Compliance
These 3 customers are fronted by CHUBB
Who are [multiple, see list]
This document is needed to accurately calculate lost time benefits
What is a wage statement
These two elements are needed as part of a resolution strategy
What are timely and accurate
Standard for initial three-point contact should be completed within this timeframe
What is 1 business day?
This needs to be directed appropriately and documented to the file
What is the treatment plan
These are 2 other names of fronting carriers you might see instead of CHUBB
What are ACE and Indemnity Insurance Company of America
These 3 amounts are needed to be outlined as part of a reserve evaluation
What are the amounts of incurred, paid to date, and reserves
This is an example of a change in case facts that would warrant an updated strategy prior to 90 days
What is [multiple examples possible]
This tool needs to be reviewed to identify potential prior injuries, with a summary posted to GCN
What is ISO
These should be checked to confirm if we need customer authority to engage a NCM
What are SSIs
This inquiry must be completed to address federal health care secondary payer rules.
What is the Medicare inquiry?
This is when a reserve should be updated
What is within 5 business days of claim assignment and/or within 5 business days of knowledge of exposure change
This computer shortcut should not be used when completing strategies
What is copy and paste [of outdated information]
This GCN is needed in addition to a 1st pay template/ initial resolution strategy
What is a compensability statement
These resources are available to help with medical management
What is {multiple options]
UM
RMD
NCM
Peer review
ect
This is a diagnosis that requires notice to CHUBB within 24 hours
What is : [choose one]
Spinal Cord Injuries resulting in paraplegia or quadriplegia.
· Brain Damage affecting mentality, including but not limited to, such conditions as permanent disorientation, behavior disorder, personality change, seizure, motor deficit, aphasia, and hemiplegia.
· Significant Burns Third Degree Burns covering 20 percent of the body or Second-Degree Burns covering 30 percent of the body.
· Multiple Trauma.
· Amputation of a major limb or limbs.
This is what is done by PF after we receive a wage statement
What is calculate it
This adverb describes how we should execute resolution strategies
What is aggressively
This standalone GCN is needed to outline exposure / rationale for 3rd party recovery opportunities, even if they are not present
What is a Subrogation GCN
Who is our fearless South 1 department leader
Who is Michael Potter
This field in Claim Overview is updated to reflect the current injury
Diagnosis Code + Nature of Injury fields
This is the term used when we do not have actual wages
What is estimated wages
These should be included in our action items
What are target dates for completion
This is the due date for a Subrogation GCN
What is 5 business days
This is what every team manager is going to do a targeted manager observation on for the next 90 days
What is a Subrogation GCN