Vitals & Clinical Basics
Intake Call Flow & Claim Setup Fundamentals
Documentation & Accuracy (Do it once, do it right)
Customer Experience & Communication
Digital & Tools (Smart Support)
100

This is often called the “fifth vital sign.”

What is pain?


100

The best first step on an intake call is to confirm this before deep-diving into details.

What is caller identity/authentication?

100

If it isn’t documented, it didn’t happen” refers to doing this consistently.

What is documenting key facts and decisions?

100

A simple way to reduce customer effort is to end the call by summarizing this.

What are next steps?

100

Encouraging customers to use online self-service tools is an example of…

What is digital advocacy?

200

The normal adult resting respiratory rate range is typically…

What is 12–20 breaths per minute?

200

Asking “Is this for your own condition or to care for a family member?” helps you determine this.

What is the claim/leave type (self vs caregiver)?

200

A note that clearly explains why a decision was made strengthens audit-readiness and reduces follow-ups. This “why” is called…

What is rationale?

200

Avoiding jargon and keeping explanations easy to understand supports this customer outcome.

What is clear, professional communication?

200

A searchable system job aid notes that if a caller has a Customer ID (not policy #), you can still locate their case using a specific search type.

What is searching by Case ID/Customer ID in Case Management?

300

The medical abbreviation “SOB” most commonly stands for…

What is shortness of breath?

300

If you skip reading your intake guidance and set up the claim incorrectly, you create rework and delays — a known coaching focus in your space. [April | OneNote]

What is following the intake guidance/CIT before setup?

300

Selecting “No” on a Process Confirmation form should include this so trends can be coached and tracked. 

What is a reason and best practice?

300

A customer should feel “welcomed,” sense willingness to help, and know what to expect — these are measured in your calibration materials

What is the opening/setting expectations?

300

Switching between multiple systems can add handle time; the job aid warns it may “tack on minutes or seconds.”

What is unnecessary system toggling (system bouncing)?

400

This part of the heart primarily pumps oxygenated blood to the body.

What is the left ventricle?

400

A great call control technique is to set this early: what you’ll cover and what you need from the caller.

What is the agenda/expectations for the call?

400

A documentation error that commonly triggers rework is missing or incorrect key dates (e.g., absence start). This is a problem with…

What is data integrity/critical fields accuracy?

400

A de-escalation best practice is to name the emotion and confirm understanding; this technique is commonly called…

What is reflective listening?

400

When you teach a customer how to complete a task online during the call, you are doing…

What is guided self-service?

500

In triage-style decision making, this principle means treating the most life-threatening issues first.

What is prioritization by acuity (ABC priority)?

500

The highest-quality intake balances empathy with efficiency by using this skill: asking targeted questions that reduce

What is structured probing (purposeful questioning)?

500

The best documentation is objective, specific, and avoids assumptions — meaning it records what was said/done, not opinions. That style is called…

What is factual/objective charting?

hristopher Nolan?

500

The skill of guiding the conversation back to purpose while staying empathetic is known as…

What is call control (with empathy)?

500

The most effective digital coaching adapts to the customer’s comfort level; this is an example of…

What is personalized support?