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not later than the next business day excluding weekends and holidays), appropriate, and meaningful contact with the injured employee, site supervisor and physician. File will document this contact. If contact is not made, file will document attempts at contact. Documentation will include, but not be limited to, documentation of compensability, mechanism of injury, medical necessity of medical care, orientation of the injured worker, duty status, as well as evidence of meaningful medical, educational, vocational and societal background information relevant to the ability of the injured employee to return to his or her usual occupation. 2. Recovery Activity/Subrogation (4 Points) All possible avenues of subrogation/recovery will be thoroughly explored with appropriate follow-up diaries. Employees prior claim history will be investigated and clearly documented in file. 3. Documented Communication (4 Points) Evidence/documentation of routine and effective communication between all interested parties involved in the claim: adjuster,nurse case manager,physicians and other health care providers, employer, employee, legal counsel, etc. Information requested from interested parties should be aggressively pursued. When the information is not provided in a reasonable amount of time,follow-ups for the requested information should be sent at regular intervals until the information is provided or the matter otherwise resolved. The file should be clearly documented with the date and description of each new request or follow-up. 4. Litigation Management (4 Points) Evidence of proactive litigation activity and plan(i.e.,claim management not"abandoned"to defense counsel)and reasonable efforts should be documented and readily evident from the claim file. File will reflect timely response to all legal filings, legal correspondence and proceedings. File will include evidence of a litigation action plan from defense counsel. 5. Overall Claim Documentation (8 Points) Claim file documentation must be meaningful and self-explanatory. A"The file must speak for itself' standard will be kept at all times. Actionable events (new information, transactions,correspondence and communication,actions,etc.)must be documented in real- time (i.e., same day). 6. Supervisor, Manager Involvement (8 Points) Appropriate supervisory/management involvement will be documented in claim file. Supervisory/management directives will include initial assignment and subsequent directives will include involvement in evaluating reserves, involvement in strategic planning and disposition of claim. Requests by the supervisor/manager for information from interested parties,and follow-ups for that information, should be timely and clearly documented with a date and description of each request and follow-up. Page 26