Your Work Queue — March 27, 2026
147 total casesSorted by priority score. P1 = act now (≥50) · P2 = this week (25-49) · P3 = monitor (<25).
Priority 1 — Fix Today
58P1 = ≥50 (fix today) · P2 = 25–49 (this week) · P3 = <25 (monitor)
Priority 2 — This Week
51Accountability Tracker — Since March 24, 2026
Shows what each CM has changed or fixed since the last ops meeting. Metrics show value / total needing action. Cases with zero movement are flagged.
Advances
/ Needed
/ Needed
/ Eligible
Done
Uploaded
Completed
Escalations
Moved
Cases
Understanding Your Delta Score — Phase-Aware
Delta measures the health of your CM-owned cases only on a 0-100 scale. Cases past Demand Sent belong to the paralegal team and are excluded from your score.
Revenue (40%) — Percentage of cases with bills on file, but only where bills are expected (Treatment Complete through Demand Sent). Cases still in active treatment are not penalized for missing bills since treatment hasn't completed yet. To improve: Request bills as soon as treatment completes. Follow up on outstanding requests and update Filevine when bills arrive.
Client Happiness / Health (30%) — Percentage of CM-owned cases in Healthy status. Paralegal-team cases are excluded. To improve: Enter missing data (treatment dates, records request dates), resolve fake progress flags, and keep cases moving.
Time / SLA (30%) — Percentage of CM-owned cases within their SLA window. Paralegal-team cases are excluded. To improve: Prioritize overdue cases, advance stalled ones, and flag cases needing attorney or ops intervention.
Your focus: Get cases to Treatment Complete with clean data, bills on file, and no fake progress flags — then hand off cleanly. After Demand Sent, you still track expenses and settlements but the case is driven by the paralegal/attorney team.
45 / 90 / 120 Day Firm Mandates
45-Day Payday: JR's directive — every new case under $25K should be resolved or moved to demand within 45 days. Cases in the 0-45d window are your opportunity to hit this target. Move fast on intake, get treatment started, request bills early.
90-Day Quick Turn: Cases valued $50-100K should reach demand or settlement negotiation within 90 days. The 46-90d bucket shows how many are in this window. Keep treatment on schedule and draft demands as soon as treatment completes.
120-Day Review: Any case over 120 days without clear progress gets escalated. If your cases are piling up in the 121+ buckets, check for stalled treatment, missing records, or cases that need attorney intervention.
Cases over 365 days are legacy inventory and should be reviewed for settlement readiness, disposition, or referral. These are the biggest drag on your SLA score.
Your impact: Focus on keeping new cases moving — the faster you get cases through treatment with clean data, the fewer end up aging in the pipeline.
Reduction Performance — What You Can Control
What this measures: The percentage of total billed amounts that have been reduced through write-offs or negotiated reductions with providers. The firm target is 70%.
What you can do as a CM:
1. Request bills early and often. Providers in the "No Billing" tier have no bills on file — you can't reduce what you don't have. Get bills requested as soon as treatment starts.
2. Flag high-balance providers. If a provider has billed significantly more than others for similar treatment, escalate to Cyarra or Operations for reduction negotiation.
3. Track reduction request dates. Once a reduction is requested, follow up. Providers that don't respond within 14 days need a second touch.
4. Keep treatment end dates current. Reductions can't start until treatment is complete — make sure Treatment End Date is entered in Filevine as soon as treatment wraps.
What's handled by leadership: Actual reduction negotiations, write-off approvals, and lien resolution are managed by JR, Royel, Cyarra, and Princess. Your job is to get cases to that point with clean data and all bills on file.
Weak (<50%) providers are the biggest opportunity — these are cases where the billed amount far exceeds what will likely be paid. Escalate these for negotiation.
Case Pipeline — Your Responsibility vs. Leadership Territory
Stages 1-3 (Intake through Demand Drafted) are where you have the most direct impact. Your job is to move cases through treatment efficiently, keep data clean, request bills, and ensure cases arrive at Treatment Complete with no missing information.
What a "clean handoff" looks like: Treatment End Date entered, all provider bills on file, records requested and received, coverage (1P/3P) documented, no fake progress flags, and treatment status updated in Filevine.
Stages 4-6 (Negotiation, Litigation, Settlement/Disbursement) are primarily managed by JR, Royel, Cyarra, and Princess. Once a case reaches Liability Negotiation, the attorneys drive it forward. However, you are still responsible for:
1. Project expenses — keeping expense records current and accurate in Filevine throughout the case lifecycle.
2. Settlement tracking — when settlements come through, ensure settlement amounts and dates are entered promptly.
3. Provider follow-up — even in negotiation/settlement, providers may need additional documentation or bills. Stay responsive to those requests.
Bottleneck alert: If cases are piling up in Treatment (MRI Review) or Treatment Complete with high avg weeks, that means cases are stalling before they can advance to demand. Check for missing data or stalled treatment plans.
| Phase | Avg Weeks | Max Weeks | # Cases | Risk Level | Primary Driver |
|---|---|---|---|---|---|
| Treatment Complete | 84.6 | 111.0 | 7 | CRITICAL BOTTLENECK | Extended avg time — review escalation path |
| Treatment (MRI Review) | 83.9 | 116.0 | 29 | CRITICAL BOTTLENECK | Extended avg time — review escalation path |
| Retained (Documents Signed) | 53.3 | 64.0 | 3 | CRITICAL BOTTLENECK | Extended avg time — review escalation path |
| Referred Out | 47.0 | 47.0 | 1 | CRITICAL BOTTLENECK | Extended avg time — review escalation path |
| Liability Negotiation | 37.4 | 49.0 | 10 | CRITICAL BOTTLENECK | Extended avg time — review escalation path |
| Litigation | 36.7 | 121.0 | 23 | CRITICAL BOTTLENECK | Extended avg time — review escalation path |
| Settlement Disbursement | 35.2 | 101.0 | 44 | CRITICAL BOTTLENECK | Extended avg time — review escalation path |
| Treatment (Evaluations) | 25.0 | 25.0 | 1 | STUCK | 1/1 overdue — needs intervention |
| Demand Drafted | 21.7 | 49.0 | 19 | STUCK | 19/19 overdue — needs intervention |
| Settlement | 12.8 | 31.0 | 9 | WATCH | Within acceptable range |
| Pre-Lit | 8.0 | 8.0 | 1 | WATCH | 1/1 overdue — needs intervention |
Phase Bottleneck Analysis — Reading the Table
Avg Weeks shows how long cases typically sit in each phase. Phases with high averages are where cases get stuck — these are your bottlenecks.
