• Determine compensability and extent of coverage on assigned claims. • Conduct thorough investigations, including interviews with employees, employers, and witnesses. • Obtain and review medical, hospital, police, employment, and other relevant records. • Manage EDI reporting and CMS Section 111 compliance. • Utilize approved preferred vendors and cost-containment resources. • Prepare comprehensive and accurate reports for clients and excess carriers. • Negotiate settlements with claimants and/or their attorneys. • Manage litigation strategy, legal vendors, and associated costs in accordance with account requirements. • Handle catastrophic losses, complex litigation files, and other sensitive matters. • Respond to client inquiries promptly and professionally. • Maintain required adjuster licensing and continuing education. • Stay current on jurisdictional regulations, industry trends, and best practices. • Mentor, train, and share technical expertise with team members as needed. • Perform additional duties as assigned.

• Manages a large inventory of complex claims to evaluate compensability/liability. • Plans and conducts complex claims investigations to confirm coverage and to determine liability, compensability and damages. • Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority. • May attend arbitrations, mediations, depositions, or trials. • Conveys complex information regarding coverage and settlements to insureds, claimants, and external partners. • Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner. • Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements. • May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports. • Performs other duties as assigned.

• Investigating, evaluating, negotiating, and settling workers compensation claims on behalf of our clients. • Communicating with a wide variety of individuals, including CEOs, claimants, providers' offices, and attorneys. • Handling claims in multiple jurisdictions.

• Investigating, evaluating, negotiating, and settling workers compensation claims on behalf of our clients. • Communicating with a wide variety of individuals, including CEOs, claimants, providers offices, and attorneys. • Handling claims in multiple jurisdictions to ensure compliance and successful resolutions.