PROVEN LAWSUIT RESULTS

Registered Nurse - Abilene, TX

Hypocomplementemia Urticarial Vasculitis, Autoimmune Polyarthopy, Hypothyroidism, Connective Tissue Disease

“Our client came to Fields Disability after her long-term disability benefits were terminated. The client has an active connective tissue disease that is manifested by joint pain, fatigue, and urticarial vasculitis. As a registered nurse, she could not perform the material duties of her occupation due to her disease. Her condition has limited her ability to function on a daily basis, and affects some activities of daily living.

Upon reaching out to the Fields Disability team, our attorneys gathered all the evidence from the medical records and claim file to support our client’s case. We obtained the support of her doctors and filed an appeal to the insurance company, pointing out that there was no logical or objective interpretation of the medical evidence that could allow somebody to conclude that our client could perform the duties of her occupation. The insurance company reinstated disability benefits for our client, who was very happy with the outcome.”

Medical Secretary - Humble, TX

Suffered Multiple Fractures Including Radius, Scapula, Tibial Plateau, Clavicle, Ribs, Tibia, and Cerebral Hemorrhage

“A sixty-two year old Medical Secretary was forced to stop working as a result of multiple fractures sustained in a pedestrian/motor vehicle accident. She suffered multiple fractures including radius, scapula, tibial plateau, clavicle, ribs, tibia, as well as a cerebral hemorrhage. Two years after the accident, some of her tibial fractures remained unhealed. Nonetheless, the insurance company terminated her benefits after twenty four months alleging she could return to her previous occupation as a Medical Secretary.

She reached out to the team at Fields Disability to assist with her appeal of the insurance company’s decision to terminate benefits. Our attorneys worked with her primary care physician and pain management doctor to obtain supportive narrative reports addressing the physical restrictions and limitations that would not allow her to perform any occupation with the required persistence and pace needed for full-time employment. In addition, the team at Fields obtained updated medical records and put together a strong appeal that demanded the insurance company provide a full and fair review of her claim.

In particular, Fields Attorneys combed through the insurance company’s administrative record and found the initial medical record review performed by one of the insurance company’s own medical staff that stated our client would not be able to return to work and that a buyout of her claim should be considered. When the insurance company received the appeal the team at Fields had prepared for our client, along with supporting medical records and narrative reports, they had no choice but to reverse its previous denial and reinstate our client’s long term disability benefits.”

Warehouse Associate - Rocky Mountain, NC

Degenerative Disc Disease, Spondylosis, Side Effects from Medications

“A Warehouse Associate from North Carolina was suffering from Degenerative Disc Disease, spondylosis, and side effects from medications. He was taken off work by his treating doctors and applied for Long Term Disability benefits through his employer’s plan with Unum. Regrettably, Unum denied our client’s claim arguing his conditions were pre-existing and therefore barred under the policy and also that, even if they were not pre-existing, they were not sufficiently disabling to stop him from performing his own occupation.

After being denied, our client turned to Field’s Disability for help. The Fields attorneys drafted an appeal, building support from our client’s treating doctors, his medical records, and the actual requirements of his job duties. After receiving our appeal, Unum reversed its decision, paid our client his backpay, and started paying his monthly benefits.”

Senior Solutions Architect and Project Manager - Gary, IN

Status Post Colon Surgery, Lupus, Colostomy Bag Requirement, Irregular Bowel Syndrome, Asthma, High Blood Pressure, Bilaterally Torn Rotator Cuffs, Bilateral Knee Hip Arthritis, C-Differentiation Syndrome

“An Indiana woman had worked as a Senior Solutions Architect and Project Manager for many years before she began to develop extensive gastrointestinal issues severe enough to causer her to cease working altogether. She also suffered from bilaterally torn rotator cuffs and knee and hip degeneration. She applied for long-term disability benefits from her insurance carrier, and was approved. Her benefits ran for about two years, when the insurer suddenly terminated them. The insurer claimed in their denial letter that she was capable of returning to an alternate sedentary level IT position.

The woman hired Fields Disability to fight the insurer and appeal their denial decision. The Fields team filed an appeal of the insurer’s decision, but the denial was ultimately upheld. The Fields Attorneys then filed a lawsuit in Minnesota District court against the insurer, arguing that their denial determination was inappropriate and not supported by the evidence. Faced with mounting litigation costs and a strong argument from the Fields attorneys, the parties were able to agree to a settlement of the disability claim.”

Ultrasound Technician - Katy, TX

Depression,Severe Anxiety, PTSD, Venous Insufficiency, Status Post Right Knee Arthroplasty, Osteoarthritis of the Hands, Mood Disorder, GERD

“An ultrasound technician ceased working due to severe anxiety, depression, and PTSD. She applied for short term disability benefits which she was approved for and was still receiving when her doctor advised she would have to undergo a knee replacement. The insurance company notified her that her long term disability benefits would not be approved for her mental health conditions but would be approved for her knee surgery with an important caveat. Her long term disability benefits would not begin until she satisfied her 180 day elimination period at which time she would have already recovered from her knee surgery.

Realizing she needed help, she reached out to the Fields Disability team to help get her long term disability benefits approved for the disabling mental health condition that was the reason she ceased working in the first place. Fields Disability attorneys reached out to her treating providers for both mental and physical conditions. Our team worked with our client’s therapist to obtain a detailed narrative outlining all of the significant events in our client’s life that contributed to her disabling mental health conditions.

Our attorneys prepared a lengthy appeal supported by numerous medical records and strong narrative reports from her treating providers and submitted to the Insurer. Not only did we make sure our client’s benefits would commence at the end of the elimination period but we also got the insurance company to overturn their mental health denial and award our client an additional four months of benefits she had been denied. Our client was incredibly thankful that our attorneys got the insurance company to acknowledge she was disabled due to both her mental and physical conditions.”