ROADMAPS TO CLAIM SUCCESS
Leaving work because of a medical disability can have a tremendous physical and emotional impact on anyone. In fact, making the transition from working in a chosen career field to total or partial disability is a major life event that often requires knowledge of disability contracts and investigative claims processes. Disability Claims Solutions, Inc. is here to help.
As a company, Disability Claims Solutions, Inc. provides insureds with resources to make better decisions concerning ERISA Group STD/LTD claims, as well as Individual Disability Income benefits and Long-Term Care. Having the opportunity to work with an expert consultant, such as Linda Nee, provides insureds with valuable procedural options to work through problematic issues in successful ways. Our focus is to resolve problems, not wrestle with conflict.
DCS, Inc. maintains excellent relationships with treating physicians and specialists who support patient disability. Insureds and claimants ultimately benefit from the teamwork of physicians, specialists, and employers, in combination with expert consultation and advice.
If you are interested in coming on board as a DCS client, or finding out more about Linda’s services available to you, please feel free to contact her using the information below.
Visitors are also welcome to view Lindanee’s Blog.
KEY SERVICES – Disability Claims
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Initial Applications for Both ERISA and ISI Claims
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Recommendations for Medical Reporting
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Independent Medical Evaluations Counseling
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Contract/Policy Review Audits
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Objective vs. Subjective and Self-Reported Claims
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Any Occupation Investigations
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Residual Benefits and Return to Work Recommendations
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Surveillance Counseling
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Targeted Impairments – FMS, CFS, Lyme disease, HIV
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Long-Term Care Claims
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Management of Update Forms
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Field Visit Preparation
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Counseling for Work Hardening Programs
Linda Nee’s Blog
Where there are solutions, there are no problems.
Who Are The Claims Handlers And What Do They Do?
In today’s terms, insurance claims handlers are really not “specialists”, but are considered bottom rung glorified Administrative Assistants, hired for the sole purpose of chasing paperwork and routing files back and forth among resources. Claims handlers do not have autonomy to make claims decisions, which are left up to claims...
Is Your Doctor Becoming Troublesome?
The new normal, “after COVID”, seems to be driving disability physicians to tighten-up their support, and the manner in which they choose to support claims, and not in a good way either. Physicians are more cautious, skeptical, and selfish about the amount of time spent filling out disability paperwork. While physician offices...
Hungry Vulture 2d Qtr. Profitability Results End of June
I just wanted to send out a reminder that the end of June is the end of the 2nd Qtr. profitability results for insurance companies. This means there are organized efforts to locate vulnerable claims, and conduct investigations to create the illusion that claims should be denied. Already, insurers are requesting updated information, IMEs, and...
New Fee Structure Reflecting The Times
I wanted to remind my readers, and in particular those who are looking or needing help with their disability claims, that I offer new insureds the option of paying my annual fee on a monthly basis. It has always been my practice to offer insureds the option of paying my yearly consulting fee monthly by credit card. I am not an attorney and have...
Summer Surveillance
Surveillance in one of those insurance investigative actions that does not require insureds to do anything wrong. It is an interpretative risk management activity insurers use to identify “inconsistency of report” between R&Ls reported, and observable activity. Insurers greatly profit from surveillance by interpreting what is seen...
A Unum Issue – Regular And Appropriate Care
Prior to 2000, Unum’s Group Plans and policies were issued from a category referred to as “XL” or “XLL”. These Plans lacked clarity and resulted in Unum’s infamous “blue memos” directing claims handlers to deny claims outside the Plan or contract.The XL series of Group Plans had more loopholes than...
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