Insurance professional with expertise in workers’ compensation and disability case work. Manages complex, litigated claims for TPA on behalf of a national client. Investigate claims, determine compensability, assess risk and establish reserves. Monitor medical treatment in coordination with ODG guidelines, partner with telephonic and field case nurses, vocational rehabilitation specialists to facilitate return to work. Work with defense and plaintiff attorneys and Appeals Board reps to ensure successful outcomes of mediation and litigated cases.  Responsible for developing and maintaining effective communication and relationships with claimants, clients, customers and vendors. Provided support to Client HR staffs to ensure compliance with DWC. Provided support to internal customer and external customers. Worked independently and mentored Medical Only adjusters and Claims Support Staff.