Case Wins Against Sun Life Financial
Here are just a few examples of our disability appeal case wins against Sun Life Financial.
Pilot - Loganville, GA
Back Pain, Complications from Fusion Surgery
“A pilot from Georgia had back surgery, but never fully recovered. He had ongoing back and neck pain that made sitting for long periods of time painful. His symptoms caused him to stop working. He received long-term disability benefits through his employer’s insurance plan for about a year and a half, but then the insurance company stopped paying because he no longer fit their definition of “disabled.” The pilot appealed the decision to no avail.
Still unable to work, he called Fields Disability for help. The attorneys at Fields Disability reviewed the claim denial and found that our client had a good case. Our support team reached out to the insurer for all of the claim documents so evidence could be gathered for a lawsuit. During preparation for the lawsuit, our attorneys negotiated a generous lump-sum settlement. Our client was pleased to receive his settlement check, and was happy with how Fields Disability quickly resolved his disability claim.”
Truck Driver - East St. Louis, IL
“A man had previously worked as a Tractor Trailer Driver. He suffered from a history of heart disease. He eventually was forced to undergo a coronary bypass. Unfortunately, the surgery was complicated by severe sternal wound infections and required repeated hospitalizations. Because of these conditions, he remained unable work. His disability insurer initially accepted and paid the claim, however they later denied the claim.
After exhausting all potential appeals, frustrated and unable to work, he reached out to the attorneys at Fields Disability. His attorney immediately filed a lawsuit in federal court. He was then able to negotiate a settlement with the insurer that maximized the value to the client while at the same time mitigating the significant risk of moving forward with litigation.”
Office Administrator - Peabody, MA
Diabetes, Neuropathy, Exertional Dyspnea, Atrial Fibrillation, Chronic Artery Disease
“A woman from Massachusetts worked as an Office Administrator for 20 years. She suffered from a number of conditions which included morbid obesity, diabetes mellitus with neuropathy, exertional dyspnea, atrial fibrillation, chronic artery disease, history of diastolic heart failure, obstructive sleep apnea, cervical discitis, osteomyelitis, left shoulder paresis, foot ulcers, and hip bursitis, among other things. Sun Life, her long-term disability insurer, initially approved the claim but later denied it claiming that she had the capacity to perform her own occupation.
Scared and not sure about what to do, she reached out to the attorneys at Fields Disability. Her attorney at Fields reviewed all of the records from the insurance company and went to work getting updated medical records. With updated records, her attorney drafted a strong appeal which cited the medical evidence as to why she could no longer work. Upon review, the insurance company overturned their denial and paid benefits. The client felt an incredible sense of relief knowing that he had an income on which to support himself and his family. ”
Clinical Manager - Lewisburg, TN
Fatigue, Dizziness, Headaches, Decreased Short Term Memory
“A clinical manager applied for long-term disability benefits through her insurer after suffering fatigue, dizziness, headaches, and decreased short term memory, but was denied for benefits. The insurance company first denied her benefits when they determined that she was not eligible for benefits because the documentation did not support the conclusion that she was unable to perform the material and substantial duties of her own occupation as a clinical manager throughout her 180-day elimination period. She appealed this denial on her own, without the assistance of legal counsel, and the insurer again denied her claim for long-term disability benefits.
Upset with the insurer’s decision to deny long-term disability benefits, she called Fields Disability for help. The attorneys at Fields Disability filed a lawsuit in federal court to fight for our client. During preparation for trial, Fields Disability attorneys were able to negotiate a generous lump-sum settlement for our client, who was overjoyed with the resolution of her case.”
Automation Technician - North Las Vegas, NV
Neck Pain, Back Pain, Facet Syndrome, Disc Displacement
“A stage-show automation technician was in a car accident when another driver ran a red light. He experienced severe back-pain after the accident and imaging of his spine showed damage at multiple locations. He could no longer continue working because his job required lifting heavy automated components. His employer-provided disability insurer gave him monthly benefits for a couple of years, but then they suddenly stopped paying because he no longer fit their definition of “disabled.”
Unable to return to work, he contacted Fields Disability for help. Our team obtained over 2000 pages of medical records and ordered updated reports from our client’s doctors to support the claim for benefits. Our attorneys compiled the evidence and sent a strong appeal to the insurer. The insurance company did not overturn the decision, but our attorneys filed a lawsuit in federal court. During preparations for a hearing, Fields attorneys negotiated a generous lump-sum settlement. Our client was pleased with the check and happy with the professional advocacy from Fields Disability.”
Cashier - West Fargo, ND
Psoriatic Arthritis, Knee Replacement Surgery
“A cashier became disabled after undergoing a total knee replacement surgery and developing psoriatic arthritis. His symptoms kept him from sitting and standing for long periods of time. His arthritis severely affected his hands and resulted in an inability to gross and fine manipulate during work tasks. The insurance company initially approved him for benefits. When the definition of “”disabled”” changed under his policy, the insurer denied benefits claiming that he was able to perform sedentary jobs.
The man hired Fields Disability to fight the insurer’s wrongful denial. Fields Disability attorneys ordered medical records from the man’s treating providers. Upon reviewing the medical information, our attorneys secured a report from the man’s treating rheumatologist documenting his inability to sustain full-time work and use his hands for more than a few minutes. Our attorneys used that information to secure a favorable decision from the insurer. The man received a substantial backpay check and hired Fields Disability to negotiate a settlement so he never had to deal with them again.”