View from The Helm

I think we can all agree that adequate medical treatment affects the prognosis of any disabling illness or injury. But what if we learn the claimant (customer) is experiencing a “roadblock” to following through on the treatment plan? What is the claims analyst’s role in ensuring the claimant is able to follow the prescribed treatment plan? And how can our involvement impact the outcome of the claim?... Read more »

When I began my career as a claims analyst, I participated in an extensive eight-week training. The trainers of this class went through the most basic of principles and taught the black and white rules to adjudicating a disability claim.... Read more »

You’ve just been put in charge of an audit program for a claims department. You may need to create a program from scratch or revise an existing program. Either can seem like a daunting task! In 2019, I had the honor of speaking on this topic along with other industry leaders at the Long Term Care International Forum. Here I offer a short blueprint on how to get started.... Read more »