- Communicate with insureds, injured workers, brokers, and legal counsel to determine coverage and liability.
- Administer the delivery of timely, accurate indemnity and medical benefits.
- Evaluate claim exposure and resolve claims, including managing litigated cases with defense counsel.
- Maintain quality claim files in accordance with best practices and company procedures.
- Implement managed care strategies and coordinate rehabilitation or medical management.
- Interact with State and Federal Boards and Commissions while establishing proper reserves.
- Mentor and train less experienced Claim Department representatives.
- Present files for Agent/Broker and Insured File Reviews.
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