Discussion Topics Introduction Field Underwriting Holistic Underwriting Appeal Process Interesting Facts Q&A…Let Me Hear From You Too! New Business / Underwriting Process
Introduction Scott Hansen, AALU, FLMI Julie Moore, LTCP, ACS
Data Entry Mail Handling Screening & Req Ordering Case Mgmt Follow-up App Dig Req Recvd & Med Summ UnderwritingPost Output Assembly & Mail Mail Receipt: Open Prep Scan Index Transmission Keying: Medical Details For Rubicon Med. Req. Ordering NIGO Notification Follow-up or fax to field force Followup with vendors Daily Mail Processing PHI to Dig, then to UW APS to Med Summ then to UW Assess Risk Decision Addtl Req as needed Issue Decline Incomplete Withdraw Receive Output Assemble Mail Keying: Client Record Benefit Details Doctor Details Front End COENew Business COEUWNB COEFE COE LTC Operations Process Flow
Field Underwriting Use The Correct Forms Answer Every Question Completely Probe Medical Histories Complete All Requirements Use All Available Resources 70% Of All Applications For LTC Insurance Are Incomplete
Applicants Exceeding The Build Chart Are Not Insurable
Available Resources Brokers’ Service Marketing Group LTC Field Underwriting Guide Prequalification Hotline Financial PRO Website Internet Sites e.g. “Google”, “WebMD” or “AMA” Extra Minutes On The Front-End Can Save Days In Cycle Time…And/Or…The Sale
Pre-Screening Questionnaire Important information to collect: -Date of birth -Most significant health issues -Current medications with correct spelling, dosage, and reason prescribed -Tobacco use -Height and weight
Available Resources Kerri Thibeault ext. 148 OR Prequalification Hotline Prequalification PRO Websitehttps://PRO.Genworth.com
Holistic Underwriting We Want To Issue Coverage! Compliance “Guidelines” Not “Rules” “Prognostic” Not “Diagnostic” Does It Make Sense?
Holistic Underwriting Consultations Training / Ongoing Education Consistency Audits Quality Assurance Exceptional Resources Contributing To Quality
Appeal Process Key To An Appeal Is New Or Additional Information Wait For The Letter Of Explanation (copy to Kerri) Sharing Information Authorizations (RMI) (Submitted With App) Sensitive Histories Fax
Our Performance Pending Issue Rate Daily Decisions Cycle Time Additional Requirements You Directly Impact All Steps In The Process!
Q & A Questions For Scott & Julie Questions For Kerri & Ray
CONTACT US Kerri Thibeault ext. 148 LTC Marketing Ray Paola, LTCP ext. 133 Director of