A "we need further documents" letter unsettles a lot of people – yet supplying missing documents is the normal operating mode of claims handling, not an early sign of rejection. The right approach: respond quickly, in an organised way, in one go. This article gives you a method for that.
The range of typical requests is predictable: a missing medical document (a test result, the discharge summary, a follow-up record), clarification of the circumstances of the accident (when, where, how), the certificate of incapacity for work for the daily benefit, the official accident report for a workplace accident, or the foreign documents for a claim from abroad. The request is always specific – and that's good news: you know exactly what's needed for a decision.
Four steps. One: read the whole request through, and list every item – documents supplied in several batches are the most common time-waster. Two: gather everything – whatever you don't have, request it (documents can be requested from the treatment provider; allow a few days for turnaround). Three: submit it all in one go, quoting the claim number, with an itemised list of what the submission contains. Four: note the date of submission – the insurer's assessment clock starts ticking from complete receipt, as the deadlines article explains.
It happens: the request names a document using a technical term you don't recognise, or asks for something that doesn't exist in your case (no surgery took place, there's no official report). In that case, don't guess: ask the insurer's customer service – or ask me: translating these requests is a basic part of what a broker does. For a "document that doesn't exist", the right answer is a short statement explaining why it doesn't – rather than silence.
Two situations are worth paying attention to. If you're asked a second or third time for something you've already submitted – in that case, ask for a proper written confirmation of what's been received. And if the questions start pointing toward disputing the origin of the injury (circling around the accident mechanism) – that can signal the case is teetering on the non-accidental-cause line. In both situations, flagging it to me early helps: a stuck case is easier to handle while it's merely slow, not yet rejected.
Most requests can be prevented by submitting a complete claim the first time, following the documents list: if the basic set is complete, the follow-up round often never happens at all. The folder routine – every document in one place, the same day – really pays off here: the checklist turns this into something you can tick off.
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