Pend Times
Optum negotiating with Insurance/PATY.
7 Calendar Days
Optum negotiating with Insurance/PATY.
Settlement Reached (Mark as priority)
In Georgia, you are made whole when?
When you have recovered enough to fully compensate you for EVERY category of damages.
Will also accept "Never" or "When you want to be."
"KPI" means
Key Performance Indicators
Who does Kasey report to?
Heather Henderson
Member/PATY negotiating / Insurance
60 Calendar Days
Member/PATY negotiating w/ Insurance
Settlement Reached
In Arkansas, you are made whole when?
Whenever a court says you are OR whenever you agree that you are.
Would also accept "Never"
"SLA" means
Service Level Agreement(s)
Who does our director report to?
Gareth Kernan
Final subro lien is requested but you are NOT yet in active negotiations.
30 days
Final subro lien is requested but you are NOT yet in active negotiations.
Recovery Specialist Follow Up
In Colorado, CRS 10-1-135 says that there is a rebuttable presumption that you are not made whole when?
When you recover the policy limits.
What types of tasks fall under "KPI" ?
All non-priority tasks and New Events (21 days)
Ireland
Suit filed and/or in discovery
120 Days
Suit filed and/or in discovery
Obtain Event Status
According to CRS 10-1-135, if you disagree that the member is not made whole, Optum has how long to request arbitration before the PATY can disburse the funds?
60 days
Kasey sends lists out daily so that we can meet this:
SLA's, KPI's AND individual MBO's
Who is over both the Investigators and TA's?
Berry Hayes
To follow up if you've not received acknowledgement of a referral sent to co-counsel
7 Days
Set MPS for Hearing 30 days prior to the mediation
Set Post Mediation/Hearing for 4 days post mediation/hearing.
Name 5 "made whole" states where we cannot contract around the rule on insured plans
Arkansas, Colorado, Georgia, Washington, Wisconsin, Nebraska, Minnesota, Mississippi
KPIs and SLAs affect who?
KPI - Me/The RS
SLA - My manager/my team/the department
Who does Connie report to?
Steve Ingram (VP Ops)