Angela Hoefling

Essential Duties:

3 Point Contact within 24 hours of receipt of claim - ER/ EE/ Physician

Identify Subrogation when applicable

File I.S.O. - Refer to S.I.U. when fraud is suspected

Calculate and pay indemnity benefits when due

Monitor U/R, RFAs - Evaluate for N.C.M. if necessary

Ensure claim files are properly coded per Statutory Regulations

Manage case reserves and adjust accordingly

Impliment Return-To- Work

Coordinate vendors referrals for cost containment

Litigation Management

Maintain professional and Client Relationships

Negotiate liens within designated authority

Develop Plan of Action to Claim Resolution

Completed other assigned tasks as delegated by Claims Manager