Contracts/Laws
Claims Management
Diagnoses
Customer Service
Ways to Recognize
100

This definition means that, due to sickness, pregnancy or accidental injury, you are receiving Appropriate Care and Treatment from a Doctor on a continuing basis and are considered unable to perform your occupation, or any occupation.  

What is the definition of disability?

100

This is the claim end reason code for a claimant who is working while disabled. 

What is Need Other Information?

100

Injury or damage to nerve roots in an area where they leave the spine (commonly referred to the pinching of a nerve in the spinal column). 

What is Radiculopathy?

100

This is the amount of time we have to attempt contact with a claimant following claim receipt date. 

What is five days?

100

This platform can be utilized to provide recognition across the company for fellow co-workers. 

What is Center Stage?

200

This provision presents loss of coverage when transferring insurance carriers.

What is Continuity of Coverage?

200

This detailed description provides a claim summary, next steps, outstanding information, and a list of treating providers. 

What is an Action Plan?

200

This disability occurs when there are problems within the ear, making it difficult to hear, if at all.

What is a hearing impairment (deafness)?

200

The process that allows you to approve a claim based on the severity of the condition. 

What is the Compassionate Allowance process and decision?

200

This platform can be found in Teams to recognize a co-worker for an outstanding job. 

What is Praise?

300

This is used by insurance companies to verify whether a person meets the definition of good health. 

What is Evidence of Insurability (EOI)?

300

This system is our payment system which generates benefits based on plan data from UDS.  

What is Intellis?

300

This disability occurs when your kidneys cease functioning on a permanent basis leading to long-term dialysis or kidney transplant. 

What is End-Stage Renal Disease (ESRD)?

300

This is the initial call you have with your claimant to discuss ADL's, R&L's, functionality, RTW barriers, co-morbids, medical history, other income, plan provisions, and a treatment plan. 

What is the initial interview?

300

With this award you can nominate one of your peers for their unwavering focus and contributions in support of our Winning the Future priorities (diversity, equity and inclusion, empowerment, enterprise agility).

What is the Above and Beyond Award?

400

These are common types of what contractual provision: 

Mental and Nervous Disorders; Neuromuscular, Musculoskeletal, or Soft Tissue Disorders; Chronic Fatigue Syndrome; Alcohol, Drug or Substance Abuse or Addition; Self Reported Conditions; Fibromyalgia

What is Limited Disability Conditions (LDB)

400

This system feeds employee eligibility data from the customer/employer

What is UIS?

400

This mental health disorder is characterized by persistently depressed mood or loss of interest in activities causing severe impairment in daily life

What is depression?

400

This documentation provides feedback on claims management to ensure we are meeting performance guarantees, following contractual obligations, and managing our claims both efficiently and effectively. 

What is a quality audit?

400

This circular, spinning platform is used to provide random prizes for a selected group of people who have done a great job! 

What is the prize wheel?

500

This provision excludes or limits disability benefits for any condition for which a claimant, within a specified time period prior to the effective date, received treatment, consultation, care, took prescription medications, or prescribed medications for the same/related disabling condition. 

What is Pre-Existing Condition?

500

This department partners with LTD on eligibility for coverage. 

What is Statement of Health?

500
This is an inflammatory disease caused when the immune system attacks it's own tissue and can affect joints, skin, kidneys, blood cells, brain, heart, and lungs. 

What is Lupus (SLE)?

500

Under ERISA, this is an extension allowed while we are waiting for information from the claimant.

What is a tolling extension?

500

Within Center Stage, this is a way to wish someone happy birthday or happy anniversary. 

What is a Celebration and Milestone eCard? 

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