Disability Claim Management: • Initial claim intake and processing for member’s records which can include: o Completed and signed disability application. o Employee’s job functions and requirements. o Employment records and applicable incident reports regarding the alleged illness or injury. o Worker’s compensation records and applicable decisions. o Medical records. o Other records and other materials as requested. o May also request a fit for duty exam prior to making any appointments with the UIHC on a case-by-case basis. o May also contract with an independent physician for a medical review prior to or after the case is reviewed by UICH on a case-by-case basis. • Medical and vocational analysis and evaluations: o Request and review additional medical documentation to make an initial determination if medical evidence suggests the reported illness or injury qualifies for the requested disability as listed on the application. o Provide analysis, then compile prompt, clear, concise, written reports from medical records to Special Service Death and Disability (SSDD) Bureau Chief. o Schedule appointments with the University of Iowa Hospitals and Clinics (UIHC) Medical Board for a disability evaluation. o Review UIHC Medical Board decision and make a recommendation to the SSDD Bureau Chief regarding the award of disability. • Adjudication and determination of disability status: o Review appeals and prepare documentation. o Attend required hearings as an expert witness.
