Otherwise Known As
Systems
Who's Who
Process
Potpourri
100

The most recent day a PM works their full hours, and full duties

What is LDW?

100

Where we find the Admin type for a particular Billing Group

What is Chess H?

100

Adjudicator of non-complex claims

What is a DA?

100

The only pend decision that goes to the NCQR

What is a Pend for Pre-Ex?

100

Workplace issues, childcare, elder care, legal and financial issues

What is a non-medical influencing factor?

200

The length of time that must be completed before benefit payments can begin


What is the Elimination Period?

200

The disability practice, process and knowledge resource

What is Athena?

200

The team that manages Long Duration files

What is the payment team?

200

A designation your manager can give you after you have demonstrated you can make good referrals without error/review 

What is SRP?

200

A layer of security already embedded to the PS email server

What is forced TLS?

300

Circumstances when Sun Life will not pay benefits for any period

What are Exclusions? 

300

Information needed to find the right contract or plan ID

What is Policy #, DOD and PM Class?

300

The manager of the Rehab Consultant team

Who is Lara Rock?

300

Take the APS date for first date of absence due to condition provided that date is after the PSS LDW

What is the Golden Rule for establishing DOD?

300

A full emailed update sent to a PS that does not use the DOT

What is a PSD?

400

Seven days of uninterrupted total disability including weekends


What is seven calendar days?

400

What we use when the onus to pay for medical information is on SL

What is Opifiny?

400

A team of medical doctors, specialists, psychologists and neuropsychologists that reviews claims and provides answers to medical questions

What is a Medical Consultant?

400

The standard contract's STD proof of claim time limit, administratively 

What is 60 days?

400

A team that handles files where the PM is approved beyond COD, but is expected to RTW just not for approx. 3-9 months. 

What is Extended Recovery?

500

The day we expect the PM to RTW full duties/full hours


What is the Forecast Date?

500

Where to get a PM's salary history

What is OASIS?

500

A researcher, an investigator, a counsellor, a trouble-shooter, an organizer, a motivational speaker, a multi-tasker, a fortune teller, an advocate, a planner, a peace officer, a judge ...

What is a DCM?

500

The start date of the first Planning Stage

What is the same date as the Solar approval decision was made?

500

Where to look for SIs if a PS does not have a CSI page

What is Chess F screen 5?

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