As a veteran-focused organization dedicated to assisting veterans with their disability compensation claims, Warrior Allegiance understands the complexities and challenges that veterans and their families may face when navigating the benefits system. One crucial aspect of this process involves referring claims involving death after service, particularly in cases where survivors may be entitled to benefits.
General Responsibilities of a Claims Processor
When it comes to referring claims, a claims processor plays a pivotal role. Their responsibility lies in reviewing the evidence of record to determine whether a claim for survivors’ benefits should be submitted to the rating activity or decided without a rating decision. At Warrior Allegiance, our team, including employees who are veterans themselves, understands the importance of meticulous review and attention to detail in this process.
General Policy Regarding Referral of Survivors Benefits Claims
Warrior Allegiance adheres to a general policy that mandates the referral of each claim for survivors’ benefits to the rating activity if the death occurred within five years of separation from military service. However, there are exceptions to this rule. Claims processors may deny a claim for survivors’ benefits without referral to the rating activity under specific circumstances, such as when the death resulted from homicide, execution for a crime, or certain accidents or disasters.
Specific Situations Requiring Referral
Several specific situations necessitate the referral of survivors’ benefits claims to the rating activity. These include instances where the claimant has raised the issue of service connection for the cause of death, or when the veteran had one or more service-connected conditions with a combined 100-percent evaluation. Additionally, if there’s a reasonable probability that the death may be related to service, whether from disease, injury, or self-infliction, referral is required.
At Warrior Allegiance, we understand the significance of these situations and ensure that claims are appropriately referred for consideration, leveraging evidence-based fact-finding methods to support veterans and their families effectively.
Award of Survivors Pension Prior to SC Death Decision
To prevent delays in necessary development, Warrior Allegiance advocates for the awarding of Survivors Pension benefits prior to referring the claim to the rating activity for a decision on service connection for the cause of death. This approach helps alleviate financial burdens on survivors while ensuring that the claims process continues seamlessly.
Special Purpose Rating Determinations
In addition to general referrals, Warrior Allegiance acknowledges the various special purpose rating determinations in survivors’ benefits claims. These determinations may not always require a specific claim for survivors’ benefits. For example, burial allowances, accrued benefits, and death gratuity are among the special purpose determinations that can be made without a dedicated claim.
However, there are instances where a claim for Dependency and Indemnity Compensation (DIC) is necessary before special purpose determinations can be made. Warrior Allegiance ensures that veterans and their families are informed about these requirements and assists them in completing the necessary paperwork to facilitate the claims process effectively.
Conclusion
At Warrior Allegiance, our commitment to assisting veterans extends beyond mere words. We understand the challenges and intricacies of the claims process, particularly in cases involving survivors’ benefits. By adhering to established policies and leveraging evidence-based fact-finding methods, we strive to ensure that veterans and their families receive the support and assistance they rightfully deserve.
If you’re a veteran or a surviving family member in need of assistance with your disability compensation claims, don’t hesitate to reach out to Warrior Allegiance. Our team of dedicated professionals, including veterans who understand the process firsthand, is here to help you navigate the complexities of the benefits system and secure the benefits you’ve earned through your service to our nation. Contact us today to learn more about how we can assist you on your journey toward receiving the support and assistance you need and deserve.
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– Luis Valero Valencia
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