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Process after demands go out - Case Manager POV

10 Questions

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Process after demands go out - Case Manager POV

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Questions and Answers

What is the first step to take after sending out a demand?

Negotiating with the adjuster

Confirming demand receipt (correct)

Sending a counter offer

Initiating client communication

What should the Case Manager do if more information is requested by the adjuster?

Proceed with the counteroffer immediately

Collaborate with the Demand Writer and Secondary for review and strategy setup (correct)

Ignore the request and escalate the issue

Wait for the adjuster to provide additional information

In the context of counter arguments, what aspects can they be related to?

Property Damage

Liability

Pain and suffering

All of the above (correct)

If a demand is denied, what options are available to us?

All of the above Signup and view all the answers

When is it recommended to escalate a case to Gloria?

When a demand exceeds $250k with no clear strategy or when the client stops treatment Signup and view all the answers

What should the Case Manager do if an adjuster ignores a demand for two weeks?

Attempt communication with the adjuster's supervisor Signup and view all the answers

What is the recommended action if a case keeps receiving the same response to different letters or communication?

Escalate the case to JF, Rafa, or Gaby for further assessment Signup and view all the answers

Who should demand writers consult with when suggesting a referral or dropping a case?

Stephanie Mariscal and/or Silvia Signup and view all the answers

What action should Case Managers take if they encounter an adjuster who consistently does not answer phone calls or voicemails?

Escalate to the Secondary Signup and view all the answers

If an adjuster requests an extension for responding to a demand, what is the recommended course of action from the Case Manager?

Redirect the matter to Rafa and Gloria Signup and view all the answers