PROVEN LAWSUIT RESULTS

Car Salesman - Menifee, CA

Complications from Shoulder Surgery, Herniated Discs, Radiculopathy

“A Car Salesman from Menifee, California began suffering from shoulder and back pain after a car accident that required him to have shoulder surgery. His symptoms made work impossible. After being approved for short-term disability benefits and receiving long-term disability benefits for two years, the insurance company stopped paying because they said he could return to work.

Worried about his lost income, and still struggling with severe pain, he called Fields Disability for help. Our team obtained the claim file from the insurance company and found that the insurer overlooked key records. Fields attorneys obtained an expert vocational opinion and drafted a strong appeal to the insurance company. The insurer changed their mind and our client received a lump-sum payment for back-pay and ongoing monthly benefits. Our client is happy to be through worrying about his disability claim, and is glad he contacted Fields Disability to represent him.”

Maintenance Manager - Kelso, WA

Bipolar Disorder, Anxiety

“Our client came to the Fields Disability Team after being denied long-term disability benefits due to serious mental health issues. The client’s occupation as a Maintenance Manager required that he have good communication and organizational skills, which were impossible in his current state of mind. He suffered from persistent agitation, anxiousness, and decreased concentration, which required bi-weekly therapy visits and (unsuccessful) medications to manage.

After being removed from work and applying for long-term disability benefits, our client’s insurance company asserted that, based on the medical review there was no basis to support psychiatric impairments that functionally impaired the client from his occupation. Scared and worried about his current situation, he reached out to Fields Disability for help through this confusing process.

Our Team assured the client that we would do everything we could to get him the benefits he deserved. Our attorneys gathered the medical evidence and submitted an appeal that picked apart the reasoning behind the insurance company’s denial. Our attorneys noted several instances in the medical records that demonstrated our client was indeed disabled from his own occupation. Following the appeal, the insurance company approved benefits for part of our client’s disability period. The Fields team, however, continues to fight for our client to get him everything he deserves.”

Commercial Cleaner - Manning, IA

Right Total Hip Replacement, Revision Surgery

“A commercial cleaner initially needed a total hip replacement surgery after years of struggling with chronic pain. He was unable to do the heavy lifting that his job required and was forced to stop working. He submitted his disability benefits claim to The Standard. The Standard agreed our client was disabled from his job and paid benefits. However, two years later, The Standard evaluated our client’s claim to determine if he was disabled from Any Occupation in the national economy. The Standard found that the man could perform desk work and denied his benefits.

Fields Disability was retained to contest the denial for our client. The Fields attorneys consulted with our client’s doctor closely to create a report outlining our client’s conditions and limitations. The report was submitted to the insurer as a part of the appeal. The Standard reviewed the appeal and reversed its decision and all past due benefits were paid to our client and his benefits were reinstated.”

Medical Receptionist - West Seneca, NY

Vertigo, Headaches, Cervicalgia, Radiculopathy Cervical Region, Spondylosis Cervical Region, Cervical Disc Displacement, Low Back Pain, Radiculopathy Lumbar Region

“A fifty-four year old Medical Receptionist was forced to stop working as a result of vertigo, headaches, cervicalgia, radiculopathy-cervical region, spondylosis-cervical region, cervical disc displacement, low back pain, radiculopathy of lumbar region. The team at Fields obtained medical records from her orthopedic doctor for her spinal conditions that demonstrated our client had reduced abilities to lift, bend, drive a motor vehicle, standing and even sitting due to the combination of her impairments. Our attorneys worked with her primary care physician and other specialists to obtain medical records from one year before she had ceased working when she had undergone a craniotomy.

Although this procedure did not result in our client’s disability, the surgery had longstanding effects relative to our client’s cognitive functioning and when combined with her other physical conditions, precluded her from being able to perform her own occupation as a medical receptionist. The team at Fields meticulously combed through the insurance company’s administrative record and identified the holes in their denial decision where they had purposefully cherry picked the medical record to support their decision. Also, it was discovered that even the adverse peer review commissioned by the insurance company was ignored, as the restrictions the peer reviewing doctor had concluded were medically supported, did not make it into our client’s initial denial letter. Shortly after receiving our client’s strong appeal, the insurer reversed their earlier denial and reinstated our client’s long-term disability benefits. With this source of income and her health insurance reinstated, our client is now able to continue treating in order to improve her quality of life.”

LPN Surgical Associate - Mount Ulla, NC

Hashimotos, Antiphospholipid Syndrome, Hyper IGE Syndrome, Ulcerative Colitis, High Blood Pressure, Multilevel Disc Herniations, Chronic Hip Pain, Immobility, Chronic Infections, Chronic Fatigue, Cognitive Dysfunction, PTSD, Anxiety, Depression

“A Surgical LPN from North Carolina developed several complex medical conditions including hashimotos, antiphospholipid syndrome, hyper IGE syndrome, degenerative disc disease and chronic pain. She was forced to cease working due to her increasing symptoms. She applied for long-term disability benefits form her insurance carrier. The insurer denied her on application, and she retained Fields Disability to represent her for her administrative appeal.

The attorneys at Fields acquired updated medical records from all of her doctors and a supportive report from a vocational expert. The Fields team then drafted an appeal critical of the insurer’s denial decision and submitted it for their review. Upon consideration, the insurer overturned their prior determination, and granted our client back benefits through her Own Occupation period. Our client then continued her partnership with Fields Disability to fight the insurer’s subsequent denial of her benefits during the Any Occupation period of review.”