Coverage
This form starts the PIP claim process and provides the information needed to evaluate benefits.
What is the NF-2 (Application for Benefits)?
We must do this every time we enter a file
What is checking reserves?
This team is GEICO assigns us new intakes/openings
What is clerical?
We set this amount of money when settling a case on atty fees and costs
What is 1,200?
We set reserves for this amount for attorney fees and costs when defending a claim
What is 1,500
Coverage requires an active policy and an injured party who qualifies under the policy contract.
What is this called?
What is eligibility?
This is the first thing you should verify when a new PIP claim is assigned to you.
What is coverage and eligibility?
During the intake process, this must be confirmed first to determine whether the claim can proceed.
What are coverage and eligibility?
When we offer settlements, we offer up to this
What is fee schedule?
When we refer a case to defense who gets assigned
What is staff counsel?
This type of coverage issue occurs when the policy was not in effect at the time of the accident.
What is a fatal coverage issue?
This system is used to manage claims, review notes, complete investigations, and document handling activities.
What is ATLAS?
This MUST be checked during an opening (for compliance)
What is Medicare?
When we offer settlements we do it through what platform
What is SIQ
When we refer a case to defense first, when do we diary to follow up
What is 45 days?
These four words define "occupying" a vehicle under PIP coverage.
What are in, upon, entering into, and alighting from?
This type of mail is given to us when we are responding to a defense
What is a statement of response?
We use these three sites to complete our opening?
What is forthright, ATLAS, medflow?
When we offer settlements, it is best practice to follow up
What is weekly?
When we follow up for defenses when MUST we be in the file
What is 90 Days?
This coverage issue may apply when someone operates a vehicle without the owner's permission.
What is non-permissive use?
This communication must be sent when benefits are being denied.
What is an EOB?
At intake we make a decision to either...
What is settlement, defense, or withdraw
This process often occurs before a hearing and allows parties an opportunity to resolve a dispute voluntarily.
What is settlement negotiation?
We must defend in this situation
What is AA/PVU