Risk Levels:
CRITICAL BOTTLENECK — Avg over 30 weeks. Cases are severely stalled. Check for missing escalation paths, incomplete treatment plans, or cases that should have moved phases weeks ago.
STUCK — Avg over 20 weeks. Cases are lingering too long. Review each case individually to identify what's blocking advancement.
SLOW — Avg over 15 weeks. Movement is below expectations. Increase follow-up cadence and check task completion rates.
WATCH — Not critical yet but trending slow or approaching SLA limits. Stay proactive.
What you can do: For phases you control (Treatment through Demand Drafted), look at the cases with the highest "Weeks in Phase" and determine what's blocking them. Common culprits: waiting on provider records, missing treatment end date, bills not yet requested, or coverage not documented.
Ops Intel — Flagged Notes
0 notes flagged by the team for leadership review. Team members tag Filevine notes with #ops-* tags to surface items here with full case context.
How does this work?
Ops Intel connects your team's Filevine notes directly to this dashboard. When a team member needs leadership guidance, strategy input, or wants to escalate an issue, they simply add a note on the case in Filevine with one of the tags below. The next time dashboards refresh, the note appears here with full case context pulled automatically from firm data.
| Tag | When to Use |
|---|---|
| ▸ #ops-strategy | Case strategy guidance — next steps, approach, escalation path |
| ▲ #ops-escalation | Needs leadership attention — stuck case, client issue, or critical decision |
| + #ops-medical | Treatment question — referrals, stopping treatment, specialist needs |
| $ #ops-settlement | Pre-demand or settlement strategy — readiness, counter-offer, positioning |
| ◉ #ops-deadline | Time-sensitive — SOL approaching, lien deadline, court date |
| ■ #ops-billing | Billing & provider payment — missing bills, balance disputes, reductions |
| ✉ #email-escalation | Email escalation sent from dashboard — CC'd to Ashton |
| ✉ #email-attorney | Attorney escalation sent from dashboard — CC'd to JR + Ashton |
How to tag a note: In Filevine, create a note on the case project. In the Tags field, type the tag exactly (e.g. #ops-strategy). The note text should describe what you need — the dashboard will automatically attach the case details (phase, coverage, billing, health, CM assignment) so leadership has the full picture.
#ops-* tags, they will appear here.HOW THIS WORKS
Fake Progress — 52 Flagged Cases
35.4% of bookFilter by root cause category to focus your cleanup efforts.
| Case | Phase | Root Cause | Health | Weeks | Action |
|---|---|---|---|---|---|
| Aeryial Spencer MVA ↗ IntakeMedicalActivityDocs |
Litigation | Missing: Coverage (1P/3P) | Data Issue | 45w | Add 1P/3P coverage |
| Alfred Stewart MVA ↗ IntakeMedicalActivityDocs |
Demand Drafted | Missing: Coverage (1P/3P) | Data Issue | 20w | Add 1P/3P coverage |
| Armani Jackson MVA ↗ IntakeMedicalActivityDocs |
Demand Drafted | Missing: Treatment Start | Data Issue | 12w | Enter treatment start date |
| Brandon Campbell MVA ↗ IntakeMedicalActivityDocs |
Litigation | Missing: Records Request Date | Healthy | 4w | Enter records date in Filevine |
| Bridget Prenatt MVA ↗ IntakeMedicalActivityDocs |
Treatment (MRI Review) | Data Gap | Healthy | 57w | Review and update case in Filevine |
| Caleitha Berry ↗ IntakeMedicalActivityDocs |
Litigation | Missing: Records Request Date | High Risk | 15w | Enter records date in Filevine |
| China Gonzales ↗ IntakeMedicalActivityDocs |
Treatment (MRI Review) | Data Gap | Critical | 116w | Review and update case in Filevine |
| Chiquita Cheek MVA ↗ IntakeMedicalActivityDocs |
Litigation | Data Gap | Critical | 14w | Review and update case in Filevine |
| Christine Noel- MVA ↗ IntakeMedicalActivityDocs |
Liability Negotiation | Missing: Records Request Date | Healthy | 47w | Enter records date in Filevine |
| Crim Pharen MVA ↗ IntakeMedicalActivityDocs |
Litigation | Missing: Records Request Date | Healthy | 13w | Enter records date in Filevine |
| Darlene Finch MVA ↗ IntakeMedicalActivityDocs |
Litigation | Missing: Coverage (1P/3P) | Data Issue | 25w | Add 1P/3P coverage |
| Demaris Pool ↗ IntakeMedicalActivityDocs |
Treatment (MRI Review) | Missing: Treatment Start | Data Issue | 80w | Enter treatment start date |
| Ebony Walker MVA ↗ IntakeMedicalActivityDocs |
Demand Drafted | Missing: Records Request Date | High Risk | 24w | Enter records date in Filevine |
| Etienne Jacques- MVA State Farm ↗ IntakeMedicalActivityDocs |
Litigation | Missing: Records Request Date | Critical | 35w | Enter records date in Filevine |
| Galaz Bibbs- MVA ↗ IntakeMedicalActivityDocs |
Litigation | Data Gap | Healthy | 47w | Review and update case in Filevine |
| Jada Collins MVA ↗ IntakeMedicalActivityDocs |
Litigation | Missing: Records Request Date | Healthy | 121w | Enter records date in Filevine |
| Jahla Pippins MVA ↗ IntakeMedicalActivityDocs |
Liability Negotiation | Missing: Treatment Start | Healthy | 15w | Enter treatment start date |
| Jahreese Woods (3yrold) MVA ↗ IntakeMedicalActivityDocs |
Treatment (MRI Review) | Missing: Records Request Date | Healthy | 78w | Enter records date in Filevine |
