Cvsandbroadspire

Proposed Timeline for CVS Claims Solutions

By joshcarr09

  • Secure initial analytical reports from Consultative Lead

    Category: Analytics

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

    Category: In-Person Meetings

  • Finalize all contact lists

    Category: In-Person Meetings

  • Confirm initial reserving and reserve change authority

    Category: In-Person Meetings

  • Review settlement authority, requests for settlement authority and workflows

    Category: In-Person Meetings

  • Create workflows for subrogation

    Category: In-Person Meetings

  • Confirm catastrophic claim procedures

    Category: In-Person Meetings

  • Obtain copy of preferred counsel listing

    Category: In-Person Meetings

  • Finalize client instructions and contact lists

    Category: In-Person Meetings

  • Agree on critical issues and status report format

    Category: In-Person Meetings

  • Review analytics for claim and program opportunities

    Category: In-Person Meetings

  • Agree to Q1 action plan

    Category: In-Person Meetings

  • Claim personnel

    Category: Training

  • Senior nurse reviews and all nurse case managers

    Category: Training

  • Intake personnel

    Category: Training

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

    Category: In-Person Meetings

  • Confirm all billing and escrow needs have been met

    Category: In-Person Meetings

  • Consider agenda of AE integration meeting

    Category: In-Person Meetings

  • Confirm all RMIS needs and report distributions

    Category: In-Person Meetings

  • Calendar all reserve roundtables for the year

    Category: Calendar

  • Calendar all claim reviews and travel for the year

    Category: Calendar

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

    Category: Calendar

  • Carrier kick-off meeting with full team

    Category: Kick-Off

  • Initial all-hands meet and greet

    Category: Kick-Off

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

    Category: Kick-Off

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

    Category: In-Person Meetings

  • Develop custom metrics

    Category: In-Person Meetings

  • Develop Custom Scorecards

    Category: In-Person Meetings

  • Develop medical KPI reporting

    Category: In-Person Meetings

  • Claim direction meeting for feedback, observations, and recommendations

    Category: Refinement

  • Senior Nurse Reviewer meetings for feedback

    Category: Refinement

  • Analytics meeting for further refinement of metrics and custom reports

    Category: Refinement

  • Telephonic claim team meetings

    Category: Refinement

  • Intake and triaging observations

    Category: Refinement

  • Client observations for refinement and improvement

    Category: In-Person Meetings

  • Specific claim discussions

    Category: In-Person Meetings

  • Grand rounds

    Category: Going Forward

  • Roundtables for medically complex files

    Category: Going Forward

  • Roundtables for complex litigation claims

    Category: Going Forward

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