Claims

Disablement claims are without question one of the most difficult and contentious subjects in superannuation today. Trustees, often with no medical or insurance training, are called on to make judgements concerning the validity of claims involving complex medical conditions and combinations of impairments. Even when benefits are insured, trustees are responsible for satisfying themselves that the claims decision is correct.

Super Assessments offers trustees peace of mind by providing a fully independent expert opinion on claims, backed by over 30 years of experience of life and disability insurance. We also maintain contacts with a wide range of specialist medical practitioners who can be called on to provide detailed independent evidence where required. We provide trustees with a comprehensive summary of all medical evidence, written as much as possible in plain English. Our reports take into consideration the specific types of benefits covered, whether lump-sum TPD, temporary disablement or income protection benefits. We also provide a clear opinion as to whether the claimant satisfies the Fund's definition of disability. As a result, trustees can approach their final claims decisions with a deeper understanding of the issues involved, better equipped to make a balanced judgement.

Where benefits are insured with a life insurance company, Super Assessments offers an independent review of the insurer's claims decisions.