Consulting Services

Consulting Module #3

LTD Initial Liability Determination

A successful initial liability structure will effectively balance the obligation to make timely decisions with the need to thoroughly evaluate claim complexity. Do your protocols result in quality and timely claim decisions, and produce clear and reasoned file direction?

PDA Offering

Having operated in the industry for decades and worked closely with the top-tier claim organizations, our seasoned professionals will apply their unique perspective to your initial liability process. Our observations will be insightful and clear, and our recommendations will be actionable and consistent with your organization’s capacity to execute upon.

Consulting Module #3

LTD Initial Liability Determination


A successful initial liability structure will effectively balance the obligation to make timely decisions with the need to thoroughly evaluate claim complexity. Do your protocols result in quality and timely claim decisions, and produce clear and reasoned file direction?


PDA Offering

Having operated in the industry for decades and worked closely with the top-tier claim organizations, our seasoned professionals will apply their unique perspective to your initial liability process. Our observations will be insightful and clear, and our recommendations will be actionable and consistent with your organization’s capacity to execute upon.

Outcomes

Establishes clear protocols around when and how to seek clinical and vocational input, producing efficient resource utilization and supportable claim decisions.

Emphasizes the skills necessary to develop clear file direction post-initial liability that drive effective future risk management.

Generates a workflow that accurately segments LTD claims, facilitating a sound initial liability assessment, appropriate liability acceptance rates, and decisions made within required DOL timeframes.

Develops and reinforces the skills necessary for a functionality-based model that identifies return-to-work opportunities throughout the continuum of disability.

Outcomes

Establishes clear protocols around when and how to seek clinical and vocational input, producing efficient resource utilization and supportable claim decisions.

Emphasizes the skills necessary to develop clear file direction post-initial liability that drive effective future risk management.

Generates a workflow that accurately segments LTD claims, facilitating a sound initial liability assessment, appropriate liability acceptance rates, and decisions made within required DOL timeframes.

Develops and reinforces the skills necessary for a functionality-based model that identifies return-to-work opportunities throughout the continuum of disability.

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

#1
STD Claim
Management