When you submit a claim to Simply Benefits, it goes through an adjudication process backed by our automated systems and human-powered teams. Our aim is to adjudicate your claim and reimburse you as soon as banking systems allow.


It is absolutely imperative your banking information is entered accurately. Simply Benefits cannot verify the account number and banking numbers you use to be associated with you. Entering the wrong account information can lead to reimbursements being irreversibly sent to the incorrect recipient.  Simply Benefits cannot claw back or repay these funds.
In the event that Simply Benefits is returned funds which should have been allocated to you as part of your reimbursement, Simply Benefits will contact you.


Generally, you can expect your reimbursement to come 1-3 business days after submitting your claim. In most cases, you will be reimbursed the following day. It takes around 1-2 business days to adjudicate your claim, and around 1 day for your bank to process the reimbursement. We are constantly working with the banks to reduce this time.


ad·ju·di·cate
verb
-make a formal judgment or decision about a problem or disputed matter


What if I submit my claim on a holiday or weekend?

Claims submitted on a National Holiday or Weekend (Saturday, Sunday) may be delayed by the banking system. This will vary between banks. You can contact your bank to request information on when Electronic Fund Transfers are processed by your receiving bank.


I was notified that my benefits reimbursement failed to deposit

If you have entered invalid banking information, when we try to reimburse you the transaction will fail and we will notify you. You should do the following:

  1. Contact your bank and confirm with them what EFT/Direct Deposit details you should use.
  2. Follow the steps outlined here to re-enter your banking info.


I did not receive payment for an approved claim

If you have entered invalid banking information, when we try to reimburse you the transaction will fail and we will notify you. If you are missing your payment and did not receive a notification about a failed reimbursement, there is a chance you have entered someone else's account information.

  1. Contact your bank and confirm with them what EFT/Direct Deposit details you should use.
  2. Login to the Member Site or App to view your currently entered banking information. Follow the steps outlined here to view your banking info.
  3. Follow the steps outlined here to re-enter your banking info to ensure all future reimbursements are correctly sent to you.


I set my bank information, but now the Member Portal says I don't have any set

If you previously entered your bank information with us but a transaction failed to process, we will assume that info is invalid and remove it. This means you will need to check with your institution to confirm the correct details and re-enter them. It's important we do this as keeping only the most accurate information on file is a pillar in our strategy to respect your personal information.



If a reimbursement is not paid, Simply Benefits has automatic functions in place to find and address these proactively. Simply Benefits cannot, however, recover funds which were sent to the wrong recipient as a result of incorrect EFT/Direct Deposit information being entered. If you have not received payment and we have indicated the payment was sent, you can contact the bank to try and resolve this issue.