Best Practice Checklist
Best Practice Checklist: A quick self-assessment that allows you to measure whether your current recovery practices match up to IRG's Best Practice Standards.
How do you identify claims with Second Injury Fund (SIF) recovery potential?
By claims adjusters only
By scheduled audits only
By claims adjuster and annual or semiannual follow up audits*
How do you process claims?
Process covers all SIF states*
Process covers all SIF reimbursement states
Process applies for both establishing initial rights and annual reimbursements*
Process applies for recovering annual reimbursements only
Process applies for establishing initial rights only
Process includes periodic training*
Process includes information sharing*
How do you support the SIF recovery process?
Utilize SIF trained medical experts to support recovery*
Utilize SIF trained legal experts to support recovery*
Utilize generalists, in-house or panel counsel
Utilize generalist IME doctors to provide report
Utilize legal case data base to support multi-state recovery*
Link the amount and timing of recovery to the underlying claim settlement opportunity
Periodic SIF training in place*
How do you measure SIF recovery?
Cost, revenue and expected revenue reports*
Annual SIF revenue recovery report only
Measuring recovery results against peers*
Recovery metrics measured against premiums/ losses/ assessments*
How do you manage the SIF recovery process?
Centralized SIF management for all states for strategy, advice, data recovery, reporting and training*
Managed by each state manager as part of local standard claims management
*Recommended Best Practice