| Jameisha Easterling ↗ IntakeMedicalActivityDocs |
Treatment (MRI Review) | Missing: Treatment Start | High Risk | 82w | Enter treatment start date |
| Jaylyn Gentry ↗ IntakeMedicalActivityDocs |
Litigation | Missing: Coverage (1P/3P) | Data Issue | 47w | Add 1P/3P coverage |
| Jeremiah Nealey MVA ↗ IntakeMedicalActivityDocs |
Liability Negotiation | Missing: Treatment Start | High Risk | 25w | Enter treatment start date |
| Jessica Graham SLIP AND FALL ↗ IntakeMedicalActivityDocs |
Demand Drafted | Missing: Coverage (1P/3P) | Data Issue | 18w | Add 1P/3P coverage |
| Jordyn Rogers ↗ IntakeMedicalActivityDocs |
Treatment (MRI Review) | Missing: Records Request Date | High Risk | 82w | Enter records date in Filevine |
| Judith Anderson SLIP AND FALL ↗ IntakeMedicalActivityDocs |
Demand Drafted | Missing: Coverage (1P/3P) | Data Issue | 43w | Add 1P/3P coverage |
| Justin Strickland ↗ IntakeMedicalActivityDocs |
Demand Drafted | Missing: Treatment Start | Data Issue | 8w | Enter treatment start date |
| Kaleb Pruitt MVA 2 ↗ IntakeMedicalActivityDocs |
Litigation | Missing: Records Request Date | High Risk | 25w | Enter records date in Filevine |
| Keyuana Goolsby MVA ↗ IntakeMedicalActivityDocs |
Treatment (MRI Review) | Missing: Bills | Data Issue | 56w | Update bill amount in Filevine |
| Koran Willis ↗ IntakeMedicalActivityDocs |
Litigation | Missing: Coverage (1P/3P) | Data Issue | 16w | Add 1P/3P coverage |
| LaRonda Zachery MOLD EXPOSURE ↗ IntakeMedicalActivityDocs |
Demand Drafted | Missing: Treatment Start | Data Issue | 32w | Enter treatment start date |
| Latoneya Sutton MVA ↗ IntakeMedicalActivityDocs |
Treatment (Evaluations) | Missing: Treatment Start | High Risk | 25w | Enter treatment start date |
| Latrita Foster DOG BITE ↗ IntakeMedicalActivityDocs |
Treatment (MRI Review) | Missing: Coverage (1P/3P) | Data Issue | 97w | Add 1P/3P coverage |
| Leandra Pierre-Louis MVA-1 ↗ IntakeMedicalActivityDocs |
Retained (Documents Signed) | Missing: Treatment Start | Data Issue | 55w | Enter treatment start date |
| Livia Spears MVA ↗ IntakeMedicalActivityDocs |
Liability Negotiation | Missing: Records Request Date | Healthy | 44w | Enter records date in Filevine |
| Luis F Flores-Lawton MVA ↗ IntakeMedicalActivityDocs |
Litigation | Missing: Records Request Date | Healthy | 40w | Enter records date in Filevine |
| Nadia Hayes MVA ↗ IntakeMedicalActivityDocs |
Demand Drafted | Missing: Treatment Start | Data Issue | 3w | Enter treatment start date |
| Nadia Hayes MVA 3 ↗ IntakeMedicalActivityDocs |
Demand Drafted | Missing: Treatment Start | Data Issue | 10w | Enter treatment start date |
| Nyiesha Williams FOOD POISONING ↗ IntakeMedicalActivityDocs |
Demand Drafted | Missing: Treatment Start | Data Issue | 6w | Enter treatment start date |
| Paislee Graves MVA ↗ IntakeMedicalActivityDocs |
Litigation | Data Gap | High Risk | 35w | Review and update case in Filevine |
| Pasion Young- MONOX POISONING ↗ IntakeMedicalActivityDocs |
Litigation | Missing: Treatment Start | Healthy | 26w | Enter treatment start date |
| Patreace Bowles SLIP AND FALL ↗ IntakeMedicalActivityDocs |
Litigation | Missing: Coverage (1P/3P) | Data Issue | 13w | Add 1P/3P coverage |
| Perry Taylor ↗ IntakeMedicalActivityDocs |
Liability Negotiation | Missing: Records Request Date | High Risk | 20w | Enter records date in Filevine |
| Ruben Sullivan MVA ↗ IntakeMedicalActivityDocs |
Litigation | Data Gap | Healthy | 45w | Review and update case in Filevine |
| Shacree Dennis MVA ↗ IntakeMedicalActivityDocs |
Demand Drafted | Missing: Records Request Date | Healthy | 3w | Enter records date in Filevine |
| Sharifa Grimmond MVA ↗ IntakeMedicalActivityDocs |
Demand Drafted | Missing: Records Request Date | High Risk | 6w | Enter records date in Filevine |
| Tavarus Smith MONOXIDE POSIONING ↗ IntakeMedicalActivityDocs |
Treatment (MRI Review) | Missing: Records Request Date | Healthy | 113w | Enter records date in Filevine |
| Thomas Lee ↗ IntakeMedicalActivityDocs |
Retained (Documents Signed) | Missing: Treatment Start | Data Issue | 41w | Enter treatment start date |
| Toris Jones MVA ↗ IntakeMedicalActivityDocs |
Litigation | Missing: Records Request Date | Healthy | 26w | Enter records date in Filevine |
| Trevis Miller MVA ↗ IntakeMedicalActivityDocs |
Litigation | Data Gap | Healthy | 26w | Review and update case in Filevine |
| Valentina Solorzano MINOR MVA ↗ IntakeMedicalActivityDocs |
Demand Drafted | Missing: Treatment Start | Data Issue | 12w | Enter treatment start date |
| William Alfred Williams 1 MVA ↗ IntakeMedicalActivityDocs |
Litigation | Data Gap | Healthy | 26w | Review and update case in Filevine |
| Jaime Omarpazcardona MVA ↗ IntakeMedicalActivityDocs |
Retained (Documents Signed) | Missing: Treatment Start | Data Issue | 64w | Enter treatment start date |
| Tonya Alexander MVA 2 Lyft ↗ IntakeMedicalActivityDocs |
Treatment (MRI Review) | Missing: Treatment Start | Data Issue | 97w | Enter treatment start date |
SOL Watch — 0 Cases
Statute of Limitations countdown. Cases at the top need action immediately.
| Case | Phase | SOL | Health |
|---|
Critical Health — 9 Cases
Cases flagged Critical in Filevine — high risk of stalling or losing value. Click to expand details.
