- Before
- Starts each morning in the requirements screen and a spreadsheet, finding out what is late, then spends the day on the phone.
- Now
- Starts from a board where every tile carries its date and every stall is flagged, with the follow-ups already drafted; she approves fees and sends.
One case manager’s Monday, from the morning run to a signed decision
Renée Walsh runs 46 open cases at Cedarbrook Life. It is Monday 12 October 2026. Here is her day, screen by screen, in the working solution.
- 0107:00
Every case as its requirements, one tile each
Renée Walsh · New business case managerRenée’s board shows each case as a row of tiles — Part 2 interview, exam, blood and urine, APS, MVR, Rx and MIB, inspection, financials, forms — coloured reviewed, received, ordered, stalled or past its slow date. Twelve cases need her or move today, five are stalled, and 31 requirements are expected this week. Each row ends with its decision-ready date and who is holding it.
This morning’s run: “Read 138 open requirements from 6 vendor feeds” · “Re-dated every tile from 90-day turnaround; 3 moved later.”
- 0208:52
Ordered as each answer is read
Application readerAisha Rahman’s $1,200,000 universal life e-application arrives from Daniel Brooks at Northgate Advisors. The reader goes answer by answer against the requirement grid for ages 51–60 at $1–2M: interview, exam and labs at Q1, an inspection report at Q4, a trust certification at Q5 because the owner is an irrevocable trust. Nine requirements are ordered and three are already back; decision-ready is expected on 26 October.
Q9: “Diabetes disclosed: APS from the treating office; HbA1c and microalbumin added to the lab panel.”
- 03Day 14 · one click
Marcus Delgado’s labs land, already read
Renée Walsh · New business case managerMarcus Delgado, 47, applied for Preferred on a $2,500,000 20-year term through Priya Natarajan at Harborline Financial Group. The path to a decision shows him decision-ready on 16 October, with Tom Akande deciding by 20 October — day 22, against the 28-day industry mean. Renée presses Check for arrivals: the blood and urine tile moves from Ordered to Received with cholesterol/HDL 4.4, A1c 5.6% and cotinine negative on its face.
“Labs received for Marcus Delgado · read and inside Preferred guidelines.”
- 0409:41
Every value against the guidelines and the application
Evidence readerClearwater Clinical Labs’ report is read line by line: 26 values, with the nine the Preferred guidelines test all inside — cholesterol/HDL 4.4 against 5.0, A1c 5.6% against 6.0%, NT-proBNP 41 against 125. Each value is checked back to the application: cotinine negative matches non-tobacco; values fit treatment on a statin. Every value cites its line on the report.
“The evidence reader lists where each value sits; it does not choose a class. Tom Akande decides when the APS is in.”
- 05Stalled 4 days
The APS that said “pending”, explained
Requirement trackerThe attending physician statement from Dr. Helen Ward at Lakeview Internal Medicine was ordered through Clearpath Records on 29 September. The vendor feed tells the rest: received, in the copy queue, then on 8 October an invoice for a $65 copy fee, payment before release — and no change for four days. Lakeview answered 23 requests in 90 days, median 17 days and p80 24, so the APS is expected 16 October and turns late after 23 October.
Ordered because Q7 discloses treatment for high blood pressure (2023) and high cholesterol (2024).
- 06Above $50
A fee only she can approve
Renée Walsh · New business case managerThe agent may approve records fees up to $50; this one is $65, so it waits for Renée. The approval shows the request (Clearpath Records CPR-118842), what it is charged to, her own $250 limit and what happens after payment. She approves; the follow-up agent tells Clearpath, who pay Lakeview and ask for release the same day.
“Fee approved · Clearpath paid the office · APS expected Oct 16.”
- 07Plain words
Priya hears where the case stands, without a phone call
Producer status agentFrom the case’s tiles, the agent drafts Priya a status in four lines: what is done, what is still coming and when, what needs her — the replacement notice — and the expected date for the underwriter. Renée reads it and sends it.
“Drafted by the producer status agent from the case’s tiles. Medical values are never included.”
- 08The follow-up list
Every stall, with the message already written
Follow-up agentSix routine follow-ups went out on their own at 07:05; the rest wait for Renée, grouped by who can move them. Summit Cardiology has not answered Owen Fitzgerald’s request in six days, so Clearpath is asked to phone the records desk and re-send the HIPAA authorization. Bayview Pulmonology is past its slow date, so the records are to be collected in person. Rosa Castellanos missed her exam, and Meridian is asked to hold two new slots until her producer confirms.
“Records fees above $50 need your approval.”
- 09A producer asks
The producer’s question, answered from the tiles
Priya Natarajan · Producer, Harborline Financial GroupPriya writes at 08:14: Marcus has an offer from another carrier at a similar premium — will there be a decision this month, and what is still outstanding? The reply is already drafted from the case: done, waiting on the doctor’s records (expected 16 October), the replacement notice needs her, and a decision by 20 October. Renée can send it or log a call instead.
“No medical details included.”
- 10Ready to decide
A whole file, and the underwriter’s call
Tom Akande · Senior life underwriterLinda Park’s $750,000 20-year term is complete: six of six requirements reviewed, and ten of ten measures inside Preferred Plus — blood pressure 118/76, BMI 23.4, cholesterol/HDL 3.1, A1c 5.2%, income multiple 2.9×. Tom chooses: approve as applied at $468 a year, approve at another class with his reason, or ask for more evidence and send the case back to Renée. Then he signs the decision.
“The agents gather and read the evidence; only the underwriter decides class and offer.”