Proposed Timeline for CVS Claims Solutions

Secure initial analytical reports from Consultative Lead

Dec 2, 2016

Category: Analytics

Review analytics for claim and program opportunities; agree to action plan

Dec 5, 2016

Category: In-Person Meetings

Finalize all contact lists

Dec 5, 2016

Category: In-Person Meetings

Confirm initial reserving and reserve change authority

Dec 6, 2016

Category: In-Person Meetings

Review settlement authority, requests for settlement authority and workflows

Dec 6, 2016

Category: In-Person Meetings

Create workflows for subrogation

Dec 7, 2016

Category: In-Person Meetings

Confirm catastrophic claim procedures

Dec 7, 2016

Category: In-Person Meetings

Obtain copy of preferred counsel listing

Dec 7, 2016

Category: In-Person Meetings

Finalize client instructions and contact lists

Dec 8, 2016

Category: In-Person Meetings

Agree on critical issues and status report format

Dec 8, 2016

Category: In-Person Meetings

Review analytics for claim and program opportunities

Dec 9, 2016

Category: In-Person Meetings

Agree to Q1 action plan

Dec 9, 2016

Category: In-Person Meetings

Claim personnel

Dec 13, 2016

Category: Training

Senior nurse reviews and all nurse case managers

Dec 14, 2016

Category: Training

Intake personnel

Dec 15, 2016

Category: Training

Engage claims director with outcomes of meeting, suggestions of program improvements (2-3 days)

Dec 19, 2016

Category: In-Person Meetings

Confirm all billing and escrow needs have been met

Dec 21, 2016

Category: In-Person Meetings

Consider agenda of AE integration meeting

Dec 21, 2016

Category: In-Person Meetings

Confirm all RMIS needs and report distributions

Dec 21, 2016

Category: In-Person Meetings

Calendar all reserve roundtables for the year

Dec 22, 2016

Category: Calendar

Calendar all claim reviews and travel for the year

Dec 22, 2016

Category: Calendar

Confirm all in-person meetings, travel dates, and venues

Dec 22, 2016

Category: Calendar

Carrier kick-off meeting with full team

Jan 3, 2017

Category: Kick-Off

Initial all-hands meet and greet

Jan 4, 2017

Category: Kick-Off

Provide first week of predictive modeling reports (i.e., litigation and MO to LT)

Jan 5, 2017

Category: Kick-Off

Integration of Account Manager with CVS claims team--agenda TBD (full-week)

Jan 9, 2017

Category: In-Person Meetings

Develop custom metrics

Jan 10, 2017

Category: In-Person Meetings

Develop Custom Scorecards

Jan 11, 2017

Category: In-Person Meetings

Develop medical KPI reporting

Jan 12, 2017

Category: In-Person Meetings

Claim direction meeting for feedback, observations, and recommendations

Jan 16, 2017

Category: Refinement

Senior Nurse Reviewer meetings for feedback

Jan 17, 2017

Category: Refinement

Analytics meeting for further refinement of metrics and custom reports

Jan 18, 2017

Category: Refinement

Telephonic claim team meetings

Jan 19, 2017

Category: Refinement

Intake and triaging observations

Jan 20, 2017

Category: Refinement

Client observations for refinement and improvement

Jan 24, 2017

Category: In-Person Meetings

Specific claim discussions

Jan 26, 2017

Category: In-Person Meetings

Grand rounds

Feb 4, 2017

Category: Going Forward

Roundtables for medically complex files

Feb 5, 2017

Category: Going Forward

Roundtables for complex litigation claims

Feb 6, 2017

Category: Going Forward