10 administrative pitfalls that could cause claim surprises for employees

Employers should remember that if the answer is yes, they are not alone. As an insurance provider, we see common administrative pitfalls that employers have faced, causing surprises for their employees at claims time. No one wants this to happen, especially when the employee is already going through life changes due to injury, illness, a new baby, or the death of a loved one.

We mapped out common triggers for problems, such as missing documentation or changes in eligibility, and created tips to help employers avoid these mistakes, which are included below. Many revolve around evidence of insurability (EOI) or staying on top of eligibility criteria. In our poll, we found that 78 percent of employers said it is challenging to stay on top of eligibility requirements throughout the year, and 53 percent have seen an employee experience an unexpected lack of coverage upon filing a claim.