how to win a disabilityappeal with a lawyer

by Prof. Felipa Wiegand 6 min read

To launch the best possible appeal, disability insurance attorneys will position your case for success with additional medical, vocational and financial evidence. It all boils down to proving you are disabled: you meet your policy’s guidelines and your claim was incorrectly rejected. The evidence you submit in your disability appeal is key.

Here are some tips you can use to improve your odds of success at the disability reconsideration stage.
  1. File a Timely Appeal. ...
  2. Submit the Right Paperwork. ...
  3. Draft an Effective Appeals Letter. ...
  4. Provide Additional Medical Evidence. ...
  5. Be Honest and Transparent. ...
  6. Get a Written Opinion From Your Doctor. ...
  7. Hire a Reliable Attorney.
Sep 20, 2021

Full Answer

Do I need a lawyer to win a disability appeal?

There is no surefire way to win a Social Security disability claim, but there are things you can do to help your chances. First, read up on how the appeals process works. Request Appeal on Time. After every decision, you have only 60 days to submit your appeal in writing. If you wait more than 60 days to request an appeal, your appeal will probably be dismissed.

How to write a successful disability appeal letter to the SSA?

The following tips can help you win a social security disability claim: 1. File a Request for An Appeal On Time. Once a decision is made, you only have 60 days to submit an official appeal in writing. When you miss the 60 day period, your appeal will likely be dismissed.

Do I need a lawyer for Social Security disability?

How To Win a Disability Appeal. The single best thing you can do to help increase your chances of winning an appeal for disability benefits is hiring an experienced Columbia disability lawyer. Statistics show that disability claimants who seek legal representation are more likely to be awarded benefits than those who try to handle their own appeals.

How can I win a Social Security disability claim?

Aug 28, 2016 · To launch the best possible appeal, disability insurance attorneys will position your case for success with additional medical, vocational and financial evidence. It all boils down to proving you are disabled: you meet your policy’s guidelines and your claim was incorrectly rejected. The evidence you submit in your disability appeal is key.

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What percentage of SSDI is reconsideration approved?

The percentage of applicants awarded at the reconsideration and hearing levels are averaging 2 percent and 9 percent, respectively. Denied disability claims have averaged 64 percent.

How long does reconsideration take for SSDI?

between three to five monthsOn average, it will take between three to five months to complete the Social Security Disability reconsideration process and receive this letter of decision. Here are some tips on how you can get your reconsideration request approved.

What happens if you get denied disability twice?

Many applicants who are applying for SSDI are initially denied benefits. If this happens to you, you are able to file an appeal. if your claim is then denied a second time, you can request a hearing and continue the application process.Dec 29, 2020

What is a reconsideration for disability?

If we recently denied your disability claim for medical reasons, you can request an appeal online. A reconsideration is a complete review of your claim by someone who did not take part in the first determination. We will look at all the evidence submitted used in the original determination, plus any new evidence.

Why are most disability claims denied?

Leading Reasons That Disability Claims Are Denied Here are some common leading reasons claims are often denied: Lack of medical evidence. Prior denials. Too much earnings.

Who makes the final decision on Social Security Disability?

An applicant can receive payments for up to 6 months while the Disability Determination Services (DDS) reviews the claim and makes the final decision.

What is the monthly amount for Social Security Disability?

Social Security disability payments are modest At the beginning of 2019, Social Security paid an average monthly disability benefit of about $1,234 to all disabled workers.

What questions does Social Security Disability ask?

What Type of Questions Will Be Asked at Your Disability Interview?When did your condition become disabling?What is the contact information for your doctors?What are the dates of the visits to your doctors?What are the names of medications that you are currently taking?What medical tests have you undergone?Feb 26, 2021

How long does it take to get a decision on disability?

three to four monthsThe average response time for the SSA to reach a decision after you apply for SSDI benefits is three to four months, but this time period could be extended to up to eight months. Reconsideration. If the SSA denies your request for benefits, you will need to file a request for reconsideration of their decision.

