Sentrix Digital · Library · Wiki
Wiki
A live index of what the Library already holds — language, glossary, traps, gaps, workflow, clinical atlas, Compass programmes, news — plus names that are referenced on the site but do not yet have their own article. It rebuilds from those sources; new terms appear here when they are added.
469 defined · 15 need definition · 484 total · showing 12
All A B C D E F G H I J L M N O P Q R S T U V W X Y Z
All kinds Claim workflow (9) Clinical atlas — condition (106) Clinical atlas — medicine (87) Confusion pair (11) Disability / incapacity (33) Dispute hub (2) Evidence gap (6) Glossary (27) Language map (20) Life insurer (85) Module (8) Needs definition (15) News (3) Ombud guidance (4) Ombud precedent (9) Policy scan (12) Policy trap (11) Rejection ground (12) Social Security Compass (36)
D
- Date of Absence Rejection ground Request insurer DOA calculation notes; compare employer date, certificate date, and insurer-stated DOA.
I
- Insufficient evidence Rejection ground Run evidence-gap detector; request specific records list from insurer and obtain employer-held files.
- Internal review / appeal rights Rejection ground Diary review and ombud deadlines; structure response as issue-by-issue matrix not narrative alone.
N
- Non-disclosure / misrepresentation Rejection ground Request exact questions asked at application; compare to disclosed medical aid and employment records.
- Not disabled / able to work Rejection ground Respond with duty-impact matrix — symptoms blocking material duties, not diagnosis label alone.
- Notice Claim workflow · Rejection ground Employer and/or insurer notified. Not the same as a complete claim.
O
- Own-occupation / material duties test Rejection ground Confirm policy test applied to actual duties; complete functional-capacity builder and employer role statement.
P
- Policy exclusion Rejection ground Match cited exclusion clause to policy wording; check schedule vs rejection language drift.
- Pre-existing condition Rejection ground Separate baseline history from post-cover deterioration; gather cover-start proof and treating-doctor timeline.
S
- Specialist-level evidence Rejection ground Obtain specialist report addressing occupational incapacity; challenge IME if duties misstated.
T
- Threshold / standard shift Rejection ground Compare guide/form language to policy test; document any shift from submission standard to rejection standard.
W
- Waiting period Rejection ground Line up symptom onset, cover start, and first certificate against policy waiting-period wording.