Basics
What is the common term for your pending list of tasks?
Your Diary
What is the difference between PIP and Medpay?
PIP can be applied to medical bills, lost wages, funeral expenses, loss of services. Medpay can only be applied to medical bills.
Where do you find most of the up to date claims information?
Knowledge Tool/One Note
What is the earliest time you can make an outbound call to an insured?
8:00AM local time (Some adjusters start working at 7:00AM)
Is Medpay a mandatory coverage?
No. An insured does not need to use Medpay as a first party coverage.
How can you organize your most questioned/most used claims information?
By making a personal OneNote with any items you need practice on or by including any personal templates for regular use.
How do you get credit for fully handling a claim?
By closing the PIP/Medpay exposure on an insured.
Who is the first person you notify if a claim you are handling received suit documents?
Your supervisor, also fill out the Legal Action section in Atlas for supervisor review.
How do you handle a situation where you can't answer your phone in order to help your answer rate.
Notify your team that you are away so they can pick up your rollover calls.
At what point is an activity on your diary considered "overdue".
10 days
What document is needed on file from an insured in order for us to request medical bills from a medical provider?
A HIPAA Authorization
How often should you check for a treatment status on a claim?
Every 30 days