Our Services

Early Intervention Services

This product is designed to ensure that sick leave benefits are being issued to employees who are too ill to be at work. It also ensures that the employee receives the support of the employer in order to regain full health and return to the work force as quickly as possible. The product also allows us to identify cases where there is no meaningful medical support for an absence upfront, and early on, in the employee’s leave. This provides the employer with the opportunity to address these files as the employment issues they really are without the confusion of a possible disability clouding the issue.

We offer two different approaches for this service:

The first approach is full Case Management. Here we actually handle the entire file. We gather all of the necessary information, review it, decide whether or not STD benefits are supported and notify both the claimant and the employer. When a claim is approved the employer will typically issue the benefits based on the recommendations in the approval letter. When a claim is declined we will write the actual decline letter to the claimant with the medical reasons for the decision clearly outlined. Decline letters also include the type of information the claimant would be required to provide for an appeal.
Alternatively, we also offer Adjudication Services. This product is designed to allow the employer to actually manage the file by obtaining all relevant medical information, including telephone interviews with the claimant. This information is then forwarded to SAM Solutions for review. We will then provide the employer with feedback confirming if disability is supported for the period of time in question given the information on file. The employer would then decide on benefit payments and would also write all approval and decline letters.