• To address and handle high end cases with serious injuries, complex coverage scenarios and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution. • Reviews/acts on reports/forms; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties. • Handles high end cases with serious injuries and/or complex coverage scenarios. • Responds to decisions, agreement, and/or court order; creates action plan; determines need for examination; gains client authorization. • Identifies cases for settlements/redemptions. Gathers/documents additional information and coordinates with client designees. • Requests legal/private investigation; assigns to and coordinates with local counsel; monitors local counsel performance. • Responds to plaintiff's counsel, union, employee, or client requests. Identifies issues and formulates defense strategy. • Establishes/adjusts accrued liability and approves administrative expenses. Identifies subrogation opportunities and manages process. • Attends and participates in mediations, trials, arbitrations or hearings as needed. • Works with partners to affect early return-to-work. Performs other duties as assigned. Supports the organization's quality program(s).