An unbiased and consistent review of retirement-related claims is required by U.S. law.

Decisions about such claims can be challenging and time-consuming for HR departments—especially if there are insufficient resources to manage the process within the plan's ERISA-compliant time frames.

Hewitt's Claims and Appeals Management team provides companies of all sizes with a staff that's trained and experienced in making claims determinations. Using guidelines based on your plan's own rules and drawing on research gathered from Hewitt's TBA System, applicable plan provisions, summary plan descriptions, call recordings, and other sources, the Claims and Appeals Management team makes timely and accurate first-level determinations, while carefully protecting participant privacy.  

With Hewitt's  Claims and Appeals Management team, you can:

• Reduce time spent by HR staff on your claims and appeals
• Provide unbiased and consistent benefit determinations that are well-documented
• Help ensure that your plan's ERISA-compliant time frames are satisfied   
• Protect participant privacy and confidentiality
• Use the team's research and documentation to assist with any second-level appeals where a fiduciary decision is required
• Use Claims and Appeals Management team reports to track issues and trends

Hewitt's Claims and Appeals Management team handles issues for all types of benefit plans, including health and welfare, retirement, disability, and spending accounts.  Team members are knowledgeable analysts with vast experience in claims processing and customer service. With a wide variety of clients and nearly 4 million participants, Claims and Appeals Management team associates efficiently process thousands of claims each year. 

To learn more about Hewitt's Claims and Appeals Management team and how it can benefit your company, contact your local Hewitt consultant or e-mail peoplesolutions@hewitt.com.

Case Study
Service Corporation International Helps Employees Sort Out Enrollment and Eligibility Issues
By taking itself out of the process of determining enrollment and eligibility issues, SCI gains objectivity, consistency, and timeliness—while freeing up HR time for other priorities.
view the case study