Short & Long Term Disability Cases We’ve Won for Our Clients Against Various Insurers
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 various insurers.
Taneisha – Program Specialist – Pontiac, Michigan
Graves’ Disease, Depression, Anxiety, Anemia
A Program Specialist for an insurance company in Michigan left work due to developing Graves’ Disease and some additional conditions, which made it impossible to perform her skilled and stressful job. She applied for Long Term Disability benefits. She was initially approved and paid benefits for a year and a half. However, CIGNA had one of its “Medical Directors” review the claim. The unnamed Medical Director determined she was no longer limited from performing her own occupation.
She received a denial letter and hired Fields Law to fight the denial on her behalf. Our attorneys secured detailed medical information from our client’s treating doctor showing she was unable to perform not just her own occupation, but any occupation in the national economy. The appeal was submitted with updated medical records and legal arguments supporting our client’s claim. CIGNA reversed it’s decision and paid all outstanding benefits. Our client was so impressed with Fields Law Firm, she hired us to represent her against her insurer on an ongoing basis.
Jayne – District Manager – Howard City, Michigan
Complications Due to Stroke
A district sales manager from Michigan suffered a stroke. As a result, she had limited use of the right side of her body as well as difficulty with speech. Her Long Term Disability insurer initially accepted her claim but after three years, CIGNA denied the claim. Their denial stated that the medical information available did not prevent her from working a sedentary occupation.
Not sure what he should do, she reached out to Fields Law. Our attorneys ordered updated medical records and obtained statements from our client’s treating doctors. We also had our client undergo a functional capacity evaluation. Armed with all of this evidence, our attorneys drafted a winning appeal. CIGNA reversed their decision and reinstated our client’s benefits and paid all the past-due benefits.
Thomas – Lumber Yard Manager – Chesterfield, Michigan
Chronic Neck Pain, Neck Fusion Surgery, Weakness throughout both Upper Arms, Gait Instability
A lumber yard manager from Michigan was suffering with chronic neck pain after undergoing a multilevel neck fusion surgery. He was removed from work and his treating providers noted he could not return to the physical nature of his previous occupation. He applied for Long Term Disability benefits through his employer’s plan. Unfortunately, the insurer denied the claim based on its review. Greater Georgia Life stated he could continue to perform the material duties of his occupation.
He turned to Fields Law for help. Our team worked with our client to build an appeal fighting this denial. We wrote to our client’s doctors receiving extensive narrative reports specifically responding to the Greater Georgia Life’s grounds for denial. Additionally, we pointed out substantial errors in the review that failed to consider all the relevant evidence in the claim file. After receiving our appeal, Greater Georgia Life reversed its decision, paid our client his backpay, and commenced monthly Long Term Disability benefits.
