•Investigates claim to determine coverage and whether benefits are due. •Responds to phone callsand written requests for information. Researches issues and gathers information specific to assignedterritory.•Coordinates the litigation activities associated with assigned claims to ensure a timely and costeffective resolution•Monitors claims to determine benefits due and reserve accuracy within threshold authority•Assesses actual damages associated with claims and conducts negotiations, within assigned authoritylimits, to settle claims•Coordinates Return to Work following Return to Work Process and in conjunction with field nurses•Investigate new claims by reviewing first reports of loss and supporting materials to determine the bestinitial contact; communicates with claimant, policyholders/customers, witnesses, etc

•Perform work as per safety and sanitation policies.•Regulated a safe and functional working environment for all team members.•Prepare and submit all required paperwork and documentation in a timely manner.•Conduct inventory checks and place orders.

Jan 2017 - Jan 2019 (2 years 1 month)•Analyze, develop, and manage claims according to account requirements.•Prepare cases along side company attorneys to reduce the overall exposure of a claim.•Contact, interview, and obtain statements to determine the causation and magnitude of the claim.•Provide efficient time management skills in order to complete weekly pay logs.•Review wage charts for accuracy; ensure all temporary total and temporary partial disability benefitsare issued in a timely manner•Work closely with field nurses to obtain return to work releases.•Investigate and make decision regarding compensability on claims filed under the presumption clauseof the Virginia Workers’ Compensation Act.