• Performs initial and ongoing clinical assessment via telephone calls to evaluate the injured worker's injury, medical treatment, psychosocial needs, cultural implications and support systems • Effectively communicates and builds relationships with the claims’ examiner, client, injured worker, attorney and supervisor • Identifies issues related to delayed recovery and/or return to work and problem solves with a creative thinking approach • Negotiates treatment and disability duration with providers through use of medical and disability duration guidelines, adhering to quality • Identifies opportunities to expedite care for cost containment and timely medical recovery • Provides recommendations for alternate clinical resources to support claim resolution • Maintains client's privacy and confidentiality, promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards