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.
Donnie Ray – Production Line Manufacturer – Sylacauga, Alabama
Stroke
A production line worker at a large car manufacturing company became disabled when he suffered a stroke. After he recovered from the stroke, he still had severe deficits that limited his ability to stand, walk, and perform his daily routine. He was also required to take blood pressure medication that almost completely incapacitated him. While CIGNA agreed he was not able to return to work on the production lines, they denied benefits when the definition of disability changed to include other occupations. They stated he could perform sedentary work on a full-time basis so he appealed the initial denial on his own, but the denial was upheld.
Disappointed by the decision, he hired Fields Law to assist with a second appeal. Our attorneys closely examined the claim file and denial letters and found that the insurer’s doctors failed to consider the effects of the blood pressure medication on our client’s ability to work. After updating medical records, the appeal was submitted arguing that CIGNA needed to consider the totality of the claimant’s condition including side-effects of prescribed drugs. On review, CIGNA agreed and reinstated our client’s claim.
Joseph – Line Maintenance Worker – Anchorage, Alaska
Vertigo, Dizziness
A Line Maintenance Worker from Alaska was injured when he slipped and fell at work, causing him to hit his head. After the injury, he began to experience severe vertigo and dizziness. His job required him to climb ladders and work at heights, which was clearly a significant hazard. He was paid Short Term Disability benefits, but, when he applied for Long Term Disability benefits, Aetna denied the claim.
After receiving the denial, he contacted Fields Law Firm to help him appeal the denial. In response to the denial, our attorneys compiled all of the medical evidence, which included all of the records from numerous providers our client had seen across the country in an attempt to get an answer for how he could recover. The appeal also articulated why the insurer’s denial was based on incorrect or improper grounds. On review, Aetna overturned their denial, paid benefits that were past due, and began to pay his benefits on a monthly basis.
