Prior to connecting to a Claims Examiner
Would you be interested in taking our short five question customer service survey? If so, please press 1 now and remain on the line after the call.
Survey Introduction
Thank you for agreeing to take our survey! This survey should take approximately two minutes to complete. All questions are multiple-choice, and you may press the appropriate key at any time after hearing the question. Please do not respond on the basis of your satisfaction with the outcome of a claim. The Office of Management and Budget has approved this survey under control number 1225-0088 for use through XX/XX/XXXX. A Federal agency cannot conduct a survey without such approval.
Longshore Program
What is your role in connection to the Longshore program?
Injured Worker
Representative for Injured Worker
Employer, Carrier, or TPA
Representative for Employer or Carrier
Please select the option that best describes the reason you called us today.
You are responding to a DOL letter
You are calling to report a dispute on a case
You are calling to ask a DOL employee a question
Please select the option that best describes the issue about which you are calling.
Dispute regarding medical bill or treatment authorization
Dispute regarding the injured worker’s pay or wage loss compensation
Inquiry on an 8i settlement application
To request or follow up on a request for an informal conference
Other General Inquiry
Based on the service provided to you today, which, if any, of the following areas are there opportunities for improvement?
General customer service and courteousness or timeliness
Technical Training, such as the Longshore Act and its regulations and procedures
Improve language in correspondence
None
Overall, how satisfied were you with the service provided to you today?
Very satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
Energy Program
What is your role in connection to the Energy program?
Claimant
Authorized Representative or Claimant Advocate
Physician
Other Medical Provider
What was the reason for your call?
In response to a Development Letter
To obtain status of request for pre-authorization for medical services
To ask a billing question
To obtain status of Recommended or Final Decision
To obtain status of Compensation Payment
Based on the service provided to you today, which, if any, of the following areas are there opportunities for improvement?
General customer service and courteousness or timeliness
Technical Training, such as the Energy Program’s regulations and procedures?
Improve language in correspondence
None
Overall, how satisfied were you with the service provided to you today?
Very satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
Has this office ever denied you a benefit?
Yes
No
What is your role in connection to the FECA program?
Claimant or injured worker
Employer
Injury Compensation Specialist or Treatment Provider
Other
What was the reason for your call?
Acceptance or Denial
Compensation Payments
Bill Payment
Medical Authorization
Based on the service provided to you today, which, if any, of the following areas are there opportunities for improvement?
General customer service
Technical Training, such as the FECA Program’s regulations and procedures
Improve language and correspondence
None
Overall, how satisfied were you with the service provided to you today?
Very satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
Has this office ever denied you a benefit?
Yes
No
Black Lung Program
On a scale of one to five, with one being very dissatisfied and five being very satisfied, how satisfied were you with the timeliness of the response provided to you today?
Very dissatisfied
Somewhat dissatisfied
Neither satisfied or dissatisfied
Somewhat satisfied
Very satisfied
On a scale of one to five, with one being very dissatisfied and five being very satisfied, how satisfied were you with the professionalism of the individual who assisted you today?
Very dissatisfied
Somewhat dissatisfied
Neither satisfied or dissatisfied
Somewhat satisfied
Very satisfied
On a scale of one to five, with one being very dissatisfied and five being very satisfied, how satisfied were you with the knowledge of the individual who assisted you today?
Very dissatisfied
Somewhat dissatisfied
Neither satisfied or dissatisfied
Somewhat satisfied
Very satisfied
If you have filed a claim please indicate the current status of your claim.
Approved
Denied
No Decision
Not applicable
Do Not Know
Overall, how satisfied were you with the service provided to you today?
Very satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
Thank you very much for your help in making the Office of Workers’ Compensation Programs serve you better. If you have specific comments about how we might improve this survey or our service, please call the office you have just contacted. Have a nice day.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Selenich, Kevin - OWCP |
File Modified | 0000-00-00 |
File Created | 2021-01-13 |