Benefit-trigger documentation
Physician's certification of ADL impairment or cognitive impairment, care plan, and any required waiting-period proof — all matched to the policy's specific trigger language.
ClaimKeeper assembles a documentation-complete benefit-eligibility package and every monthly reimbursement submission — policy-contract-ingested, carrier-rule-matched, and specialist-reviewed — so the family never becomes an unpaid insurance clerk.
A long-term care insurance claim is not a one-time event — it is a recurring administrative relationship spanning dozens of monthly reimbursement cycles. The average LTCi claim lasts 2.7 years, and carriers like John Hancock require biweekly, monthly, or weekly submissions with itemized invoices, proof of payment, and fully completed claim forms. Miss a document or use the wrong format, and the carrier can delay or deny reimbursement.
Family caregivers — already providing unpaid care — are the ones assembling this paperwork. 70% report work-related difficulties because of caregiving duties. The carrier's own 'care coordination' benefit is staffed by nurses paid by the same company deciding whether to pay the claim. Independent help is either hourly consulting ($150/consultation) or contingency-fee legal representation that only engages after a denial.
ClaimKeeper exists to close that gap with a single, exhaustive standard applied identically to every claim.
We do not guess what a carrier requires. Every submission is built against the exact policy contract and the carrier's published claim forms and guidelines. These are the elements each pack is held to.
Physician's certification of ADL impairment or cognitive impairment, care plan, and any required waiting-period proof — all matched to the policy's specific trigger language.
Every submission uses the exact claim form and format each carrier requires — John Hancock, Lincoln, Genworth, and 40+ others — no generic templates.
Caregiver/facility invoices, cancelled checks, Zelle/Venmo screenshots, or equivalent — reconciled to the penny and attached in the order the carrier expects.
Each month's submission includes updated care logs, proof of ongoing eligibility, and any carrier-specific recertification forms — filed on schedule.
Every submission, acknowledgment, and carrier response is logged with dates and reference numbers, creating an auditable chain.
If a claim is denied, the pack includes a referral to an independently engaged elder-law/ERISA attorney — ClaimKeeper never adjusts or negotiates.
AI extracts and drafts. Deterministic rules — running as code, outside the model — decide what is complete. A human specialist signs every release. That order is never reversed.
Upload the policy contract, claimant info, and care provider details. We return a free completeness read: which documents and carrier forms you already have, and which are missing.
As your authorized clerical agent, we ingest the policy contract and match it to the specific carrier's claim forms and submission rules — building a rule pack for that carrier.
The benefit-eligibility documentation is drafted from the physician's records and care plan into the carrier's required format — no legal opinions, no invented facts.
Every required field is checked against the carrier's form; invoices reconcile to proof of payment; the submission deadline is verified; any missing document blocks release.
A credentialed claims specialist reviews the exception queue and signs the release. High-value or complex claims route to attorney review first.
You receive the pack: benefit-trigger package, monthly reimbursement submissions, carrier correspondence log, and a recurring calendar for each month's submission — ready for the family to submit under its own name.
The deliverable is completeness itself — every carrier-required element accounted for or explicitly exception-coded. Nothing is left implicit.
The gates that decide completeness are code, not a model's opinion. A drafting error cannot slip past a carrier's form requirement.
We prepare documentation and run searches as your clerical agent. We never adjust, negotiate, or advise on whether to accept a settlement, and we refer every denial appeal to an independently engaged attorney.
Simple, predictable, and aligned with a documentation standard — not a percentage of any benefit.
Start with a free Policy & Intake Gap Scan. Send the policy contract and claimant details and we'll return a completeness read against the carrier's specific requirements.
Documentation-completeness service · not legal advice · the family submits every form.