C T on able o North American Risk Services, Inc. t en ts f Workers’ Compensation CLAIMS FILE DOCUMENTATION EXPECTATIONS NARS W a UNIT MANAGER REVIEW – CATEGORY – MANAGERIAL NOTE y U W Expectation: Due by the 15th day from the date reported. Copy and paste the template into the file and fill it in. nit MC C anagr Use a 15-day checklist: edo f • Confirmed date of loss? eror • Confirmed Jurisdiction? s f • Date Reported: orW • Coverage Verified? Accurate? SC C • Complete Class Code? Accurate? pecialistsr • Injury Codes Confirmed: (Y or N) Accurate? edo • Linked Claim – N/A • Agree with Compensability decision: (Y or N, Explain) • Completed Contacts? (Y or N) (IW, ER, PR) P r acticB • Injury/Description of Incident: es est • Diagnosis: • Treatment: • Work Status documented? • Job Description sent to the provider? U • Document First Full Day Off? Checklistnit M • Document Waiting Period? anag • Document rate of pay. Correct? er • Completed forms? (Y or N) • Payment Due: • Legal: N/A ChecklistSW • Make subrogation referral? (Y or N) pecialist C Claims • Are reserves set? Accurate? • Completed claims system (Y or N) • Agree with medical and disability management: • Action items for adjuster: 14 DExpecta F SUBSEQUENT UNIT MANAGER QUALITY CLAIM MANAGEMENT REVIEW (QCM) a tionsile y s Expectation: Due at the 30th day from the date reported and then every 60 days from that date. Copy and paste the template into the file and fill in. Expecta F Template tionsile • Summary: • Reserves: • Recommendations: R e f er D encisability e G uide CaN t o egt orieses and 24 25