• To process low level workers compensation claims to determine benefits due • Ensure ongoing adjudication of claims within company standards and industry best practices • Identify subrogation of claims and negotiate settlements with general supervision • Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims • Monitors reserve accuracy and files necessary documentation with state agency • Develops and coordinates low level workers compensation claims' action plans to resolution • Return-to-work efforts and approves claim payments • Approves and processes assigned claims • Determines benefits due and administers action plan pursuant to the claim or client contract • Administers subrogation of claims and negotiates settlements • Communicates claim action with claimant and client • Ensures claim files are properly documented and claims coding is correct • May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review • Maintains professional client relationships.