Are mandatory reconsiderations ever successful?

The Government's figure for the mandatory reconsideration success rate is under 20%. That is for any additional points being scored, never mind getting to the points that persons should have scored.

How can I speed up my disability process?

Here are some more ways to speed up your disability application.Requesting an OTR Decision. ... Requesting an Attorney Advisor Decision. ... Compassionate Allowances List. ... Terminal Illnesses. ... Presumptive Disability. ... Dire Need. ... Military Service Members. ... Contacting a Member of Congress.

How long do disability appeals take?

As for the processing times for Disability Allowance appeals, appeals determined by way of summary decision took an average of 11.4 weeks last year, while appeals determined by way of oral hearing took longer, at an average of 19.3 weeks.Mar 1, 2021

How long do you have to appeal a Social Security decision?

Once a decision is made, you only have 60 days to submit an official appeal in writing. When you miss the 60 day period, your appeal will likely be dismissed. In the initial three levels of appeal, you’ll need to submit forms that can be found on the SSA website or the local Social Security office.

What is a doctor's statement?

Attaching a statement from your doctor that explains your condition and what you can and can’t do gives your claim credibility. A doctor’s statement can be quite effective at disability hearings; a solid medical statement backed by medical evidence.

Disability Appeal Lawyers Know What it takes to Overturn Denied Claims

First we respond to every question or point raised by the insurer that led to the claim denial. Then we load the administrative record with evidence helpful to your claim. In addition, we take many precautions to protect you.

But the Insurance Company Does Not Require I Do All of This!

That’s right, and it is one reason so many long term disability appeals are denied. The forms and information presented to claimants by the insurance company generally make no mention of submitting specific additional evidence.

It is not unusual for the insurance company to deny an appeal

This is especially true in the case of group disability claims, where ERISA law rules and the insurer has nothing really to lose. If the insurer denies the claim on appeal, the next step is a lawsuit in court.

Call the Disability Appeal Lawyers at Marc Whitehead & Associates

Our law firm can help you take care of everything from preparing and filing your initial claim, to representing you in federal court if the insurance company does not play fair.

Why Are Most Claims for SSDI and SSI Denied?

Most SSDI and SSI claim rejections have nothing to do with the person’s qualifications. The Social Security Administration is a typical government bureaucracy that demands numerous details from you while not operating efficiently. In all the paperwork and runaround involved, many legitimate claims are denied.

How Do I Appeal My Rejected Claim for SSDI or SSI?

There are four basic levels of appeal when your initial claim for SSDI or SSI has been denied. Both benefit programs follow the same process of appeal. Our SSDI attorneys can help you prepare to submit a revised and improved claim that provides adequate information at any of these levels.

1. Reconsideration

This step involves a complete review of your claim by a new party that was not involved in your initial decision. They will review the entire case plus any new evidence presented.

2. Hearing by an Administrative Law Judge

If you disagree with the decision made at the reconsideration stage, you may request a hearing by an administrative law judge. This formal hearing will include testimony by medical and vocational witnesses as well as presentations of existing and new evidence. The judge may also ask for more specific information.

3. Review by the Appeals Council

If you disagree with the decision from your hearing before an administrative judge, you may request a formal review of your case by Social Security’s Appeals Council. This council looks at all requests for review but may refuse to review a previous decision they believe is correct.

4. Federal Court Review

If you disagree with the Appeals Council’s decision or if the Appeals Council decides not to review your case, you may file a lawsuit in a federal district court.

We Can Help You File an Appeal

Our experienced SSDI and SSI attorneys can help you prepare and file an appeal for your case. We also work with you so you will be prepared for any testimony you must provide, as well as gathering the appropriate medical examinations, records, and vocational testimonies to strengthen your claim.

What happens if you don't have a lawyer at a disability hearing?

If you don’t have legal representation at the hearing, the judge won’t expect you to act like an attorney. They will walk you through the process. You also won’t be expected to know medical terms like a doctor. Instead, the questions will largely focus on your personal experience and how your disability affects your capacity to do things.

