Responsible for receiving, investigating and documenting all claims reported to the hospital during the emergency incident, which are alleged to be the result of an accident or action on hospital property.
Update Secondary Person Responsible:
Documents/Tools:
• Incident Action Plan
• Hospital emergency operations plan
• Hospital organization chart
• Hospital telephone directory
• Radio/satellite phone
• Standard claims protocol/procedure
• Insurer information
• Relevant government protocols
• Claims log form
1. Receive appointment, briefing, and any appropriate materials from the Finance/Administration Section Chief.
2. Read this entire Job Action Sheet and review incident management team chart (HICS Form 207). Put on position identification.
3. Notify your usual supervisor of your HICS assignment.
4. Document all key activities, actions, and decisions in an Operational Log (HICS Form 214).
5. Appoint Unit members and complete the Branch Assignment List (HICS Form 204).
6. Brief Unit members on current situation, incident objectives, and strategy; outline Unit action plan; and designate time for next briefing.
7. Ensure Unit members comply with safety policies and procedures.
8. Receive, investigate and document claims issued by employees and non-employees. Use photographs or video documentation when appropriate.
9. Obtain statements as quickly as possible from all claimants and witnesses.
10. Enlist the assistance of the Safety Officer, Security Branch Director and Employee Health and Well-Being Unit Leader, as needed.
11. Document all communications (internal and external) on an Incident Message Form (HICS Form 213). Provide a copy of the Incident Message Form to the Documentation Unit.
Ongoing Duties:
1. Meet routinely with the Finance/Administration Section Chief for status reports, and relay important information to Unit members.
2. Inform the Finance/Administration Section Chief of all claims as they are reported.
3. Document claims on hospital risk/loss forms. Coordinate with hospital Risk Management.
4. Ensure that records required by insurers, government and other agencies for loss recovery are accurately compiled, maintained, and available.
5. Develop and submit an action plan to the Finance/Administration Section Chief when requested.
6. Advise the Finance/Administration Section Chief immediately of any operational issue you are not able to correct or resolve.
