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.
Melanie – Nurse – Ankeny, Iowa
Incontinence
A nurse from Iowa suffered from incontinence as a result of cancer treatments. She suffered from accidents multiple times a day and this condition made it impossible for her to work in any capacity. Her Long Term Disability insurer accepted her claim and paid benefits. CIGNA later denied her claim stating that she should be expected to return to work soon.
She reached out to Fields Law and our attorneys began updating our client’s medical records to provide the full scope of her condition. Once the records were compiled, we drafted a winning appeal which led CIGNA to overturn their denial and reinstate her benefits. Our client felt a huge sense of relief that she would have a steady source of income to support herself again.
David – Senior Vice President – Financial Industry – Warner Robins, Georgia
Bipolar Disorder, Herniated Disc, Degenerative Disc Disease
A Senior Vice President for a financial services company became unable to work as a result of his bipolar disorder. He was placed in inpatient treatment and the insurance company did initially pay for his benefits. However, due to his large monthly benefit amount, the insurance company attempted to terminate his benefits after having him meet with their own neuropsychological evaluator. The evaluator’s report did not directly contradict his treating doctors’ recommendations, but the insurance company discontinued benefits anyway. The Senior Vice President also suffered from severe back pain as a result of a motor vehicle accident, which contributes to his ongoing disability.
After the insurance company ignored his treating physicians’ opinions and terminated benefits, he contacted Fields Law for help with an appeal. The attorneys at Fields Law formulated an appeal by working with his treating physicians to gather all necessary medical records as well as narrative reports from each treating physician.
To help the insurance company better understand the disability, the attorneys at Fields Law also engaged an independent expert for a more detailed explanation of bipolar disorder. The insurance company could no longer ignore the wealth of information provided to them as a result of the appeal submitted by Fields Law. Ultimately, they overturned their previous denial of benefits; our client was able to resume his life with peace of mind.
Lauren – Advisory and Assurance Specialist – Woodstock, Georgia
Depression, Anxiety, Autoimmune Disease, Cognitive Impairments, Persistent Migraines, Chronic Fatigue, Fibromyalgia
An Advisory and Assurance Specialist from Georgia had struggled with depression and anxiety for many years, but was able to carry on a successful career despite her conditions. However, she was forced to give up her administrative position after developing an autoimmune disease, cognitive impairments, persistent migraines, chronic fatigue, and fibromyalgia. She was initially granted Long Term Disability benefits by Aetna. However, after just half a month, the insurer cut off her income. They claimed there wasn’t enough evidence to prove she couldn’t work, and that her medical records failed to demonstrate sufficient limitations.
She contacted Fields Law and was able to discuss her case with our attorneys right away. The Fields Law team began building her appeal, and gathered supporting documentation from her treating physicians. We argued that the weight of medical evidence supported restrictions for our client, and accused the insurer of failing to specify the information necessary for a valid claim denial. The appeal was a success, and Aetna agreed that the medical evidence we put together supported full occupational impairment in any category of physical demand. Our client’s Long Term Disability benefits were soon reinstated, and she was relieved to be financially secure.
