Fighting For
Employee And Union Rights
Fighting For
Employee And Union Rights

Tips to avoid a long-term disability claim denial

On Behalf of | Dec 15, 2022 | Short-Term and Long-Term Disability

Long-term disability (LTD) insurance can provide critical support to people who cannot work because of a disabling condition. Unfortunately, too many people learn that an insurer has denied their LTD claims for reasons they may have been able to avoid.

If you are thinking about filing a claim for LTD benefits, consider the following tips to improve the chances of approval.

Review your policy

Reviewing your LTD policy is vital. The policy should explain the definition of “disability,” and reviewing it will help you understand what you must prove in your claim. Failure to have a disabling condition is one common reason companies deny a claim.

Further, your policy should also specify the other eligibility requirements. Pay close attention to things like waiting periods, full-time employment and exclusions.

Be thorough with your documentation

When you submit your claim, the insurance company will use the information you submit to make their decision. They can deny the claim if you forget to include something, like a doctor’s statement, or have insufficient evidence. If your information is inaccurate, they can deny a claim.

Being thorough with your documentation can help you make as convincing of a case as possible. 

Pay attention to deadlines

One of the easiest ways to get a denied claim is to miss deadlines. Therefore, keeping track of the pertinent deadlines is crucial. 

Make a note of filing and appeal deadlines and submit the necessary information before that time to avoid a denial. 

Watch what you say and do

Insurance companies are businesses; they are not on your side when it comes to paying out claims. Insurers may conduct video surveillance on you or scrutinize your online statements, photos and activities. They might talk to your co-workers, family and neighbors.

Thus, when you file your claim, assume that you are under a microscope. Be mindful of what you do while you are out of the house and what you say online. If insurers find evidence that conflicts with your claim, they can deny benefits.

Consult an attorney

LTD benefits can be a lifeline if you cannot work because of a disability. Utilizing all the tools and resources at your disposal can help to increase your chances of getting insurers to approve your claim. Thus, working with an attorney familiar with navigating this system can be wise.