0-60 or wait
Iowa 24 year old ER only care.
0-60!
Iowa open ended release ambulance bill.
Yes!
Attorney Smith says that they need legal added to the file for negotiation and sends you a copy of summons and complaint.
No! Request an extension and add CO2S.
Should I refer to SIU? My insured is living in California, has a California license plate on his vehicle, but the policy is rated for Kansas.
Yes- refer as they could be attempting to avoid rate increases.
Michigan 55 year old with ER only care.
No- attempt to deny on the serious injury threshold.
KS medpay paid 4500 of 25000 bill, policy limits of 500/500
Yes! Advise that the rest of the bill is outstanding and attempt to negotiation a reduction on it as medpay is now exhausted.
Attorney Smith says that they need legal added to the file for negotiation and sends you a copy of summons and complaint. Denies extension notice. Fails to provide proof of service, none located online.
No- if our insured is not served than the "answer" timeline does not begin. Attempt to reach our insured to have the service discussion and attempt to further negotiation with attorney Smith.
My claimant had a laceration with stitches. What severity is this?
Moderate.
3 vehicle rear end. Insured is the rear most vehicle with 2 others in the car. Middle car has 4 people injured. Front car has 1 person injured. All 8 parties went to the ER from the scene. 2 concussions, 1 fractured hand, 2 PTSD, 2 soft tissue with on going care. We have a 100/300 policy.
Gain more information on all 7 BI exposures and attempt to work out numbers based on state specifics (KS high ER bills, NE billed owed?) and how much care each individual requires to determine if we could potentially be in an excess situation, or should attempt to settle possibly the PTSD and soft tissue.
MN claimant uninsured and unrepped. Bills of 55,000. BI coverage 50/100. Excess coverage available for driver of 100/300.
No! If the bills are more than our policy we should not be negotiating them.
MN/MN liability is 60/40 on our insured. Limits of 250/500.
Attorney is not moving off of his demand of 200,000, you are at your top dollar of $90,000. Attorney has sent a courtesy summons and complaint, but also offered mediation as a viable option.
No- review with BCM, FLM, Consultant for top dollar re-review to see if we can represent at mediation and come to a common ground while avoiding litigation costs
My claimant had an overnight ER stay for 2 nights. What severity is this?
7 year old minor hit by a car. ER treatment with laceration to face/ head that required staples. 2 PCP visits.
Attempt to gain an understanding from the mother and judge on a case by case basis. Ultimately, we may need to wait to see how the scar heals, and if any further concussion symptoms develop.
IN UM claim
No!! UM claims are not eligible for CT.
Attorney advises that they have filed to preserve SOL, but claimant is still treating.
No- request extension with date, not open ended. If that date approaches and the claimant is still treating attempt to gain a new extension date.
What are 5 valid reasons to bypass Medicare 4?
Not a US citizen, denied coverage, denied liability, required letters sent, refused in writing, UIM ruled out, PIP threshold not met, exposure opened in error, not pursuing an injury claim
Medicare recipient. PCP. Chiro recommended for 12 weeks.
0-60! Make sure there is an end date selected and to update TPOC after final bill is paid.
KS attorney repped. Wesley bill 40K+, limits of 100/300
Yes! With Irene's approval
UM claim where the at fault party is known, but uninsured. We receive a copy of summons and complain and it states:
Mr. Steve Gallo vs. American Family Insurance and ABC companies
Yes! attorney has not preserved our right at subrogation against the at fault party.
What are the proper phone settings where you will not get dinged for missing a call?
Away from desk, in a meeting, out of the office, at a training session