Assisting in organization and implementation of educational events through the 2014 - 2015 claims year. Communicating with ACA President as well as members to facilitate CEU credits and new member sign up.

Receive claim assignments from intake department. Conduct investigation and obtain recorded statements from claimant and witnesses. Verify applicability of coverage per State Law. Determine acceptance or denial of claim. Obtain medical reports; authorize medical treatment and / or surgery. Review and approve medical bills for payment process. Set reserves, diary, and 30/60/90 day follow up. File appropriate state forms. Ensure proper file documentation and reporting of information secured as result of claim activity. Ensure rationale for settlement that is consistent with company procedures, reporting standards and guidelines. Evaluate and adjust claims within limit of assigned authority level. Consult with Claim Manager/Supervisor. Enter into final settlement negotiations up to a limit of assigned authority levels and participate in litigation process in conjunction with defense counsel when necessary. Assess recovery potential. Develop information necessary to successfully pursue recovery.Act as liaison with attorneys, rehabilitation facilities, investigators or other service vendors as necessary to manage claim including attending trials, mediations, arbitration, conducting face-to-face negotiation. Assist with monitoring quality of services rendered by law firms, structured settlement vendors, rehabilitation vendors, etc. and make recommendations to manager/supervisor. Establish and maintain effective working relationships with clients, and other corporate personnel to assist in the timely and efficient settlement of assigned claims.