Short & Long Term Disability Cases We’ve Won for Our Clients Against Aetna
Fields Law Firm successfully recovers millions of dollars each year for our disabled clients throughout the United States. Our Long Term Disability experience is matched by very few other law firms in the country and has earned us a national reputation.
Here are just a few examples of our disability appeal case wins against Aetna.
Susan – Director of Dining Services – Albuquerque, New Mexico
Meniere’s Disease, Benign Paroxysmal Positional Vertigo
A Director of Dining from New Mexico was required to be on her feet most of the day. She suffered from a condition that causes unpredictable bouts of dizziness and vomiting. When she went into one of these episodes, it was impossible for her to do anything. Moving around like she must in her occupation, or any other occupation, triggers these episodes. Her doctors took her out of all work, and she applied for Long Term Disability benefits through her employer. Aetna denied her claim, determining that she could safely be on her feet for most of the day and carry up to 20 pounds. She was shocked at this news and reached out to Fields Law for an explanation and guidance through the process.
Our Team quickly went through all our client’s medical records and drafted an appeal to quash the argument made by Aetna. We included in our appeal the record from the Social Security Administration, who deemed our client disabled from performing substantially any gainful activity in the national economy due to her condition, and granted her Social Security Disability benefits. Our Team also obtained reports from our client’s doctors that illustrate her disability. Ultimately, Aetna acknowledged a disability following this appeal and granted our client ongoing Long Term Disability benefits. Our client appreciated the support and hard work from the Fields Law team.
Fernando – Retail Inventory – Joliet, Illinois
Torn Wrist Ligament
A warehouse worker from Illinois began having wrist pain. His job required lifting boxes and merchandise in a retail warehouse. He regularly lifted up to 50 pounds at work. Eventually, the pain in his wrist became too much and he was forced to stop working. He applied for Long Term Disability benefits and got denied. Aetna said he could return to work, despite the torn ligaments in his wrist.
Shocked that he was denied, he contacted Fields Law Firm for help with an appeal. Our attorneys obtained all of the documentation from the insurer and our client’s treating physicians. We scoured the documentation and found that Aetna dismissed key medical records and never ordered an independent medical review for our client. The Fields Law attorneys submitted a strong appeal and ultimately Aetna overturned the denial and reinstated benefits and our client received a lump-sum check for back pay and is excited to be able to cover his medical bills while he returns to work.
Daryl – Global Data Manager – Gurnee, Illinois
Multiple Sclerosis, Weakness, Fatigue, Blurry Vision, Severe Headaches
A Global Data Manager from Illinois began having severe cognitive issues. His vision waxed and waned, and his short-term memory severely declined. He received multiple diagnoses including possible Multiple Sclerosis and Guillain-Barres Syndrome. His job required managing people and data across the globe and his condition made work impossible. He stopped working and was awarded Long Term Disability benefits through his employee insurance plan. After two years of receiving benefits, Aetna stopped paying, saying that he did not pursue Social Security Disability benefits, so his claim was being denied.
Confused and worried for his livelihood, he contacted Fields Law for help. Our team immediately contacted Aetna for all documentation related to the claim, and our attorneys began drafting an appeal based on an updated neurological report. The strong appeal from our attorneys changed the insurer’s decision and our client received back-pay and ongoing benefits. After the approval, our support team continued to follow up with Aetna until our client received all the benefits he deserved.
