We do not handle social security disability claims
Recent Post

Matrix Absence Management Acquires Partners Claims Services: Names Change, But Challenges Remain

WRITTEN BY:
Justin Frankel
July 11, 2017 | Disability Insurance Claims
Over $250 Million Recovered for Our Clients

People who are dependent upon their long term disability insurance policy benefits know the feeling: an envelope arrives in the mail, or an email arrives in their inbox, from a company with a name they haven’t seen before. It’s that sinking feeling, when you ask yourself, what now? Sometimes the letters bring dire news of a claim being denied, or a request for more information, or, in this case, that a different company that will now be processing their claims.

We like to keep our constituents informed of changes in the disability space that concern claims administration, so that maybe we can spare you a little anxiety. Matrix is a TPA – third party administrator – that is often tasked with handling long term disability claims for self-insured policies. It’s similar to Sedgwick, which we have written about in the past.

The combined companies will be known as Matrix Risk Management Services. So if that shows up in your mailbox, you’ll know who it’s from. This is a big company, with more than two million employees and it’s a sister company of Reliance Standard Life Insurance Company. Reliance is part of an even bigger company – a “member” of the Tokio Marine Group, owned by Tokio Marine Holdings, Inc., a publicly owned Japanese company and the largest insurance company in Japan. The company enjoys a good rating from A.M. Best, but what is good for the company may not always be good for claimant.

One of the on-going concerns of our disability practice concerns the inherent bias from doctors who are paid by insurance companies to evaluate claimants. It’s in the doctor’s best financial interest to represent the insurance company, who pays them and feeds them significant business, and we feel they cannot possibly provide an independent opinion on the medical status of the claimant.

The same is true for a TPA owned by an insurance company; it’s in their best interest of the administrator to limit the exposure of the insurance company or employer on a self-insured claim. How can they possibly administer the claim without any build-in bias against the claimant?

These two challenges are part of the disability claims landscape that we battle every day. If your disability claim has been denied, or if you are preparing to file a claim, don’t go it alone. Call our office at 888-583-4959 to find out how we can help.

Justin C Frankel

Written By Justin Frankel

Attorney

Justin C. Frankel is committed to fighting for the rights of clients when their long term disability insurance claims have been denied, delayed or terminated.


Client Testimonials

Rating stars 5.0 Average on Martindale & AVVO
  • We know how important our work is to the people we represent, and we’re pleased to share this recent note from a client. Dear Justin and Christina, I wanted to take a moment to express my sincere g…
  • Our 60-year-old client worked for the world’s largest out-of-home advertising company as a Senior Buyer and outdoor furniture supplier, doing everything necessary to manage a contract for twenty ye…
  • Successful ERISA Appeal of Cigna Denial for High-Ranking Aviation Executive from Florida A 61-year old woman with a prestigious role at a leading aviation company never imagined she would stop work…
  • ERISA Case Headed to Trial in Federal Court – Barber v. Sun Life & Health A Federal Judge in Connecticut has scheduled a trial with live witnesses in an ERISA case, to be decided under the arbi…
  • F&N Resolves a Four Year Delay in UNUM Lump Sum Settlement Matter We were contacted by a 56 year-old man from Maryland who had been trying to negotiate a lump sum settlement of his private disa…
  • Our client, a successful New York dentist, was on claim for a number of years with Trustmark Insurance, due to severe orthopedic issues, which did not permit him to safely and effectively practice …
  • “OK, now that I have had a chance to calmly review the documents, I just wanted to thank you for all of your help. I am certain that if I would have tried to do this myself, I would not have had th…
  • The Law Office of Justin Frankel Navigates Complex Issues, From Claim Preparation to Lifetime Management, for Chiropractor A New York chiropractor in his mid-50s was concerned about complex issues …