Short & Long Term Disability Cases We’ve Won for Our Clients Against Sedgwick
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 case wins against Sedgwick.
Brandon – Retail Sales Associate – Bonne Terre, Missouri
Staph Infection with Complications, Severe Migraines
A retail sales associate in Missouri had to stop working after severe complications from a staph infection and ongoing, debilitating migraines that limited day-to-day functioning. After Sedgwick denied the short term disability claim, the client turned to Fields Law for an organized appeal strategy supported by comprehensive medical records and clear documentation of work restrictions.
Fields Law submitted an initial appeal that resulted in approval for several months of benefits. When the insurer later denied the remaining months based on an unsupported claim that the client had returned to work, Fields Law Firm filed a second, detailed appeal to correct the record and reinforce the evidence. That follow-up appeal led to approval of the remaining short term disability months, along with continued Long Term Disability benefits.
Mark – Delivery Driver – Farmington, Missouri
Degenerative Disc Disease, Knee Pain, Arthritis, History of Stroke
A delivery driver in Missouri underwent multiple neck and back surgeries that made continuing work unsafe and unrealistic. Long Term Disability benefits were paid for two years, but Sedgwick later terminated benefits after the policy’s definition of “disability” changed. Despite ongoing limitations tied to degenerative disc disease, knee pain, arthritis, and a history of stroke, the insurer maintained the position that benefits were no longer payable.
Fields Law moved quickly to protect the client’s income. Our team obtained the complete medical record, reviewed the claim file in detail, and identified multiple instances where Sedgwick mischaracterized key evidence. Fields attorneys then prepared a comprehensive administrative appeal supported by strong documentation and clear analysis. Sedgwick reversed its termination decision, resulting in a lump-sum payment of back benefits and the reinstatement of ongoing monthly benefits.
Daryl – Social Worker – Novi, Michigan
Major Depressive Disorder
A social worker from Michigan, worked for more than 20 years when a mental health condition made it impossible to continue working. A Long Term Disability claim was filed, and Sedgwick initially approved benefits for a limited, closed period. When ongoing coverage was requested, Sedgwick denied the claim, stating that the medical information did not support an impairment that prevented work.
Fields Law stepped in to manage the appeal and strengthen the record. The Fields team requested updated medical records, obtained a detailed letter of support from the treating physician, and prepared a thorough appeal that directly addressed each reason given for the denial. After reviewing the appeal and supporting exhibits, Sedgwick reversed its prior decision, issued a backpay check, and restored the benefits that had been pursued.
