiatives and contribute to the development of best practices and educational materials. Now Requirements: from "WHAT YOU NEED TO APPLY:" list. Let's extract each: - Bachelor’s degree preferred, or a combination of education and equivalent experience. - 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 in both verbal and written formats across a variety of situations. - Selects appropriate communication channels and consistently demonstrates empathy toward all 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. - Possesses in-depth understanding of the regulatory environment and jurisdictional requirements. - Handles complex compliance issues and mentors others on regulatory standards. - Provides exceptional, empathetic customer service. - Effectively manages escalated claims and sensitive customer concerns with professionalism and clarity. - Ability to use a personal computer and other standard office equipment. - 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. Also note: "This job posting provides cursory examples..." that's boilerplate; we should drop. Now Benefits: list. - 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) Now Schedule: "Full-time/Exempt role with a schedule that is either hybrid at our Roseville office or fully remote." We could phrase as a paragraph. Now output HTML fragment. We must not include or . Just the fragment. Let's craft:

    About the role

    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 Compensation Lost Time Claims department is seeking a Senior Workers Compensation Adjuster for the California team.

    The Senior Workers Compensation Adjuster is responsible for managing moderate to complex and high-value casualty claims with minimal supervision. This role requires advanced investigative and negotiation skills to effectively resolve disputes and handle escalated situations. The Consultant works closely with internal and external experts, including legal counsel and technical specialists, to ensure thorough claim evaluation and resolution. Key responsibilities include representing the company in various forums related to claims litigation, maintaining a high standard of professionalism, and ensuring compliance with regulatory and company standards. The role demands strategic thinking, sound judgment, and the ability to navigate sensitive and high-impact claim scenarios.

    Responsibilities

    • Independently manage moderate to complex, high-value casualty claims, ensuring thorough analysis and resolution.
    • Lead thorough investigations, assess coverage, and issue appropriate documentation including reservation of rights and coverage letters.
    • Escalate issues as needed.
    • Identify opportunities to transfer risk and pursue subrogation.
    • Proactively resolve disputes, deescalate sensitive situations, and ensure optimal claim outcomes through strategic negotiation and litigation management.
    • Ensure all 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.
    • Demonstrate strong financial acumen and 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).
    • Serve as a mentor to junior claim handlers, providing guidance on complex claims, compliance, and litigation processes.
    • Support training initiatives and contribute to the development of best practices and educational materials.

    Requirements

    • Bachelor’s degree preferred, or a combination of education and equivalent experience.
    • 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 in both verbal and written formats across a variety of situations.
    • Selects appropriate communication channels and consistently demonstrates empathy toward all 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.
    • Possesses in-depth understanding of the regulatory environment and jurisdictional requirements.
    • Handles complex compliance issues and mentors others on regulatory standards.
    • Provides exceptional, empathetic customer service.
    • Effectively manages escalated claims and sensitive customer concerns with professionalism and clarity.
    • Ability to use a personal computer and other standard office equipment.

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