How to Appeal a Denial of Short-Term Disability?

Last updated on January 12, 2023 / By 

If your short-term disability claim has been denied, you have the right to appeal the decision. Here are some steps you can take to appeal a denial:

1. Review the denial letter: Carefully read the denial letter to understand the reasons for the denial and the specific criteria that were not met. Make sure to review any additional documentation that was included with the letter.

2. Gather additional evidence: If you believe that your claim was denied in error, gather any additional evidence that supports your case. This could include medical records, treatment receipts, and statements from your healthcare providers.

3. Submit an appeal: Submit your appeal in writing to the insurance company or the employer’s Human Resources department within the timeframe specified in the denial letter. Make sure to include all relevant documentation and evidence to support your appeal.

4. Attend the appeal hearing: Some insurance companies may require an appeal hearing, either in person or over the phone, in which you can present your case and answer any questions.

5. Seek legal help: If your appeal is denied, or you are not satisfied with the outcome, you may want to consult with a lawyer who specializes in disability insurance law.

It’s important to understand that the process of appealing a denied short-term disability claim can be complex and time-consuming, so it’s important to stay organized, persistent and have realistic expectations.