An underwriter in a long term disability claim is an individual or a company responsible for evaluating and assessing the risks associated with insuring an individual’s disability. The underwriter reviews the individual’s medical history, occupation, and other relevant information to determine whether the individual is eligible for coverage and what the premiums will be.
In a long term disability insurance policy, the underwriter is responsible for setting the terms and conditions of the policy, including the benefit amount, the elimination period, and any exclusions or limitations. The underwriter also determines the premium rate for the policy based on the individual’s age, occupation, medical history, and other risk factors.
During the claims process, the underwriter may be involved in reviewing medical records and other evidence to determine whether the insured individual meets the policy’s definition of disability and is eligible for benefits. The underwriter may also work with claims adjusters to determine the appropriate benefit amount and duration.
Overall, the underwriter plays a crucial role in the long term disability insurance process, helping to ensure that individuals are appropriately insured and that claims are fairly evaluated and resolved.