Over-Policy Exposure — 54 Cases ($1,143,247)
Cases where billed amount exceeds insurance coverage. These need reduction or settlement strategy.
Cases Missing Bills — 10
These cases have $0 billed. Request billing statements from providers and update Filevine.
| Case | Phase | Weeks | Billed | Action |
|---|---|---|---|---|
| Demaris Pool ↗ MedicalExpensesDocsEmail |
Treatment (MRI Review) | 80w | $0 | Request bills from provider |
| Janayer Alexis-Pegues MVA ↗ MedicalExpensesDocsEmail |
Pre-Lit | 8w | $0 | Request bills from provider |
| Keyuana Goolsby MVA ↗ MedicalExpensesDocsEmail |
Treatment (MRI Review) | 56w | $0 | Request bills from provider |
| Latoneya Sutton MVA ↗ MedicalExpensesDocsEmail |
Treatment (Evaluations) | 25w | $0 | Request bills from provider |
| Leandra Pierre-Louis MVA-1 ↗ MedicalExpensesDocsEmail |
Retained (Documents Signed) | 55w | $0 | Request bills from provider |
| Thomas Lee ↗ MedicalExpensesDocsEmail |
Retained (Documents Signed) | 41w | $0 | Request bills from provider |
| Tyren Jackson MVA ↗ MedicalExpensesDocsEmail |
Treatment (MRI Review) | 92w | $0 | Request bills from provider |
| Imani Jackson (minor) MVA ↗ MedicalExpensesDocsEmail |
Demand Drafted | 12w | $0 | Request bills from provider |
| Jaime Omarpazcardona MVA ↗ MedicalExpensesDocsEmail |
Retained (Documents Signed) | 64w | $0 | Request bills from provider |
| Tonya Alexander MVA 2 Lyft ↗ MedicalExpensesDocsEmail |
Treatment (MRI Review) | 97w | $0 | Request bills from provider |
Phase Load Distribution
Needs Attorney Review — 34 Cases
Critical health, high risk, or SLA overdue cases requiring attorney attention. Click to expand.
Needs Ops Cleanup — 54 Cases
Missing coverage, data mismatches, or admin issues needing operations support.
45 days — full resolution
90 days — full resolution
120 days — full resolution
✓ Confirm accident details, injuries, insurance info
✓ Upload signed docs to Filevine
✓ Send medical authorization forms
✓ Send LOR (Letter of Representation) to insurance carrier
Day 10: Call carrier claims dept directly
Day 15: If still no response → ESCALATE to Supervisor
Possible causes: Wrong carrier, policy lapsed, claim not filed by insured
Fix: Pull police report to verify carrier info. Check client UM/UIM coverage as fallback.
✓ Obtain claim number and adjuster assignment
✓ Confirm liability position with adjuster
✓ Document everything in Filevine
Step 2: Send written follow-up (email + fax) — document all attempts
Step 3: After 3 failed attempts across 2 weeks → Formal Demand for Response
Step 4: If still ghosting → File DOI complaint
Nuclear option: Bad faith letter to carrier + alert attorney
✓ Confirm client has transportation / can make appointments
✓ Set treatment plan expectations with client
✓ Bi-weekly check-in calls on treatment progress
✓ Confirm treatment plan with providers — how many visits remaining?
✓ Request records from pre-existing providers (ER, urgent care, PCP)
Common reasons: Transportation, work schedule, fear, feeling better
If transportation: Help arrange rides, find closer provider
If "feeling better": Educate — gap in treatment = ammo for adjuster to lowball
If no response: 3-attempt rule (call, text, letter). After 3 fails → Escalate to attorney
Critical: ANY gap >14 days must be documented with explanation
Provider recommends more treatment: Document necessity. If this pushes past tier deadline → Flag for CM Lead
Client needs specialist: Coordinate referral. No gap >14 days.
Client relocated: Find new providers. Transfer records. Flag CM Lead — timeline reset
$25K cases: Extended treatment may mean case exceeds min policy. Re-evaluate tier.
✓ Request ER records, radiology, PCP, specialists
✓ Track which providers have responded — create a checklist
✓ For completed providers: bills should be in-hand or requested
✓ Verify amounts billed match treatment documented
✓ Identify lien holders (health insurance, Medicare/Medicaid, hospital liens)
+14 days: HIPAA-compliant written request with deadline
+21 days: Contact office manager. Threaten HIPAA complaint in writing.
Provider closed: Check state medical board for successor or custodian
After 3 fails: Attorney letter or subpoena
Won't send bills: Ask for billing summary/superbill. Contact billing dept separately.
Hospital lien: Request payoff amount in writing. Note it and proceed.
After 3 fails per provider: Attorney letter or subpoena
✓ Calculate total medical specials
✓ Include lost wages and property damage docs if applicable
✓ Quality check: does the story make sense? Any gaps?
✓ $25K cases: Demand policy limits. Prove claim exceeds $25K. No negotiation needed.
✓ Update Filevine phase: Write Demand → Demand Drafted → Demand Sent
Treatment ongoing: Get FIRM end date. No end in sight → Attorney review
Demand not drafted: IMMEDIATE ESCALATION to CM Lead — #1 reason cases miss their window
Waiting on client info: Set 48-hour deadline. Send without if needed.
