Short & Long Term Disability Cases We’ve Won for Our Clients in New York
Fields Law Firm successfully recovers millions of dollars each year for our disabled clients throughout the United States. Our Long Term Disability experience is matched by very few other law firms in the country and has earned us a national reputation.
Here are just a few examples of our Long Term Disability appeal and lawsuit case wins in New York.
Clarence – Claims Examiner – Lynbrook, New York
Cancer, Neurological Issues from Chemotherapy
A claims examiner in New York stopped working due to a spinal cancer diagnosis and ongoing neurological complications from chemotherapy. After intially receiving benefits, Guardian concluded the client could return to a sedentary role, including prior work as a claims examiner and terminated Long Term Disability benefits.
Fields Law Firm stepped in to protect the client’s right to ongoing support. Our attorneys assembled targeted medical records, treating provider reports, and supporting documentation that clearly explained why the client’s condition remained disabling and incompatible with sustained work demands, even at a sedentary level. After reviewing the evidence, Guardian reversed course and approved the claim for continued benefits, allowing the client to move forward with stable income and renewed financial clarity.
Kamaria – Director of Finance – Jamaica Estates, New York
Lupus, Cardiac Abnormalities, Obstructive Lung Disease
A director of finance in New York developed significant work limitations due to lupus, cardiac abnormalities, and obstructive lung disease. After Guardian initially approved Long Term Disability benefits, payments were later terminated without warning, creating immediate financial strain and uncertainty.
Fields Law Firm prepared a detailed appeal supported by comprehensive medical records, treating physician statements, and additional documentation demonstrating the continued inability to perform occupational duties. The record showed the termination was not supported by credible information and lacked a persuasive basis for ending benefits. After receiving the appeal, Guardian reinstated benefits and back pay for the period without payments.
Yiroska – Associate Manager – Elmsford, New York
Failed Back Surgery, Fusion Surgery, Back Pain, Herniation, Ear Pain, Nasal Congestion, Reflux, Tinnitus, Thyroid Problems, PTSD, Anxiety, Depression
An associate manager in New York developed multiple medical conditions that made it impractical to perform the core duties of the role, including severe back issues following failed back surgery and fusion surgery, persistent pain that limited sitting tolerance, and additional symptoms affecting daily function. Long Term Disability benefits were initially approved under the “own occupation” definition of disability. When the policy definition shifted to “any occupation,” Sedgwick terminated benefits, despite ongoing limitations that continued to interfere with sustained work capacity.
Fields Law Firm conducted a detailed review of the claim file and prepared a comprehensive appeal. The Fields attorneys organized and explained the supporting medical evidence, secured narrative reports from treating physicians documenting functional restrictions, and identified gaps in the insurer’s evaluation showing the review was not fair or complete. After the appeal was submitted, Sedgwick reinstated Long Term Disability benefits going forward.
