Disability Appeals

CAFS was founded specifically to provide independent final claim appeal processing for benefit plans, and in particular, the final claim appeal for disability plans.  CAFS acts as an independent processor or fiduciary, under ERISA, to adjudicate short and long-term disability benefit final claim appeals. By assuming the important role as the claim appeal processor or fiduciary, CAFS reduces potential conflict of interest, and improves the quality and integrity of decision-making.  We have designed our approach to fiduciary decision-making to be a better choice for sponsors of disability plans, regardless of how final appeals are currently being handled.

When your company outsources final disability claim appeals to CAFS, you have chosen an independent fiduciary that provides the highest quality processing and skilled claim analysis.

While third party claims administrators and insurance companies do have an important role as claims administrators, they are looked upon with suspicion when handling final claim appeals, and often do not and cannot provide the fresh, neutral, complete decision-making as required. This is especially true, because insurance companies and claims administrators are often looked upon with suspicion when they deny claims, and are seen as protecting their own process, when they “rubber stamp” prior decisions.

CAFS is a better alternative. The independence that CAFS delivers reduces liability and exposure, making CAFS a more efficient and effective alternative. Equally important, you can be assured that CAFS will make the right decision based on your plan terms and administrative record.

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