Unit 8 - Claims Inspection & Investigation Flashcards
What are common items found in a claims kit?
- AFIs (51-306), templates, claim forms
- Local maps
- Office supplies & equipment
- Contact info (Finance, PA, Medical)
When should a claims inspection take place?
As close as possible to the time of the event
What chapter of the Action Officer Handbook is used when the CDC requests assistance w/ an inspection report?
Chapter 5
What 3 options can be put in the inspector’s recommendation on an Inspection Report?
Approve, Deny in Part, or Deny
What is the purpose of a witness interview?
Gather info in order to report the truth of the matter
What are 2 things that should be done to prepare for a witness interview?
- Review reports/available info
- Draft pre-planned questions
What are the 5 phases of a witness interview?
- Introduction
- Rapport building
- Questioning
- Summary
- Closing
What is prepared after every claims witness interview?
Witness Interview Memorandum
What 3 things are found on a Witness Interview Memorandum?
- Work product statement
- Witness statement/personal info/demeanor
- Signture of claims psnl
What are some military agencies that the legal office may need assistance from when processing a claim?
SFS, CES, LRS, MDG, OG, PA, Fire Dept
What are some civilian agencies that the legal office may need assistance from when processing a claim?
Police, insurance agencies, fire dept, medical facilities
Who should be notified if claims psnl suspect fraud?
SJA
Who can compromise when it comes to suspected fraudulent claims?
Dept of Justice
