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Greetings!

  

I hope you find my underwriting suggestions useful in helping you to place more cases and in differentiating your practice from others.

Problem: After having a poor experience a few months earlier with the initial producer, a client was referred to a second producer (hereafter referred to as Mr. Producer) to see if he could explain why the client had received a high rating from one carrier and was also declined by another. The first producer did not know the answer to this question as he simply took the application, submitted it and the APS to the carriers and hoped for the best.  

 

Solution: The second agent, Mr. Producer, established a simple game plan ... learn the reason(s) for the rating/declination, and learn enough about the ratable medical problem to be able to discuss it with his new client and with the carrier's underwriter. In the process of my reviewing the APS, isolating the key underwriting facts and explaining them to Mr. Producer, he learned what he needed to know about the heart condition likely being the primary underwriting issue. With my assistance Mr. Producer created a succinct abstract focusing on the heart condition and favorable aspects of it that strengthened the case. After sending the abstract, Mr. Producer was able to speak to the carrier's underwriter about the heart condition in a well-informed manner.

 

Outcome: Based on the underwriting responses to Mr. Producer's abstract or "Quick quote", it looks like he will be able to provide coverage for one-third less cost compared to the initial producer's. Also important was that the client was aware that Mr. Producer listened to his question and researched the answer.  

  

Comment: This is one of many examples where it can pay dividends to get your client involved in the field underwriting process when there is a medical underwriting concern; it also demonstrates that creating a brief, medically sound "abstract" to use for a "Quick Quote" may be beneficial. 

Please let know if you would like to hear about a particular medical underwriting topic or ways to allow you to be in better control of your cases. I wish you success in placing your cases.   

 

Sincerely,
Signature                                                                         

Jack Cotlar, M.D.

Stategic Medical Consulting, Inc.   

View my profile on LinkedIn

www.strategicmedconsulting.com 

                

Important Notice:

The opinions and examples contained in this e-mail are those of Strategic Medical Consulting, Inc. (SMC). As each case is fact sensitive, it would be ill-advised to take action on any given case based on the conclusions from examples that are included in this communication. Whether or not they are appropriate for a specific medical underwriting situation must be determined by the producer who will assume all responsibility should the outcome not be favorable. The examples illustrated herein are what SMC provides on a case-by-case basis for and to its clients. In addition, the opinions are not medical advice and they do not establish any physician-patient relationship.