KEY OBJECTIVE: Responsibilities include investigating claims to determine extent of injury, reserving and effective case management. Utilize medical cost containment measures to control loss dollar pay-out. Review status of claims and develop strategies to effectively manage to conclusion. Consistent delivery of superior customer service. MAJOR DUTIES & RESPONSIBILITIES: • Handle multiple demands & priorities, from a variety of sources, simultaneously • Maintain ESIS Standards & Best Practices • Adjust claims with the ability to follow company policies and procedures • Have the ability to effectively and independently manage and maintain a workers compensation pending. • Handle and resolve conflict effectively • Meet goals & objectives established by ESIS and the Claims Vice President • Escalate issues appropriately and follow through • Be a problem solver with excellent problem resolution skills • Meet and maintain customer service requirements and have the ability to follow ESIS processes. • Make sound judgment decisions and have the ability to differentiate information. • Communicate effectively both written & orally • Respond to customers appropriately, timely & accurately • Ability to remain calm and professional during peak periods of activity. • Handle multiple computer applications and vendor systems to manage caseloads • Identify and determine short term and long term financial exposures and establish accurate financial reserves to meet Client, ESIS and Carrier expectations • Effectively and accurately manage large sums of client or carrier funds • Comply with all statutory reporting and licensing requirements for multiple jurisdictions • Determine, calculate and issue accurate benefit payments to injured workers, medical providers and vendors in a timely fashion • Clearly and concisely document the ESIS claim system with activities, investigations and plans in a timely fashion • Candidates must possess experience 5 or more years in managing workers compensation claims investigation/ adjusting, including knowledge of applicable state/local legislation. • Experience in a third party administrator (TPA) environment is a plus. • Knowledge of Workers' Compensation laws and procedures are required. • Candidates must have the ability to work independently, while assimilating various technical subjects, as evidenced by successful completion of a college degree or equivalent practical work experience. • AIC/CPCU is preferred • Candidates must also have solid computer software skills (M/S Word, Excel).