Workers' compensation claim specialist - (Portland, ME)

General Summary The Claim Specialist I investigates, evaluates, negotiates, and resolves lost time claims within settlement and reserving authority up to stated max. (Supervisor will determine actual individual authority up to the stated max). Communicates with insureds, injured workers, agents, brokers, witnesses, attorneys, loss prevention, and underwriters to obtain and relate necessary details to determine coverage/compensability, facts of loss, and degree of liability/exposure. Maintains contact throughout the life of the file as needed. Administers the delivery of timely, appropriate and accurate indemnity and medical benefits. Evaluates claim exposure, negotiate and resolve claims. Works closely with defense counsel on litigated cases and attend mediation, arbitration, and hearings, as necessary. Develops litigation plan with defense counsel and tracks adherence to plan in order to control legal expenses and assure effective resolution.