What to do if SSA denies claim?

First is filing a written request for reconsideration. If the SSA still denies your claim, you will need to go to an Administrative Law Judge (ALJ) hearing. If after the hearing your claim still got denied, you can go to the Appeals Council who has the final say.

What happens if you are denied a disability?

If you get denied, you won’t have to pay anything. It’s essentially a win-win situation. But if you’re confident that you can win your case yourself, here are some tips and tricks to ace the disability appeals process.

How long does it take for a disability to be reconsidered?

The SSA only gives you 60 days to file a request for reconsideration. If you fail to do so, you will have to start the application process all over again. Another thing you need to secure is relevant medical evidence to support your claim.

What evidence do you need to prove your disability?

Among the evidence you need to get are medical records and doctor’s opinions. Take note that you only need to get “relevant” ones. Meaning, only those that can help prove your disability. If your claim is based on a shoulder injury, you don’t have to submit dental or gynecology records.

How long does it take to get a hearing with the ALJ?

Like the request for reconsideration, you only have 60 days to request a hearing with the ALJ. You can submit the request online or print the forms (Form SSA-3441, Form SSA-827, Form HA-501) and bring it to the SSA office nearest you. They also accept applications by phone. Just contact your local SSA office.

Who is Judy Ponio?

Judy Ponio is a writer for Victor Malca Law P.A. and enjoys helping people with questions about social security, workers compensation, and other serious matters involving people’s livelihood. She is not an attorney and her writing should not be considered legal advice.

How long does a disability hearing last?

By way of background, the hearing itself is somewhat informal, though basic rules of evidence do apply. It can last anywhere from twenty minutes to an hour on average, depending on who else may be present at the hearing.

What is the best chance to state your disability?

The Social Security disability hearing is your best chance to state your disability case. It is very likely that you have questions about what will take place at your disability hearing. The following video will show you what to expect.

Who reviews your case prior to the case?

The administrative law judge in your case will have reviewed your file prior to the case, but he or she may need clarification on certain issues. Among the issues that may be examined based on the specifics of your case are:

What happens if Social Security shuts down?

The Social Security Administration has indicated that if there is a government “shutdown” there are certain critical functions that they will continue to perform. The most important ones relating to the disability process are that they will continue to accept and evaluate new applications and will continue to hear cases already scheduled and decide cases that already have had hearing s.#N#However, no new hearings will be scheduled and decisions will not be written (although the claim will be decided), even if the hearing was held before or during the shut-down.#N#Regular payments will continue to those already receiving benefits, and the state agencies will continue to process initial claims and reconsiderations.

What is a Social Security hearing?

Unlike the vast majority of the application process, which is primarily performed by exchanging paperwork, the hearing is the one instance where both the claimant (you) and the Social Security Administration are literally placed in the same room face to face.

Do ALJs preside over hearings?

No two ALJs preside over a hearing in precisely the same manner. Personal styles and preferences often vary considerably with regard to opening and closing arguments, questioning of witnesses and claimants and the presence of witnesses in the waiting room as opposed to the hearing room. There may also be considerable variation in how an ALJ presides over a case presented by the claimant alone versus a claimant with a New York Social Security disability attorney’s representation.

What is the hearing of an appeal?

Hearing Your appeal brings you to a Hearing before an Administrative Law Judge. The Hearing is the only time you will come face to face with the person deciding your case, and it is your best chance at having your claim approved

Is it hard to file for Social Security?

Filing for social security can be a complicated and long process. Here are some common mistakes to avoid. The Social Security Disability Benefits process is frustrating for most people. You have to fill out numerous forms, talk to numerous people about your disability...

Can I check my SSDI status?

Checking the status of your Social Security disability claim can help speed up your case. Here's some advice from a former examiner on applying for and winning your SSDI or SSI disability case. Only certain types of doctors are allowed to make disability decisions on certain types of claims.

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