C T onable o North American Risk Services, Inc. t en tsf Workers’ Compensation CLAIMS FILE NOTE CATEGORIES & CONTENT NARS W a Authority y Authority granted by client and/or NARS leadership. UW nit MC C anagr Authority Requested edo f Authority requested of client and/or NARS leadership. eror s Compensability f orW Acceptance, denial, or deferral of the claim, jurisdiction, and justification. SC C pecialistsr Contact edo Communication with Injured Worker and Employer, determined by filter. Injury cards, birthday cards, anni- versary cards documented if sent. Statements from the injured worker. P r acticB Coverage esest Analysis of the coverage applicable to the workers’ compensation line. EDI/State Filings U State form filings including what was document was filed, what date it was filed, status, and next filing. Checklistnit M anag Investigation er Police reports, ISO reports reviewed. Currently an “ISO Report Completed” comes back into the file which is an automated system note. This is what the adjusters do with it. W ChecklistS Large Loss Report pecialist C Claims Client notification for reserves, payments, settlements. Litigation 14 DExpecta All legal correspondence including budget, plan of action, an assessment. F a tionsile y Managerial Notes s Workers’ Empowerment Leader Notes. Claim assignment information upon leadership review. Medicare Expecta F Medicare information, filings, and correspondence. tionsile Nurse Case Management R Case Management Updates/Correspondence. e f erD encisability Pharmacy e G Pharmacy Benefit Manager approval/rejection with commentary as needed. uide CaN t o egt continued on page 30 orieses and 28 29