Initial Claims Project Team
Sponsor: Judy Williams, 287-3157
VSM Manager(s): Pam Kelley and George Thomas
Process Description:
Taking claims via telephone, internet or mail, processing all parts, approving or denying the initial claim and first weekly claim paid or denied.
Problem Statement:
There are insufficient resources in BUC to handle the volume of work within the established guidelines. The process is not standardized across the three claims centers, causing confusion by claimants/staff, resulting in possible delays.
Customer/Clients:
Claimant (Primary), Employer, Federal Gov’t
Supplier: (upstream)
Employer/Federal Gov’t, OIP, Boise
Process Boundaries:
First Step:
First contact by claimant
Last Step:
Claim is paid or denied
Measurement Targets:
| Expected Deliverables |
Specific Measurements |
Timeframe |
| Reduce the amount of staff time required to process the claims |
by 33% |
by Thanksgiving |
Improve the rate of meeting the 14 day compliance for the Federal Requirement payment timeline
|
from the current 87% to 90% |
implemented by Thanksgiving so it is reflected in the March 31, 2006 report |
Resources Available:
To be identified as needed during the VSM
Role Expectations: (Note expectations around decision-making and implementation)
As stated on the roles and Responsibilities handout
Team Members:
Diane Morrison
Roxane Gagnon
Betty Chapman
|
