{{asɛmtiNe Ɔkyerɛwfo}} | Nhomakorabea | Nneɛma a ɛma wotumi yɛ ade

1

IF A CLAIMANT MAY BE DECEASED WHAT DO WE DO?

CONFIRM IN ACCU THEY'RE DECEASED / FIND OBITUARY / OBTAIN DEATH CERTIFICATE

DONT CHECK & KEEP PURSUING CLAIMANT

ASK MANAGER TO CONFIRM IF THEY ARE DECEASED OR NOT

BELIEVE WHO TOLD YOU & CLOSE THE FILE

1

IF WE THINK A FILE SHOULD GO TO ARB WHAT DO WE DO?

CHECK IF ARB WOULD BE IN OUR FAVOR & THAT THE AC IS PART OF ARB (LOOK FOR EVIDENCE SUCH AS PR, WITNESS, STATEMENTS, SCENE PHOTOS)

CLOSE FILE

EMAIL MANAGER "PLEASE REV FILE FOR ARB" WITHOUT LOOKING TO SEE IF ITS IN OUR FAVOR

SEND IT TO ARB

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IF WE GET A COVERAGE DENIAL LETTER FROM AN AC WE PURSUE THE CLAIMANT DIRECTLY FOR THE BALANCE

Nokorɛ

Ɛnyɛ ampa

1

HOW SHOULD WE REVIEW FILES FOR THE FIRST TIME?

CHECK FOR PR / REQ PR FROM CLIENT OR ORDER FROM METRO IF NEEDED

SEND LETTERS & MAKE CALLS

ONLY SEND A LETTER

CHECK FOR AC INFO / DO WE HAVE LOD? / PLACE REQ FOR LOD / CONTACT AC AS NEEDED

1

WHEN WE GET A LIABILITY DENIAL LETTER FROM AC WHAT DO WE DO?

CLOSE THE FILE

PURSUE THE CLAIMANT

REVIEW IF THE FILE IS IN OUR FAVOR TO PURSUE ARB

CALL THE INSURED

1

IF WE HAVE SPOKE TO THE CLAIMANT THE FILE SHOULD BE IN ACTIVE PHONE STATUS

Nokorɛ

Ɛnyɛ ampa

1

HOW OFTEN SHOULD WE BE WORKING OUR BROKEN PROMISE FILES?

1

HOW OFTEN CAN WE SEND LETTERS TO CLAIMANTS?

1

IF A CLAIM INVOLVES A CRIME WHAT DO WE DO?

GOOGLE COUNTY CLERK OF COURT & TRY TO LOCATE A CASE # FOR RESTITUTION

CALL / SEND LETTERS TO THE CLAIMANT IMMEDIATLY

CLOSE FILE

CALL COUNTY CLERK OF COURT TO TRY & LOCATE A CASE # FOR RESTITUTION

1

SUBRO IQ QUIZ #1

SUBRO IQ QUIZ #1

IF A CLAIMANT MAY BE DECEASED WHAT DO WE DO?

IF WE THINK A FILE SHOULD GO TO ARB WHAT DO WE DO?

IF WE GET A COVERAGE DENIAL LETTER FROM AN AC WE PURSUE THE CLAIMANT DIRECTLY FOR THE BALANCE

HOW SHOULD WE REVIEW FILES FOR THE FIRST TIME?

WHEN WE GET A LIABILITY DENIAL LETTER FROM AC WHAT DO WE DO?

IF WE HAVE SPOKE TO THE CLAIMANT THE FILE SHOULD BE IN ACTIVE PHONE STATUS

HOW OFTEN SHOULD WE BE WORKING OUR BROKEN PROMISE FILES?

HOW OFTEN CAN WE SEND LETTERS TO CLAIMANTS?

IF A CLAIM INVOLVES A CRIME WHAT DO WE DO?

HOW MANY FILES ARE REPS EXPECTED TO WORK PER DAY?

IF A CLAIMANT MAY BE DECEASED WHAT DO WE DO?

IF WE THINK A FILE SHOULD GO TO ARB WHAT DO WE DO?

IF WE GET A COVERAGE DENIAL LETTER FROM AN AC WE PURSUE THE CLAIMANT DIRECTLY FOR THE BALANCE

HOW SHOULD WE REVIEW FILES FOR THE FIRST TIME?

WHEN WE GET A LIABILITY DENIAL LETTER FROM AC WHAT DO WE DO?

IF WE HAVE SPOKE TO THE CLAIMANT THE FILE SHOULD BE IN ACTIVE PHONE STATUS

HOW OFTEN SHOULD WE BE WORKING OUR BROKEN PROMISE FILES?

HOW OFTEN CAN WE SEND LETTERS TO CLAIMANTS?

IF A CLAIM INVOLVES A CRIME WHAT DO WE DO?

HOW MANY FILES ARE REPS EXPECTED TO WORK PER DAY?