Case Wins for our clients in Louisiana
Here are just a few examples of our disability appeal case wins for our clients in Louisiana.
Technical Services Assistant - Walker, LA
Low Back Pain
“A Technical Service Assistant was unable to work due to severe back pain that impaired her ability to sit and stand comfortably at work. She submitted a claim for short-term disability to Sedgwick, who paid benefits for just two weeks before denying her. In the denial letter, Sedgwick stated the woman’s medical records failed to show she was disabled. For months prior to leaving work, the woman had tried everything from a standing desk to pain medications to continue working. She knew in her current condition returning to work simply was not possible.
She hired Fields Disability to file an appeal of Sedgwick’s decision. Our attorneys gathered medical evidence and disability paperwork from the woman’s two treating doctors stating that she was unable to perform her work as a technical services assistant. Our attorneys submitted that information along with a legal memorandum arguing the woman could not return to work due to her conditions. After a brief review, Sedgwick overturned its decision and reinstated benefits. The woman was able to use the short-term disability back payment to continue treatment with her doctors and eventually resume work with her employer. ”
Registered Nurse - Pineville, LA
“A registered nurse from Louisiana started having uncontrollable drowsiness. He was consistently getting seven hours of sleep but the symptoms persisted. He tried reducing his hours and various medications but nothing helped. He was forced to stop working. He applied for short term disability benefits through his employer but was denied because, despite strong records from his neurologist, the insurance company said he did not have a specific test performed.
Upset and worried about his lost income, he called Fields Disability for help. Our attorneys gathered the claim file from the insurance company and medical records from our client’s doctors. Fields attorneys asked one of our client’s doctors for a summary of their findings and the doctor provided a letter saying the narcolepsy was lifelong and disabling. With strong supporting evidence, Fields attorneys filed an appeal to the insurer and the decision was overturned. Our client received a lump sum for short-term benefits and is now working with Fields Attorneys on a long-term disability claim. He is pleased with the professional advocacy Fields Disability continues to provide.”
Executive Secretary - Youngsville, LA
“A woman from Louisiana suffered from chronic and severe migraine headaches. This condition obviously prevented her from being able perform any work as she was completely incapacitated when a migraine would hit. MetLife, her long-term disability insurer, denied her claim, asserting that the medical information on file did not support an inability to work.
Clearly unable to work and not sure of how to fight the insurance company, she reached out to Fields Disability. Her attorney at Fields went right to work reviewing the entire file from the insurance company. After completing his review, the attorney developed a winning strategy for her appeal. He updated medical records and obtained statements from her treating neurologist. With the updated records and report, he then drafted an appeal which made it clear that the client could not work. The insurance company reversed their decision and approved the client’s claim for benefits. The client was elated to get her benefits back knowing that she would have security going forward.”
Quality Control Inspector - Berwick, LA
Sciatica, Back Pain, Degenerative Disc Disease
“A quality control inspector at a metal shop in Louisiana began having serious back pain in 2016. He had an MRI and his doctor discovered multiple bulging disks in his back, likely due to a degenerative disk disorder. He experienced severe pain radiating down his right leg, and was unable to walk a few feet without pain. He was forced to quit work and applied for long-term disability benefits through Mutual of Omaha, but was denied. The insurance company determined that his job was “light duty” and that he was still capable of performing his job responsibilities.
Shocked with the decision and frightened by his sudden lack of income, he contacted Fields Disability for help with his appeal. The lawyers at Fields Disability closely examined our client’s medical record and found that Mutual of Omaha disregarded a key report. One doctor stated that the employee “should be considered disabled from his own occupation” right in his medical report and Mutual of Omaha did not consider this statement in its analysis. After compiling additional treatment records, our attorneys filed the appeal.
The insurance company agreed that there was an error in their original decision and granted our client back-pay and continued benefits. Our client was happy to have the means to continue treatment and relieved to be done fighting against the insurance company. ”
Pharmacy Manager - Zachary, LA
Back pain, Fibromyalgia, Complications from Chemotherapy, Breast Cancer
“A pharmacy manager was diagnosed with bilateral breast cancer. She stopped working to undergo a double mastectomy and aggressive chemotherapy treatment. She qualified for long-term disability benefits during her treatment. After treatment, she had severe pain as a side effect from the chemotherapy that developed into fibromyalgia and numbness in her extremities. Despite receiving benefits for two years and keeping the insurance company updated on her condition, the insurer denied her benefits.
Upset about her lost income and the insurer’s change in decision, she contacted Fields Disability for assistance. Our attorneys contacted the insurance company for the claim file, and our client’s doctors for their medical records. The insurance company ignored several reports from our client’s doctors, and misinterpreted our client’s decision. Fields attorneys sent a strong appeal to the insurer, but they did not change the decision. Our attorneys filed a lawsuit in federal court to fight for our client’s benefits. During preparation for trial, our attorneys negotiated a generous lump-sum settlement. Our client was happy with the settlement, and was pleased with the quick action and transparent process that Fields Disability provided.”