Consulting Services

Consulting Module #1

STD Claim Management

Does your STD claim management model successfully balance efficiency and risk management, while still optimizing customer service?

PDA Offering

PDA will thoroughly assess your STD model, provide clear observations, and suggest actionable recommendations to improve efficiency and customer service. Our insight is grounded in a unique understanding of industry best practices, including how to effectively leverage predictive modeling, segmentation, and resource optimization.

Consulting Module #1

STD Claim Management


Does your STD claim management model successfully balance efficiency and risk management, while still optimizing customer service?


PDA Offering

PDA will thoroughly assess your STD model, provide clear observations, and suggest actionable recommendations to improve efficiency and customer service. Our insight is grounded in a unique understanding of industry best practices, including how to effectively leverage predictive modeling, segmentation, and resource optimization.

Outcomes

Promotes a triage process that aligns the right resources to the complexity of the claim, resulting in a highly efficient structure.

Enhances customer service through an effective segmentation strategy.

Certifies that your workflow is correctly categorizing STD claims into segments of high-volume/lower-discretion (non-complex claims) and lower-volume/higher-discretion (highly complex claims). 

Isolates the roughly 15% of claims that typically transition to LTD, while efficiently processing the large percentage of routine STD claims.

Outcomes

Promotes a triage process that aligns the right resources to the complexity of the claim, resulting in a highly efficient structure.

Enhances customer service through an effective segmentation strategy.

Certifies that your workflow is correctly categorizing STD claims into segments of high-volume/lower-discretion (non-complex claims) and lower-volume/higher-discretion (highly complex claims).

Isolates the roughly 15% of claims that typically transition to LTD, while efficiently processing the large percentage of routine STD claims.

Duration

  • Review Policies & Procedures 
  • Interview Key Resources
  • Review Random Sampling of Claims 
  • Record Observations and Recommendations

Develop Report with Observations and Actionable Recommendations

Duration

  • Review Policies & Procedures 
  • Interview Key Resources
  • Review Random Sampling of Claims 
  • Record Observations and Recommendations

Develop Report with Observations and Actionable Recommendations

For more information contact Mark Sawyer

(207)747-4308

Consulting Modules

#2
STD-to-LTD
Transition