Disability Claims
Every disability claim built, cited and decided well inside the 45-day ERISA clock.
Why it matters
Claim forms, physician statements and hundreds of pages of records are read by hand; files miss the 45-day ERISA clock and offsets are found late.
How the solution handles it
Agents build the claim file from the claimant, employer and physician statements, summarise the records into a cited timeline, check policy terms and offsets, and draft the letter. The 45-day clock and its extensions are watched on every claim. The examiner decides and signs.
How a claim moves
Six agents build the file, summarise records, check terms and offsets, watch the clock and draft letters; a disability claims examiner decides and signs.
What it reads, and what it hands back.
What goes in
- Employee and employer statements
- Attending physician statements
- Medical records
- Job description
- Policy and certificate
What comes out
- Cited claim file and medical timeline
- Decision letter draft
- Offset and benefit calculation
- Clock on every claim
Who uses it
The difference, in numbers.
Every figure is labelled: a target the solution is built to, an estimate, a typical published result, or a proven one.
target median
Source: 29 CFR 2560.503-1(f)(3), 45 days for disability claims · “Target” = design goal, measured in the live solution · “Estimated” = our estimate · agents = the live solution’s configuration
6 specialist agents. One person decides.
More in this division.
Every broker RFP and census becomes a clean, quote-ready case the same day, every gap flagged.
Enrollment & EOIEvery enrollment matched to the plan, and every amount above guaranteed issue held for EOI review.
Plan Document CheckEvery certificate, SPD and amendment checked against the signed policy before an employee reads it.
Build this
for your team.
We’ll show Disability Claims running on your own documents.