TRISTAR Insurance Group

• Effectively manages a caseload of 150 or fewer workers’ compensation files, including complex claims. • Initiates and investigates promptly. • Determines compensability of claims and administers benefits based upon state law and following established Company guidelines. • Manages medical treatment and medical billing, authorizing as appropriate. • Refers cases to outside defense counsel. Directs and manages as appropriate. • Communicates with claimants, providers, and vendors regarding claims issues. • Computes and sets reserves within Company guidelines. • Settles and finalizes all claims and obtains authority as designated. • Maintains diary system for case review and documents file to reflect the status and work performed on the file. • Communicates appropriate information promptly to the client to resolve claims efficiently, including any injury trends or other safety-related concerns. • Involves TRISTAR loss control staff when appropriate. • Adheres to all Company policies and procedures. • Conducts file reviews independently.

• Responsible for the prompt review of policy information to determine coverage for loss/damage/injury • Conduct an efficient claim examination and investigation leading to the final resolution of liability claims • Frequent contact and interaction with involved parties including claimants and their legal representatives • Maintain an ongoing diary and prepare Loss Reports providing thorough analysis of coverage, liability, and damages.

• Perform Workers Compensation, subrogation and recovery tasks within the claims handling guidelines and in accordance with established Best Practices. • Identify subrogation opportunities through review of loss information and FNOL data. • Place carriers on notice of subrogation. • Perfect the lien and manage contact with claimants and their legal representatives. • Obtain documents supporting subrogation from clients. • Submit demands for subrogation. • Affect subrogation recovery. • Set reserves, post recoveries, track financial elements. • Mentor team members pursuant to subrogation best practices to enhance technical knowledge and efficiency. • Collaborate with leadership and legal counsel on litigation, arbitration, and mediation strategies.

• Effectively manages a caseload of 150 or fewer workers’ compensation files • Initiates and investigates promptly • Determines compensability of claims and administers benefits based upon state law • Manages medical treatment and medical billing, authorizing as appropriate • Communicates with claimants, providers, and vendors regarding claims issues • Computes and sets reserves within Company guidelines • Maintains diary system for case review • Communicates appropriate information promptly to the client to resolve claims efficiently • Adheres to all Company policies and procedures • Conducts file reviews as scheduled by the client and management

• Effectively manages a caseload of 150 to 180 workers’ compensation files. • Initiates and conducts claims investigation in a timely manner. • Determines compensability of claims and administers benefits, based upon state law and in accordance with established Company guidelines. • Manages medical treatment and medical billing, authorizing as appropriate. • Communicates with claimants, providers, and vendors regarding claims issues. • Computes and sets reserves within Company guidelines. • Maintains a diary system for case review and document file to reflect the status of and work being performed on the file. • Communicates appropriate information promptly to the client to resolve claims efficiently, including any injury trends or other safety-related concerns. • Involves TRISTAR loss control staff when appropriate. • Adheres to all Company policies and procedures. • Participates in file reviews, as needed.

• Manage and resolve support tickets within established response time targets. • Maintain high ticket throughput while ensuring quality is not compromised. • Strive for First Contact Resolution (FCR) to minimize user downtime and reduce escalation volume. • Perform deep-dive technical troubleshooting to identify root causes of system issues. • Ensure all escalations to Level 2 or developments are accurate and comprehensive, including: Clear reproduction steps, Detailed impact analysis, Severity levels and relevant system logs, Testing enhancements and bugs for monthly releases.

• Manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines. • Effectively manages a caseload of 150 workers’ compensation files, including very complex claims. • Determines compensability of claims and administers benefits. • Manages medical treatment and medical billing, authorizing as appropriate. • Settles and/or finalizes all claims and obtains authority as designated. • Communicates appropriate information promptly to the client to resolve claims efficiently.

• Responsible for the prompt review of policy information including all relevant endorsements and vehicle schedules to determine coverage for loss/damage/injury. • Conduct and efficient claim examination and investigation leading to the final resolution of liability claims, including matters in litigation. • Frequent contact and interaction with involved parties including claimants and their legal representatives will be required. • Recommendations regarding loss exposure and associated reserve and settlement strategy will be effectively communicated to the client. • Review, process and conclude assigned claims including investigation and evaluation complex Commercial Auto and General Liability Casualty Claims. • Review and interpret policies, coverage determination. • Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to advance the claim to conclusion. • Maintain an ongoing diary. • Continually assess exposure and evaluate for accurate reserves and settlement recommendation. • Prepare Loss Reports providing thorough analysis of liability and damages. • Where applicable, determine if subrogation and/or risk transfer exists and initiate recovery efforts at the direction of the client. • Document all correspondence, reports, discussions and decisions in the claim file record. • Provide outstanding service to the client. • Assist Supervisors and Claim Department with requested tasks or special projects. • Other duties as assigned.

• Responsible for the prompt review of policy information to determine coverage for loss/damage/injury. • Conduct an efficient claim examination and investigation leading to the final resolution of liability claims, including matters in litigation. • Frequent contact and interaction with involved parties including claimants and their legal representatives. • Recommendations regarding loss exposure and associated reserve and settlement strategy communicated to the client. • Review and interpret coverage, process, and conclude assigned Personal Injury Protection (PIP) claims including investigation and evaluation of Auto and/or General Liability Casualty Claims in the jurisdiction of NY and NJ. • Respond to PIP Arbitration Proceedings. • Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to advance the claim to conclusion. • Maintain an ongoing diary. • Continually assess exposure and evaluate accurate reserves and settlement recommendation. • Prepare Loss Reports providing thorough analysis of coverage, liability, and damages. • Determine if subrogation and/or risk transfer exists and initiate recovery efforts in the direction of the client. • Document all correspondence, reports, discussions, and decisions in the claim file record. • Provide outstanding service to the client.

• Provides oversight and leadership to a team of claims adjusters responsible for managing property, automobile, and liability claims from initial review through final resolution. • Oversee policy interpretation and coverage determinations related to loss, damage, or injury, ensuring claims are investigated, evaluated, and resolved in an efficient, compliant, and cost-effective manner. • Responsible for supervising adjusters handling large Self-Insured Retention (SIR) accounts and ensuring timely and accurate assessment of loss exposure, reserving practices, and settlement strategies. • Ensures that claim developments, exposure evaluations, and strategic recommendations are effectively documented and clearly communicated to clients to support informed decision-making.