{"id":24519,"date":"2012-06-01T11:50:38","date_gmt":"2012-06-01T00:50:38","guid":{"rendered":"https:\/\/riskinfo.com.au\/case-studies\/?p=24519"},"modified":"2014-05-04T13:35:51","modified_gmt":"2014-05-04T02:35:51","slug":"case-study-my-first-claim-karyn-hilton","status":"publish","type":"post","link":"https:\/\/riskinfo.com.au\/case-studies\/2012\/06\/01\/case-study-my-first-claim-karyn-hilton\/","title":{"rendered":"Case Study &#8211; My First Claim (Karyn Hilton)"},"content":{"rendered":"<h4>Before becoming an adviser, Karyn Hilton worked as a nurse. In this claims case study, Karyn shares how this previous experience helped her identify a potential trauma claim on behalf of her client. The claim also happened to be the first she processed for a client. This case highlights the importance of researching your client&#8217;s claimable condition and also working closely with insurance BDMs to leverage their product knowledge.<\/h4>\n<p>[hr]<\/p>\n<h3>At a glance<\/h3>\n<p><b>Submitted by:\u00a0<\/b>Karyn Hilton<br \/>\n<strong>Business:\u00a0<\/strong>William Buck Wealth Advisors<br \/>\n<strong>Client: <\/strong>Male, sole income earner, suffering from rare nervous system condition<br \/>\n<strong>Claim type: <\/strong>Trauma<\/p>\n<p>[hr]<\/p>\n<h3>\u00a0In detail<\/h3>\n<p><span style=\"line-height: 1.5em\">It was Karyn\u2019s prior experience as a nurse that led to her lodging her first claim on behalf of a client who technically was not covered for his particular condition.<\/span><\/p>\n<p>Karyn recalls the event: \u201cThe client was a married father of two and the sole-income earner. He was diagnosed with a rare condition called chronic inflammatory demyelinating polyneuropathy (CIDP). I was a nurse for a long time and had heard of the condition and knew it would affect his nervous system, resulting in him being confined to a wheelchair. He had trauma cover, and even though CIDP wasn\u2019t a listed event I figured we could try to make a claim.\u201d<\/p>\n<p>After contacting the claims department, who agreed the claim was worth investigating, Karyn got to work collecting paperwork, liaising with the insurer and a number of medical professionals, and keeping her client informed every step of the way.<\/p>\n<p>\u201cWith this particular claim, I felt everything from frustration to a sense of satisfaction, that in the end I made a difference. I can still remember that phone call. I asked my client if he was sitting down. He was at work at the time, just trying to go back part-time because he had to earn an income. I said: \u2018The company is going to pay you $160,000\u2019. I heard a grown man cry at the other end of the phone. I will never forget that.\u201d<\/p>\n<p>Of particular help to Karyn during her claim was her Business Development Manager (BDM), and she recommends new advisers leverage their relationships for more than just new business.<\/p>\n<blockquote><p>I heard a grown man cry at the other end of the phone. I will never forget that<\/p><\/blockquote>\n<p>\u201cWhat advisers need to remember is that these BDMs know their own PDS and policy terms, so they can help you determine if the condition is covered, or what benefits could be paid. With my particular claim the client\u2019s policy had a financial planning benefit attached. I was green in the industry and didn\u2019t know what a financial planning benefit was. I gave advice to my client, I billed my client, and, thanks to the advice from my BDM, the client got reimbursed the benefit for my services.\u201d<\/p>\n<p>Karyn was also grateful for her medical knowledge, and believes the first thing advisers should do when they receive \u2018that phone call\u2019 is to research the clients\u2019 condition.<\/p>\n<p>\u201cFind out as much about the condition as you possibly can; if that\u2019s on the internet, the library, or by speaking to a friend who is a doctor. I think it\u2019s really important to put yourself in the clients\u2019 shoes, and to get some idea what they\u2019re going through, or about to go through.<\/p>\n<p>\u201cI would also look at a prognosis, because I\u2019ve had to have really tough conversations with clients who haven\u2019t approached their doctor about a prognosis and I\u2019ve had to bring it up. To get claims paid and to guide the client in the right direction you need to know what they\u2019re dealing with.<\/p>\n<p>\u201cKnowledge is power.\u201d<\/p>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>Before becoming an adviser, Karyn Hilton worked as a nurse. In this claims case study, Karyn shares how this previous experience helped her identify a potential trauma claim on behalf of her client. The claim also happened to be the first she processed for a client. This case highlights the importance of researching your client&#8217;s [&hellip;]<!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[239,4255,4504],"tags":[4687,5757,4665,4705,5760,5767,4684],"class_list":{"0":"post-24519","1":"post","2":"type-post","3":"status-publish","4":"format-standard","6":"category-claims","7":"category-retail","8":"category-trauma","9":"tag-bdm","10":"tag-claims","11":"tag-male","12":"tag-research","13":"tag-retail","14":"tag-trauma","15":"tag-william-buck-wealth-advisors"},"_links":{"self":[{"href":"https:\/\/riskinfo.com.au\/case-studies\/wp-json\/wp\/v2\/posts\/24519","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/riskinfo.com.au\/case-studies\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/riskinfo.com.au\/case-studies\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/riskinfo.com.au\/case-studies\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/riskinfo.com.au\/case-studies\/wp-json\/wp\/v2\/comments?post=24519"}],"version-history":[{"count":0,"href":"https:\/\/riskinfo.com.au\/case-studies\/wp-json\/wp\/v2\/posts\/24519\/revisions"}],"wp:attachment":[{"href":"https:\/\/riskinfo.com.au\/case-studies\/wp-json\/wp\/v2\/media?parent=24519"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/riskinfo.com.au\/case-studies\/wp-json\/wp\/v2\/categories?post=24519"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/riskinfo.com.au\/case-studies\/wp-json\/wp\/v2\/tags?post=24519"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}