Hire a Disability Appeal Lawyer
Disability appeal lawyers can help recoup benefits for you in case of a denied insurance claim. An advisable path is to initiate an insurance dispute with a lawyer in order to attain a maximum benefits payout or benefits settlement.
Usually, companies will attempt a lowball offer in order to minimize the amount to pay to claimant. Do not get discouraged; this is an attempt to settle the case for less monies than is ideal for the claimant.
An insurance lawyer will usually know how to negotiate with the insurance company in order to attain the maximum compensation for their client.
Long Term Disability Complaints: The Appeal
There are multiple stages to an appeal. If you have a Long Term Disability Complaint that has not been put through the Teachers’ Insurance Insurance Appeal system, contact a lawyer immediately. For information on the Waiting Period, please click here.
- 1st Appeal: Teachers’ Insurance Abilities Case Manager (ACM) will review your information and, if the information is incorrect, or, insufficient, your information and claim is sent to the Teachers’ Insurance Insurance Management Unit for review.
- 2nd Appeal: The Teachers’ Insurance Insurance Management Unit will review your information, and, if the information is incorrect, or, insufficient, your information and claim is sent to the Disability Insurance Plan Board of Management. Teachers’ Insurance will send a letter to you explaining the “final” decision. If your claim remains closed, the appeal process will have completed.
- 3rd Appeal: If you choose to request an independent review by the Disability Insurance Plan Board of Management, this is the 3rd and final step to an appeal. The Board will review your case and recommend steps to resolve the conflict between the insurer and yourself. Again, we highly recommend working with a lawyer if your claim has been repeatedly denied. The DI Plan Board of Management has management and federal public service union representatives who report to the National Joint Council. PLEASE NOTE: The board’s recommendations are not legally binding (they do not require either party to take action), however, this level of appeal has been effective in many cases towards providing a resolution.
Please refer to this document to learn more about disability claims. Note: This document pertains to Sun Life Long Term Disability Complaints.