✓ Document response and any counter-offers
✓ Keep client informed of all developments
✓ $25K: Carrier should tender limits. If not, escalate fast.
✓ $50K–$100K+: Prepare settlement evaluation for attorney. Negotiate within authority.
Lowball offer: Document why inadequate. Counter with evidence. Alert attorney.
Denial: Immediate attorney review — litigation referral
$25K policy limits tendered: Accept. Move to settlement immediately.
Day 21: Call supervisor. Written follow-up with read receipt
Day 30: Bad faith notice
Adjuster changed: Get new adjuster info. Re-send demand.
Parallel track: Begin pre-litigation prep — don't wait forever
✓ Send settlement docs to paralegal team
✓ Enter settlement expenses and reduction amounts in Filevine
✓ Update phase to Settlement / Settlement Disbursement
✓ Notify client of next steps
Case exits CM ownership → Paralegal Team
Liability disputed: Compile all evidence. Attorney review for litigation
Low offer standoff: Attorney decides: accept, counter, or litigate.
Ensure clean handoff: Nothing should surprise the next person touching this file.
☐ SETTLED — Handed off to paralegal for disbursement
☐ IN NEGOTIATION — Active counter-offers with clear timeline
☐ PRE-LITIGATION — File prepped, attorney reviewing for suit
☐ EXCEPTION — Documented reason for delay with revised plan
Case past its tier deadline with no demand sent and no documented exception = PROCESS FAILURE
2. Correct defendant info in Filevine
3. Send updated LOR to correct party/carrier
4. If LOR went to wrong party — send correction letter ASAP
5. If suit was filed against wrong defendant → Attorney immediately
This is a potential malpractice issue. Fix it the moment you discover it.
2. Call correct carrier to confirm/open claim
3. Update Filevine with correct info
4. Re-send LOR to correct carrier
5. If bills/records requests went to wrong carrier — redirect immediately
2. Many states require disclosure within 30–60 days of request
3. Follow up at Day 14 and Day 30 if no response
4. Check client's own UM/UIM declarations page for stacking potential
5. Unknown limits = unknown tier. Cannot set case timeline until confirmed.
2. Check for MedPay — can cover treatment costs upfront
3. Check for PIP (in PIP states)
4. Check UM/UIM for underinsured/uninsured scenarios
5. Check household members' policies for stacking
6. Failure to explore 1P benefits = leaving money on the table and potential malpractice
1. Verify SOL for the jurisdiction and claim type immediately
2. Calendar the SOL deadline in Filevine AND a separate calendar
3. Set warning alerts at 90, 60, and 30 days before SOL
4. Different SOLs: personal injury, property damage, minors, government entities
5. GA: 2 years PI, 4 years property
6. TX: 2 years PI
7. LA: 1 year PI (prescriptive period)
8. If SOL is approaching → Attorney must review for suit filing IMMEDIATELY
2. Check if federal diversity jurisdiction applies
3. Confirm correct court for filing if suit needed
4. Wrong venue can result in dismissal → Attorney review
2. Check defendant names, carrier, other passengers, witnesses
3. If conflict found — Attorney must determine if representation can continue
4. Document conflict check in Filevine regardless of result
2. Send missing docs to client for signature immediately
3. Use e-sign with read receipts — track completion
4. Do NOT proceed with case work until representation docs are complete
5. Flag incomplete files daily until resolved
2. Ask for alternate contact (spouse, parent, emergency)
3. If contact fails later — try alternate, check social media, skip trace
4. Update Filevine immediately when new info obtained
2. Coordinate with adjuster on PD vs BI claims
3. If total loss — help client understand process and rental coverage
4. Get photos of vehicle damage BEFORE vehicle is repaired/scrapped
5. PD documentation strengthens BI claim — don't ignore it
By state:
• GA: Request from Georgia Department of Driver Services or BuyACrash.com ($6–$20)
• TX: Request from TxDOT or CrashReport.txdot.gov ($6 online)
• LA: Request from Louisiana State Police or local PD. LACrash.com for state police reports
• IL: Illinois State Police or local PD. Online at ilsos.gov for state police
• NC: DMV crash report request or local PD
2. Review for: fault determination, citations, witness info, insurance info
3. If report has errors — document and note discrepancies for demand
4. If no report was filed — try to file a late report or get a CAD/dispatch log
5. Upload to Filevine immediately upon receipt
2. Check if other parties or witnesses took photos
3. Google Maps/Street View for scene context
4. If vehicle not yet repaired — get photos NOW
5. If injuries are visible — have client photograph bruising/scarring
6. Visual evidence is the most persuasive in a demand. Don't skip this.
2. Contact within first 7 days — memories fade fast
3. Get recorded or written statement if possible
4. Log contact info and statement summary in Filevine
5. If witness uncooperative — note it; may need subpoena later
2. Request body cam/dash cam from responding officers (public records request)
3. Identify nearby businesses with surveillance cameras
4. Send preservation/spoliation letters to all evidence holders ASAP
5. Most surveillance auto-deletes in 30–90 days — time-critical
6. File FOIA/open records requests as needed by state
2. Send to: opposing party, their carrier, businesses with cameras, vehicle repair shops, towing companies
3. Include specific evidence to preserve: video, vehicle, black box data, phone records
4. Send via certified mail with return receipt
5. Failure to send can result in lost evidence with no recourse
2. GA: Modified comparative — client must be less than 50% at fault
3. TX: Modified comparative — client must be 50% or less
4. LA: Pure comparative — recovery reduced by fault percentage
5. Gather evidence to minimize client's fault contribution
6. If fault split looks bad → Attorney strategy session on viability
2. Interview client again about the discrepancies
3. Look for other evidence to corroborate either version
4. Attorney must know about this — affects case value and strategy
5. Do NOT hide or ignore contradictions — they will come out
2. Send spoliation letter to company AND driver immediately
3. Request driver logs, maintenance records, drug test results, GPS data
4. Check FMCSA records for trucking violations
5. Commercial defendants destroy evidence quickly — act in first 48 hours if possible
2. Ask client about any other vehicles or contributing factors
3. Check for road defects, construction zones, product defects
4. Investigate employer liability, vehicle owner vs driver
5. Additional defendants = additional insurance coverage
2. Note specific inaccuracies or contested points
3. Gather independent evidence that contradicts the report
4. Prepare a rebuttal for the demand package
5. Do NOT ignore a bad report — address it head-on in the demand
• GA: BuyACrash.com (GEARS system) or local PD records division. If not on BuyACrash, call investigating agency directly. Allow 7–14 days for processing.
