1. A Day in the Life of a Claims Adjuster
7:00 AM Monday
8:00 AM
I received a new claim...
8:30 AM
CHECKLIST:
Contact Claimant
Contact Physician
Contact Attorney
.....
10:30 AM
12:30 PM
CHECKLIST:
CHECKLIST:
P Contact Claimant
P Contact Physician
P Contact Attorney
Contact Discharge Planner
Contact Field Case Manager
Locate Vendor
.....
Contact Claimant
Contact Physician
Contact Attorney
Contact Discharge Planner
Contact Field Case Manager
Locate Equipment Vendor
Coordinate Delivery of
equipment
Follow up with Claimant
Manage Utilization
Follow up with Field Case
Manager
Order additional supplies
Retrieve equipment
....
P
P
P
P
P
P
2:30 PM
CHECKLIST:
Just discovered claimant needs transportation...
P Contact Claimant
P Contact Physician
P Contact Attorney
P Contact Discharge Planner
P Contact Field Case Manager
P Locate Equipment Vendor
P Coordinate Delivery of
equipment
Follow up with Claimant
Manage Utilization
Follow up with Field Case
Manager
Order additional supplies
Retrieve equipment
Locate Transportation Vendor
Schedule Appointments
Confirm/Verify addresses
.....
4:30 PM
CHECKLIST:
AND Home Health Care...
P Contact Claimant
P Contact Physician
P Contact Attorney
P Contact Discharge Planner
P Contact Field Case Manager
P Locate Equipment Vendor
P Coordinate Delivery of
equipment
Follow up with Claimant
Manage Utilization
Follow up with Field Case
Manager
Order additional supplies
Retrieve equipment
P Locate Transportation Vendor
P Schedule Appointments
Confirm/Verify addresses
Contact Home Health Agency
Coordinate IV medications
Schedule, follow up & confirm
appointments
Communicate with Bill
Review
.....
5:30 PM
HAVE NOT FOLLOWED UP ON
ANY OF MY OTHER CLAIMS
TODAY!!
8:30 AM
There has to be an
easier way....
Modern Medical communicates and follow up with Claimant, Physician,
Attorney, Discharge Planner, Field Case Manager and Bill Review.
Locate and coordinate home health care, schedule and confirm
appointments, coordinate IV medication and monitor patient’s
progress.
Locate vendor & equipment, coordinate delivery of
equipment, manage claimant’s utilization of
equipment, order additional supplies if needed and
retrieve equipment after use.
Contact transportation provider, schedule, confirm
and verify appointments and addresses.
We work harder to make your job easier, more efficient and cost effective!