“A customer service agent suffering from an immunity virus, chronic low back pain, and coronary artery disease was abruptly cut off from his disability benefits based on the insurance company’s selective and partial review of his medical and vocational records. In support of the discontinuation, the insurance company stated that the claimant should be capable of frequent and continuous sitting and frequent standing and walking. The insurer relied on the opinion of a Vocational Rehabilitation Specialist who reviewed the worker’s file and stated that he was able to perform sedentary work.
The disabled worker called Fields Disability because he knew that his insurance company had made a mistake. Our team prepared a winning appeal for our client that exposed the inadequacy of the insurance company’s review.
In preparing the appeal, we gathered reports from our client’s treating doctors and highlighted parts of his medical records to show that he remained entirely disabled from not just his own, but any occupation. We forced the insurance company to admit its mistake, reinstate our client’s long term disability benefits and award him back pay for lost benefits.”