• TX: CrashReport.txdot.gov for state roads. Local PD for city streets. $6 online, may take 10+ business days for complex crashes.
• LA: LACrash.com for State Police reports. Parish Sheriff or city PD for local reports. Can take 2–4 weeks.
• IL: Illinois State Police for state roads. Local PD for city streets. May require written request or FOIA.
• NC: DMV crash report request form. Local PD records division. $6+ fee.
General troubleshooting:
1. If report says "pending" or "under investigation" — follow up weekly
2. If report not filed — contact investigating officer directly
3. If officer says no report was written — request CAD/dispatch log as proof of response
4. For fatal or serious injury crashes, reports may take 30–60+ days
5. Set a Filevine reminder to follow up every 7 days until received
2. If days/weeks since accident — get them in ASAP
3. Adjusters will use any delay as evidence injuries aren't serious
4. If ER was skipped — document why (e.g., adrenaline, didn't realize severity)
5. Have provider document onset of symptoms relative to accident
1. Call client immediately — find out why
2. Document the reason in Filevine (transportation, work, financial, felt better)
3. Get client back in treatment ASAP
4. Have provider document the gap and explain continued medical necessity
5. Any gap >14 days WILL be used against you by the adjuster
6. Prepare to address the gap proactively in the demand
2. Common: fear of injections, cost concerns, distrust of treatment
3. Educate: noncompliance = adjuster argument that injuries aren't real
4. If client refuses recommended treatment — document their decision
5. Attorney should be aware — affects case valuation
2. If self-directed — educate on impact to case value
3. If provider discharged — get discharge notes documenting status
4. If client needs more treatment but stopped — find out why and solve it
5. An incomplete treatment record weakens the demand significantly
2. Contact provider relations team for referral options
3. If new market (Chicago, Charlotte, New Orleans) — Escalate to Ops for provider development
4. Consider cash-pay options if lien unavailable
5. MRI facilities — check for mobile MRI options or imaging centers with lower rates
6. Don't let treatment stall because you can't find a provider — this is solvable
2. Get provider to document aggravation vs new injury
3. "Eggshell plaintiff" doctrine: defendant takes plaintiff as they find them
4. Have provider explain how accident worsened pre-existing condition
5. Do NOT hide prior injuries — address them proactively in the demand
2. Get provider opinion letter on causation
3. Research low-impact studies supporting injury claims
4. Photos of vehicle damage can be misleading — document thoroughly
5. Delayed symptoms are medically recognized — have provider document
6. Weak causation = lower value. Attorney should set realistic expectations.
2. Ensure symptoms are documented in medical records, not just client reports
3. Cognitive testing, psychological evaluations add significant value
4. PTSD, anxiety, depression from accident are compensable
5. TBI screening should be done for any head impact
6. These damages can exceed physical injury value — don't overlook them
2. Guardian must authorize all treatment and legal decisions
3. Minor settlements require court approval in most states
4. Track all family members' treatment separately in Filevine
5. Minor case deadlines differ — SOL may be tolled until age of majority
2. MMI (Maximum Medical Improvement) determination is critical for demand
3. If provider won't issue MMI letter — request narrative report
4. Document any permanent restrictions or future care recommendations
5. Cannot properly value case without knowing final medical status
2. A request without follow-up is the same as no request
3. Track status per provider in Filevine
4. After 3 attempts — escalate per provider troubleshooting protocol
2. Match bill to correct provider and date of service
3. Unrecorded bills = understated specials = lower demand value
4. Audit file weekly for any bills sitting in uploads but not logged
2. Update all date fields when documents are received
3. This directly affects your Delta score and case health metrics
4. Run a self-audit: compare uploaded docs to logged field dates
2. Identify gaps: provider treated client but no records/bills received
3. Identify extras: records from provider not on the list (investigate)
4. Update provider list in Filevine to match reality
2. Summary bills without itemization are weak in demands
3. Adjusters will challenge non-itemized bills
4. If provider only sends a summary — request a superbill or encounter form
2. Ensure no double-counting of charges
3. Separate facility charges from professional charges
4. Update Filevine billing section with clean allocations
2. Check for duplicate CPT codes on same date of service
3. Clean up duplicates in Filevine
4. Duplicates in a demand = credibility problem with adjuster
1. Ask client at intake: do you have health insurance? Medicare? Medicaid? VA?
2. If health insurance paid — they may have subrogation rights
3. Medicare/Medicaid liens are federal priority — MUST be resolved before disbursement
4. ERISA plans have strong subrogation rights
5. Check CMS MSPRC for Medicare conditional payment info
6. Identify ALL lien holders early — affects net recovery and settlement strategy
2. Don't wait until settlement to negotiate reductions
3. Contact each provider/lien holder with reduction request
4. Document all reduction offers and approvals
5. Late reductions delay disbursement and frustrate clients
2. Consider: demand policy limits, explore UM/UIM, evaluate litigation value
3. Discuss with attorney: is there additional coverage to pursue?
4. If specials far exceed policy — demand limits immediately, don't wait
5. Continuing to rack up bills against an insufficient policy helps nobody
2. Contact emergency/alternate contact on file
3. Check social media for updated contact info
4. Send certified letter to last known address
5. If all fails — skip trace services
6. After exhausting all options → Attorney for withdrawal consideration
2. Gently confront discrepancies — give client chance to clarify
3. Compare client statements to crash report and medical records
4. Inconsistencies WILL be discovered in negotiation or litigation — Attorney must know
5. Do not coach or suggest answers — document what they tell you
2. Do not tell client to delete posts (spoliation)
3. Advise to set profiles to private
4. Document any problematic posts you become aware of
5. Adjusters and defense attorneys WILL check social media
2. Re-send LOR if needed with specific instruction
3. Educate client: never speak to adjuster, refer all calls to us
4. If recorded statement was given — Attorney must review immediately
5. Document what was said if possible
2. Compare against client's representations
3. Check for prior claims through ISO/Claims databases if available
4. Attorney must be informed — affects strategy and credibility
5. Prior claims don't kill a case but must be addressed proactively
2. Explain: settling early means significantly less money
3. If they need immediate help — explore MedPay, PIP, or litigation funding
4. Set clear expectations on timeline tied to their policy tier
5. Never promise a settlement amount or timeline
6. If client insists → Attorney call to discuss options
2. Explain the policy tier timeline at the start
3. Don't overpromise to keep the client happy
4. Set check-in schedule so client feels informed
5. Under-promise, over-deliver — always
2. Find treatment providers in their new area
3. Verify jurisdiction hasn't changed for the claim
4. Update Filevine with new location
5. Adjust communication methods (time zone, contact preferences)
2. Get emergency contact or family member for communication
3. If hospitalized — treatment is still occurring, track it
4. If incarcerated — arrange communication through facility protocols
5. Attorney review — may need to toll deadlines or adjust strategy
1. Case may convert to wrongful death or survival action
2. Estate representative must be appointed to continue claim
3. SOL may change — verify immediately
4. All communication shifts to estate representative
5. This fundamentally changes the case — do not proceed without attorney direction
— All providers accounted for?
— All bills and records received?
— Treatment complete or MMI reached?
— Lost wages documented?
— Property damage resolved?
