Case 17

Forgetting claims

Presented by: Loubna EL BADAOUI

Duc Huy Nguyen
Arvind KUMAR
Table of content
1 Introduction
2 People involved
3 Key Issues
4 Solutions and Evaluation
5 Selection and Implementations of Solution
6 Conclusion
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Forgetting claims
Introduction

The Claims Adjustments Unit is responsible for processing claimant appeals concerning either incorrect payments or administrative judgments made on
their application.

One of the key tasks that all employees needed to know : how to complete the Adjustment Determination Form 1293

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Forgetting claims
People involved

 Betty Warren - the supervisor.

 June Williams - the new employee of Betty’s unit.

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Forgetting claims
Key Issues (According to Priority)

2 June’s lack of proper training

1 Betty has poor leadership skills

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Forgetting claims
Solutions and Evaluation

3
Betty should monitor
1
Send Betty to
June’s progress during
a Management training
the training
program

Betty should give June a clear

2
job description

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Forgetting claims
ADVANTAGES AND DISADVANTAGES

More costs for the

company Send Betty to a
Management
Betty will perform training
better as a
supervisor
program

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Forgetting claims
ADVANTAGES AND DISADVANTAGES

No possible
disadvantages for Betty should
this solution
give June a
June will understand clear job
better the job tasks
description

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Forgetting claims
ADVANTAGES AND DISADVANTAGES

No possible
disadvantages for Betty should
this solution
monitor June’s
Betty will be able to progress during
e v a l u a t e J u n e ’s
improvement
the training

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Forgetting claims
Selection and Implementations of Solution

Management skill
training
1
Better

2
results of Special training for
new comers in claims
claims
adjustment unit
adjustment
Arrange meeting to
unit
clean things up

3
Case 17 10
Forgetting claims
Conclusion

In order to improve performance of claims adjustment

unit, unit should opt for:

 Management skills training

 Special training for new comers in

Adjustment department

 Arrange meeting to clean things up

Case 17 11
Forgetting claims
Conclusion

12
Linda’s Bed and Breakfast