Communication
A phone call with the plan member where you collect information about their condition and function
What is a functional telephone interview?
Characterized by chronic, excessive, unrealistic worry about everyday events and situations that is present on most days for longer than 6 months
What is Anxiety Disorder?
Sun Life internal website that contains practices and procedures
What is Athena?
The website that provides the physical and cognitive demands for an occupation
What is the NOC?
They work in partnership with the Disability Case Managers in the management of claims towards resolution
Who is the Rehab Consultant?
An email to plan sponsor with an claim update, sent every 6-8 weeks
What is a PSD or PSU?
A mood disorder characterized by the presence of a sad, empty, or irritable mood, with somatic and cognitive changes that negatively affect the individual's capacity to function
What is Major Depressive Disorder?
The system that shows the benefit payment history
What is Chess J?
Contractual, medical, functional, occupational
What are the decision principles?
Medical doctors, medical specialists and psychologists who are consulted to answer questions of a medical nature
What is a Medical Consultant?
Letter allowing us to communicate, request or exchange information with respect to the claim with someone other than the plan member
What is a signed authorization?
The Director, Mental Health Solutions for the Western Region
Who is Carmen Bellows?
The system that houses contracts and booklets for each policy
What is DARC?
A PM is receiving active treatment for an injury, episode or illness, an urgent medical condition, or immediate recovery from surgery
What is acute recovery?
Used to eliminate trial and error approach to medication management
What is Pharmacogenomics?
A question is designed to encourage a full, meaningful answer based on the plan member’s own knowledge and/or feelings
What is an open ended question?
Psychologists with a mandate to embed mental heath expertise across Sun Life Group Benefits. There is one in each region. Part of their role is to offer early intervention mental health optimal treatment reviews. They also engage in special projects with specific plan sponsors.
What is the Director of Mental Health Solutions?
The system that will show first pay date, last pay date, and the method of payment for the claim.
What is Chess G?
This will serve as alternative plan in the event the initial plan is not successful
What is a contingency plan?
A Canadian company focused on helping Canadians access medical specialist appointments. They coordinate consultations and treatment and can help expedite surgeries.
What is Medical Confidence?
Advises recipient that detailed emails are ready to be retrieved through the SL protected website environment. To login in to the website, an Access ID and Password/PIN are required
What is Certified Email?
A natural emotional response to frightening or dangerous experiences that involve actual or threatened serious harm to oneself or others such as car crashes, fires, bombings, torture, or witnessing someone harmed or killed
What is PTSD?
The online system plan sponsors can access for details regarding the disability claims for their policy
What is the Disability Online Tool?
Elements of the claim, both positive and/or negative, that may need to be addressed or leveraged in order to manage a claim to resolution
What are influencing factors?
Assessment that identifies alternate occupational opportunities that are suitable based on the plan member’s education, training, work experience, commensurate wage range and functional abilities when the plan member is not able to return to their own occupation
What is a Transferrable Skills Analysis?