2. A premature demand undermines credibility
3. Supplementing a demand repeatedly looks disorganized to adjusters
2. Demanding $250K on a $25K policy wastes everyone's time
3. Identify all available coverage: liability, UM/UIM, MedPay, umbrella
4. Strategy changes based on coverage available
2. When value clearly exceeds limits: policy limits demand + UM/UIM claim
3. When liability is questionable: consider demand below limits for quick resolution
4. Document the strategy reasoning for the file
2. Future care: Provider letter estimating ongoing treatment needs
3. Permanency: MMI report with permanent restrictions or impairment rating
4. Pain and suffering: Client declaration, day-in-the-life narrative, photos
5. Missing any of these = lower demand value and weaker negotiation position
2. Review demand against exhibit list before sending
3. Missing exhibits = adjuster asks for them = delay
4. One complete package is always better than two supplement packages
2. Many carriers have online portals now — use them
3. If sent wrong — re-send immediately and confirm receipt
4. Document the error and correct contact info in Filevine
2. Calendar follow-up at Day 14 and Day 30 post-send
3. Track demand status in Filevine
4. A demand without follow-up is a demand forgotten
2. Adjust for liability exposure (comparative fault discount)
3. Don't demand $500K when policy is $50K and liability is questionable
4. Attorney should approve demand amount on high-value or complex cases
2. Frame as aggravation: "Client had managed condition that was significantly worsened"
3. Get provider to differentiate pre-existing vs accident-related
4. Address prior injuries head-on in the demand narrative
5. Ignoring = losing credibility when adjuster finds them
2. Cite state-specific disclosure requirements
3. Follow up at Day 14 and Day 30
4. If still stonewalling — Attorney letter demanding disclosure
5. May need to file suit to compel discovery of coverage
2. Attorney must review — this means carrier may deny coverage
3. Identify the specific exclusion or defense being raised
4. Assess whether claim can proceed under other coverage (UM/UIM)
5. May need declaratory judgment action to resolve coverage
2. Carrier may interplead funds with the court
3. Attorney strategy needed — first to settle may get most
4. Explore client's own UM/UIM for the gap
5. Document all communications about allocation
2. If statement was given — request a copy immediately
3. Review for damaging admissions
4. Prepare to address any harmful statements in demand
5. Educate client: refer ALL adjuster contact to the firm
2. EUO (Examination Under Oath): typically UM/UIM claims — must comply
3. IME (Independent Medical Exam): defense-hired doctor examination
4. Prepare client thoroughly before either
5. Request all documents and reports generated from IME
2. Re-send demand package and all prior correspondence
3. Provide summary of negotiation history
4. Re-establish response timeline
5. New adjuster = new evaluation. Previous verbal offers may not survive the transfer.
2. Prepare written counter with justification
3. If gap is too wide for negotiation — escalation options:
— Supervisor review at carrier
— Bad faith letter
— Pre-litigation posture
— File suit
4. Attorney decides: accept, counter, or litigate
2. Watch for: broad indemnity, future claims waiver, confidentiality
3. Medicare Set-Aside or reporting language
4. Negotiate release terms before signing
5. Standard carrier releases often contain overreaching language
2. Required in many states to preserve right to UM/UIM claim
3. Send LOR to UM/UIM carrier even if not making claim yet
4. Track UM/UIM separately from liability claim
5. Failure to notice UM/UIM carrier can forfeit the claim
2. Negotiate reduction of subrogation lien (often possible)
3. Check state-specific rules on subrogation (some states limit carrier recovery)
4. ERISA plans have strong federal subrogation rights — harder to reduce
5. Never disburse settlement without resolving all subrogation claims
2. This works on State Farm's main claims line and most regional numbers
3. Once connected, get the adjuster's direct number and extension for future calls
4. If still stuck, try calling early morning (8–9 AM local) for shorter hold times
5. Document every call attempt with date, time, and outcome in Filevine
2. If not responding, escalate to their supervisor (ask the general line for supervisor contact)
3. Send a written follow-up email to create a paper trail
4. If still no response after 14 days — formal demand letter referencing failure to respond
5. Document all contact attempts — non-responsiveness can support a bad faith claim
2. GA: O.C.G.A. § 33-3-28 requires disclosure within 30 days of written request
3. TX: Send demand under Stowers Doctrine for full policy limits
4. Check for umbrella/excess policies — carrier may not volunteer this
5. If carrier refuses — Attorney bad faith letter or motion to compel
2. Allow 3–5 business days for standard ACH processing
3. Call carrier to confirm payment was released and get confirmation number
4. If over 5 business days — request trace on the ACH transfer
5. If payment was returned — verify account info and resubmit immediately
1. Check SOL — how much time remains?
2. Determine why suit wasn't filed (oversight, strategy, staffing?)
3. If SOL is approaching — emergency suit filing
4. Document the reason for delay
5. This is a potential malpractice exposure — treat it seriously
2. Skip trace / people search databases
3. Check DMV records, voter registration, property records
4. If still not found — service by publication (court order required)
5. Unserved defendant = case cannot proceed — Attorney must strategize
2. If deadline approaching — use process server or sheriff immediately
3. If missed — motion for extension of time
4. Failure to serve = case dismissed — Attorney action required
2. Review for mandatory vs voluntary arbitration
3. If removal to federal court — assess impact on case strategy
