Question: Suzanne slips and falls when carrying some heavy files which results in fractures to her leg and arm. She undergoes surgery and has been advised
Suzanne slips and falls when carrying some heavy files which results in fractures to her leg and arm. She undergoes surgery and has been advised that her recovery will take at least months during which time she will need to be off work. After surgery, Suzanne works with a physiotherapist regularly. Suzanne verbally informs her group plan insurance agent, Jessie, about the disability and instructs her to commence the processing of her disability claim. Which of the following statements regarding Suzannes disability claim is CORRECT?
A
Suzanne must send ongoing proof of diagnosis or treatment to the insurance company.
B
Jessies confirmation of Suzannes injury will satisfy the insurer's claim process.
C
Jessie must adjudicate the claim in order for the insurer to pay or deny it
D
Suzanne must notify the insurer directly for the claims process to begin.
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