Disability Claims Adjudication demo
Agents gather the medical, job and employer evidence and line it up against the plan; the examiner decides. 1:13
What the demo shows
A claims solution for STD and LTD examiners that lines medical and job evidence up to the plan.
Seven agents gather and read every STD and LTD claim file (the attending physician statement, records, job description, demands analysis, payroll and certificate) and lay the plan's definition of disability out as its elements. Beneath it, the claimant's job demands are drawn against the doctor's restrictions as paired bars, with the occupations that stay open for the any-occupation review. The examiner decides each element with the evidence beside it and signs a letter in which every reason cites its page.
Transcript
- Disability Claims Adjudication lines up medical and job evidence against the plan for claim examiners.
- Disability Decisions have 45 days mostly spent chasing records.
- Calvin Odom had back surgery.
- His long-term claim is on day 34.
- Seven agents read 14 documents and split the definition into six cited elements.
- Renata confirms the routine five.
- Beneath them, his job needs 50-pound lifts.
- His surgeon allows 10.
- The bar crosses the line.
- Renata decides the element.
- Own occupation, not able.
- The overlay also shows which other jobs stay open.
- Three of seven. She signs the approval on day 34, every reason cited.
- Built on Botminds: agents, data, screens, and governance on one platform.
Transcribed from the film’s narration. Captions are on the player.