Consulting Services

Consulting Module #4

LTD Change in Definition Assessment

Is your change-in-definition (CID) process based on discreet milestones, instead of one that views disability and functional capacity as fluid and continuous? Once the CID assessment begins, does your process apply the same rigor present at the new claim stage?

PDA Offering

PDA’s Consulting Practice will assess your model and structure (post-initial liability through CID investigation), and provide actionable recommendations that are consistent with industry best practices.

Consulting Module #4

LTD Change in Definition Assessment


Is your change-in-definition (CID) process based on discreet milestones, instead of one that views disability and functional capacity as fluid and continuous? Once the CID assessment begins, does your process apply the same rigor present at the new claim stage?


PDA Offering

PDA’s Consulting Practice will assess your model and structure (post-initial liability through CID investigation), and provide actionable recommendations that are consistent with industry best practices.

Outcomes

Develops protocols that emphasize an ongoing understanding of the claimant’s functional capacity, so that action can be taken when the claimant first presents with the ability to return to any work.

Generates test change procedures that migrate away from a time-based process to ones that emphasize a capacity-based process.

Defines the circumstances when formal and informal TSAs are appropriate, so that pre-CID work capacity can be leveraged.

Establishes the correct key indicators, so that the process can be accurately measured.

Outcomes

Develops protocols that emphasize an ongoing understanding of the claimant’s functional capacity, so that action can be taken when the claimant first presents with the ability to return to any work.

Generates test change procedures that migrate away from a time-based process to ones that emphasize a capacity-based process.

Defines the circumstances when formal and informal TSAs are appropriate, so that pre-CID work capacity can be leveraged.

Establishes the correct key indicators, so that the process can be accurately measured.

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