• Investigate claims issues and provide information to damagers and utility company field technicians • Negotiate settlements with damagers and insurance companies as applicable • Review claim information and request/research additional reference material to complete the claim record • File subrogation packages with insurance companies • Dispute resolution and response to damager objections • Enter data into customized claims systems • Tracks fees, closed and open claims, and other claims information

• 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.

• 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