4. All venue/jurisdiction motions — Attorney handling required
2. Get cost estimate before filing
3. Determine if firm can advance costs
4. Attorney must approve litigation budget before committing
2. If overdue — respond immediately to avoid sanctions
3. Request extensions if needed (before deadline, not after)
4. Discovery defaults can result in adverse rulings or case dismissal
2. Include dates, providers, diagnoses, procedures, and charges
3. Flag gaps, inconsistencies, or pre-existing conditions
4. This is the backbone of the litigation file — must be thorough
2. Check expert disclosure deadlines in the case schedule
3. Retain and schedule early — good experts book up
4. Missing expert deadline = expert excluded = case weakened
2. Propose mediation before trial prep costs escalate
3. Select mediator acceptable to both sides
4. Prepare mediation statement and settlement authority in advance
2. Clear decision: continue negotiation or file suit
3. Set a hard deadline for the decision
4. If nobody is making the call — escalate to managing attorney
5. A case sitting in pre-lit limbo is losing value every day
2. Check for: scope of release, indemnity, confidentiality, Medicare
3. Negotiate problematic language before signing
4. Never rush a release — but don't let it sit for weeks either
2. Broad indemnity: pushes future liability onto client
3. Medicare reporting: ensure proper MSP compliance
4. Negotiate removal or modification of overreaching terms
5. Standard carrier releases often need redlining
2. If incorrect — request reissue immediately
3. Check if check is payable to firm trust account (as it should be)
4. Track reissue timeline — follow up at Day 7 and Day 14
2. Confirm reduction agreements are documented
3. Do NOT disburse until all lien obligations are clear
4. Disbursing without resolving liens = potential trust account violation
2. Clients are waiting for their money — delays here are very frustrating
3. Set daily follow-up on pending reductions
4. Get written confirmations of all reductions
5. If provider won't negotiate — Attorney decision on paying full vs disputing
2. If no email — arrange in-person or notarized signing
3. If client is out of state — ship overnight with prepaid return
4. If truly unreachable — follow client communication escalation protocol
5. Settlement funds cannot be disbursed without signed release
2. Minor settlement: court approval required in most states
3. GA: Petition to superior court for minor settlement approval
4. TX: Court approval required, funds held in trust or restricted account
5. Attorney handles all court filings — CM ensures file is complete
2. Probate process must be initiated or guardianship established
3. Settlement funds held in trust until proper representative appointed
4. Attorney handles all probate/guardianship coordination
2. Document all costs advanced with receipts
3. Disputes go to managing attorney for resolution
4. Provide client with detailed closing statement showing all deductions
2. Prepare closing statement immediately
3. Resolve all liens and reductions
4. Target 14–21 days from settlement check receipt to client disbursement
5. Client should never wait more than 30 days for disbursement after settlement
2. Update owner immediately
3. If case was reassigned — complete handoff memo
4. Wrong owner = missed tasks, missed deadlines, no accountability
2. Audit the case against phase requirements before any phase change
3. Fake progress is tracked on your dashboard and reported to leadership
4. If prior phase work is incomplete — complete it or document why it can't be done
2. If missing — Report to Ops for Filevine automation setup
3. Manual workaround: create tasks manually when entering new phase
4. Don't wait for automation to do the work that needs doing now
2. When logging activity, ALSO update the corresponding Filevine fields
3. Fields drive dashboards, metrics, and case health — notes alone don't
4. Self-audit: compare your notes to field values weekly
2. Include: case status, pending tasks, client temperament, deadlines
3. Receiving CM should review the file within 48 hours
4. Dropped cases after reassignment = both CMs' responsibility
2. Resolve discrepancies by contacting the client
3. Update Filevine with verified information
4. If pattern → Ops review of intake-to-case handoff process
2. Merge relevant notes and docs into primary
3. Close the duplicate
4. Verify no tasks or deadlines exist only on the duplicate
2. If you spot an outdated template — Report to Ops immediately
3. Don't modify templates on your own — request updates through proper channels
4. Outdated LORs, authorizations, or retainers can create legal issues
1. Verify exact deadline
2. Attorney must be notified immediately
3. If suit filing needed — begin preparation immediately
4. Government claims may have shorter notice periods (ante litem)
5. Document all actions taken to meet the deadline
2. GA: Ante litem notice within 12 months of incident for state, varies for local
3. TX: Notice within 6 months for government tort claims
4. LA: Check specific governmental entity requirements
5. Missing ante litem = claim barred forever. Attorney must handle immediately.
2. Do not share medical records with unauthorized parties
3. Verify records requests include valid authorization
4. If breach suspected — Attorney and Ops notification immediately
1. Trust account rules are strict and non-negotiable
2. Client funds must never be commingled with operating funds
3. Every disbursement must be documented and authorized
4. Trust account violations = bar discipline — report any irregularity immediately
2. Escalation chain: CM Lead → Operations → Managing Attorney
3. Document what's blocking progress and what you've already tried
4. A stuck case is everyone's problem. Don't sit on it silently.
2. Delta scoring is designed to catch this — it cross-references data points
3. If you see this on someone else's cases — report it
4. If it's happening on your cases — stop and do the actual work
5. This is taken very seriously by leadership