To perform workers’ compensation claims adjudication and investigation. Responsible for all technical aspects of claim management for assigned including compliance with all established performance guidelines. Specific Duties - Properly investigate and handle all types of workers’ compensation files including lost time, litigation and long term exposure within predetermined claim-handling guidelines. - Initiate return-to-work discussions with the employer and effect return-to-work for the injured worker. - Establish timely and appropriate case reserves - Investigate and manage subrogation and negotiate settlements. - Use automated diary system to issue indemnity benefits and provide claim management. - Accurately calculate and pay wage loss and other benefits. - Assign rehabilitation and monitor costs and outcomes. - Document all action plans and evaluations for claim resolution. - Maintain organized electronic files. - Interact with clients to establish/improve communication and service capabilities. - Interact and communicate with state agencies, attorneys and other providers. - Address customer complaints and inquiries in an exemplary and professional manner. - Achieve specific performance outcomes related to quality and quantity of work as established by management. - Provide cost containment for individual claim and overall claim costs for account to achieve account profitability. - Define medical and rehabilitation payment parameters staff. May perform other functions as assigned.