On occasion, summary claims experience from prior carrier maybe reviewed. Payroll information used for premium audits. Sources of information Insurance application. Internal uses and users Summary claim experience from prior carrier may be reviewed to evaluate application for insurance. May identify claimants.
Data intake personnel, to perform initial screening and direct information within the company.
Claims evaluators, medical management staff, and claims adjusters, to assess coverage and compensability, determine compensation amount, initiate managed care procedures. Legal staff, if there is controversy or dispute. Loss control staff, to alert them to possible hazardous conditions. Information systems staff, to enter information into company databases. External uses and users None.