In order to resolve claims quickly and cost-effectively, it is necessary to recognize red flags, pre-existing conditions such as health concerns and degenerative issues at the onset. This allows you to determine what tools are necessary to move the claim to closure.
- Maintaining Communication – As soon as possible, establish contact with both the insured and the claimant. Thoroughly listen to what is being said, do not think about your next question or what you’re going to say next. Clear your head and simply listen to what is being said. You may pick up on new information that would otherwise not be communicated.
- Monitor Treatment – Make sure the claimant is compliant and that treatment hasn’t exceeded guidelines for the injury. Get an IME if necessary.
- Stay on Top of Litigated Claims – Make sure your defense attorney is keeping things moving forward.
The single most important key factor in keeping claims moving forward is communication, with the claimant, insured, treating doctor(s), and if appropriate your defense attorney.
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