The LTD claim is a complex and lengthy process depending on the diagnosis and treatment. It requires regular claim reviews to ensure that the strategy for return to work and payments are monitored and paid in a timely fashion.

STD claims that convert to LTD will normally be transferred after a period of six months. It is important that the STD claim file is the foundation of the LTD file. This will provide the Claims Analyst with a clear understanding of the Employee’s current disability status including diagnosis, treatment and return to work plans.

The policy data needed to process the LTD will need to be integrated to the claim file from the administration system and be readily available for review at different times during the claim process. ClaimVantage provides this view of the policy detail using the Policy Integration Layer™ to store and maintain policy data in the claim system, if required.

Claim review is an important part of managing the LTD claim process. Periodically the file may need to be reviewed by several different resources such as a Nurse Case Manager, Rehabilitation Specialist or a Manager. The ClaimVantage image technology bridge is an excellent way to share the same data so that the file can be reviewed and documented simultaneously instead of having to pass the file to each individual and wait for a response.

The ClaimVantage product suite is designed by claims professionals and delivers flexible claims management processes to manage LTD claims. ClaimVantage understands that each claims organization has different requirements and they need to be able to set up their own claim workflow process to successfully management their customers’ expectations. This is why we deliver the product with best practice workflow processes and the tools to change the processes based your own work practices.

ClaimVantage delivers workflow and rules-based Intake, Claim Adjudication and Payments routines through the use of the JBoss Rules and Workflow products so that you are in control of your claim process. Based on experience and feedback from the claim survey sponsored by ClaimVantage, we recognize that you need flexibility and tools to support a complex claims environment. Why not consider implementing a 90-day proof-of-concept to see what is possible using the latest claims technology, supported by a team of claims professionals who have deep industry knowledge and experience.