Appealing a critical illness claim

Life Matters Claims
2 min readJun 9, 2023

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If your critical illness claim is denied, you may be able to appeal the decision. The first step is to carefully review the denial letter to understand why your claim was rejected. Once you understand the reason for the denial, you can gather additional evidence to support your appeal. This evidence may include medical records, letters from your doctor, or other documentation that shows that you meet the terms of your policy.

Once you have gathered your evidence, you can write a letter to the insurance company appealing the decision. In your letter, be sure to explain why you believe your claim should be approved. You should also include copies of any supporting evidence.

The insurance company will review your appeal and make a decision. If the decision is still not in your favor, you may be able to take your case to the Financial Ombudsman Service (FOS). The FOS is an independent organization that can help resolve disputes between consumers and financial institutions.

If you are considering Appealing a critical illness claim, it is important to speak with an attorney who specializes in insurance law. An attorney can help you understand your rights and options, and can represent you in the appeal process.

Here are some additional tips for appealing a critical illness claim:

  • Be sure to act promptly. The insurance company may have a deadline for filing an appeal.
  • Be polite and professional in your communications with the insurance company.
  • Keep copies of all correspondence with the insurance company.
  • Be prepared to provide additional information or documentation if requested by the insurance company.

If you have had your critical illness claim denied, you should not give up. There are steps you can take to appeal the decision and get the benefits you deserve.

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Life Matters Claims
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Life Insurance Claims are the advocate’s services that manage the insurance claim and help you.For more information visit our website. https://lifemattersclaims