what are the odds of winning ssdi case with a disability lawyer

by Allie Runolfsson II 7 min read

Your odds of winning at a disability hearing before a judge are about 50%. If you have a lawyer with you, however, your odds increase to 62%, making your claim statistically more likely to be approved than be rejected. Disability Determination Services Could Be Blocking Your Claim

DID YOU KNOW? In fact, research shows that only 34 percent of those who do not hire an attorney are ultimately approved for disability benefits, but 60 percent of those who do hire an attorney are ultimately approved.Feb 18, 2020

Full Answer

What are my chances of winning a Social Security disability appeal?

What Are My Chances of Winning a Social Security Disability Appeal? Your chances of winning an appeal depend on your medical condition, but here are the averages. Get help with your claim now. Our experts have helped thousands like you get cash benefits. Get help with your claim now. Our experts have helped thousands like you get cash benefits.

What are your statistic odds of receiving disability benefits?

This post talks ONLY about your statistical odds of receiving benefits. By way of background, recent SSA statistics show that just over 2 million claims for disabled worker benefits were filed in 2019. These claims can be made under two provisions of the law:

What are the chances of Social Security disability approval?

Chances of Social Security Disability Approval at the “Initial Application” Level At the first (called “Initial Application”) level, only about 30 percent of all claims are approved.

What are the chances of Reconsideration on a Social Security disability claim?

The review is actually done at your state's Disability Determination Services (DDS) bureau, not at Social Security. On average, the approval chances on reconsideration are only 13%. This means that only in 13% of the cases that were originally denied, DDS reversed the denial into an approval. The rest were denied a second time.

image

What are the odds of winning a SSDI appeal?

Unfortunately, your odds are even lower for getting your benefits approved on the first appeal—about 12%. If you move on to the next level of appeal, which involves a hearing before an administrative law judge (ALJ), your chances for approval increase significantly—more than 55%.

How can I increase my chances of getting disability?

Tips to Improve Your Chances of Getting Disability BenefitsFile Your Claim as Soon as Possible. ... Make an Appeal within 60 Days. ... Provide Full Details of Medical Treatment. ... Provide Proof of Recent Treatment. ... Report your Symptoms Accurately. ... Provide Medical Evidence. ... Provide Details of your Work History.More items...•

What are the odds of winning a disability case?

Learn More: Appealing After A DenialStateInitial Approval RateAlaska60.7%Arizona60.7%Arkansas72.2%California70.0%47 more rows

What percentage of Social Security disability claims are approved?

According to the Social Security Administration (SSA), the average acceptance rate of initial applications is 22 percent, and approximately 63 percent of SSDI applications are denied. Understanding why these applications are not approved may help you be successful if you need to apply for benefits.

What is the hardest state to get disability?

OklahomaOklahoma is the hardest state to get for Social Security disability. This state has an SSDI approval rate of only 33.4% in 2020 and also had the worst approval rate in 2019 with 34.6% of SSDI applications approved. Alaska had the second-worst approval rate, with 35.3% of applications approved in 2020 and 36.2% in 2019.

What conditions automatically qualify you for SSDI?

What Conditions Automatically Qualify You For Social Security Disability?Cancers (advanced stages)Cardiovascular system disorders (chronic heart failure)Neurological disorders (ALS, multiple sclerosis)Early-onset Alzheimer's disease.Musculoskeletal system (spinal disorders)Organ transplantation.Parkinson's.More items...

How long does it take to get disability with a lawyer?

Though it's hard to give an exact figure of how long it takes to get disability benefits with a lawyer, having legal assistance can shorten the claims processing time from 2 years to at least 3 months.

Do SSDI denials come faster than approvals?

To recap, there is no difference between the time frame for approvals and denials, and you have very little control over how long it takes, because it takes time for the Social Security analysts and representatives to collect evidence, obtain doctors' reports and evaluate the case.

Can an ALJ decision be overturned?

The only way to overturn a decision made by an ALJ is to file an appeal with the Appeals Council. You can file an appeal to the Appeals Council by sending the SSA a letter or submitting Form HA-520.

What should you not say in a disability interview?

Making Statements That Can Hurt Your Claim – Unless you are specifically asked pertinent questions, do not talk about alcohol or drug use, criminal history, family members getting disability or unemployment, or similar topics. However, if you are asked directly about any of those topics, answer them truthfully.

Why is SSDI so hard to get?

Social Security disability applications face an overwhelming 70% denial rate upon initial evaluation. That is a huge number but it is based upon several very different factors, such as applying for a condition that does not meet the criteria or lack of proper medical documentation.

Why do disability claims get denied?

The most basic fact of the SSA disability process is simply that most cases will be denied, often because there wasn't enough medical evidence to prove the case, forcing claimants to go through the disability appeal process. Disability claimants should never resign themselves to giving up on an SSDI or SSI claim.

How many people do not hire an attorney for disability?

In fact, research shows that only 34 percent of those who do not hire an attorney are ultimately approved for disability benefits, but 60 percent of those who do hire an attorney are ultimately approved. This leaves over half of the claimants who asked for a hearing before an ALJ without benefits.

How many SSDI claims were filed in 2019?

By way of background, recent SSA statistics show that just over 2 million claims for disabled worker benefits were filed in 2019. These claims can be made under two provisions of the law: Social Security Disability Income or “SSDI” claims are made by people who have worked and paid into the system for a long enough time period to qualify ...

How many disability claims are filed each year?

Around 2 million disabled worker claims for disability benefits are filed each year with the Social Security Administration; About 70% of those claims are denied at the Initial Application level; Of the remainder, about 47% are approved at the ALJ Hearing level;

What percentage of the time does the Appeals Council approve an ALJ's denial of benefits?

The Appeals Council does this about 9 percent of the time. So, essentially 90 percent of the time, the Appeals Council approves the ALJ’s denial of benefits.

What happens if a case is denied at the reconsideration level?

If your case is denied at the Reconsideration level, the next step is to request a hearing before an Administrative Law Judge (“ALJ”). At this level (known as the “Hearing Level”), the odds of success go up significantly.

What is SSI claim?

Supplemental Security Income or “SSI” claims are made by people who have not worked and paid into the system, but who are without any significant assets or income so that they qualify. The benefit level for SSI recipients is usually lower than that for SSDI recipients.

How to contact a disability lawyer in North Carolina?

Please call 1-800-525-7111 for a FREE consultation with an experienced North Carolina disability lawyer. There are no upfront costs and no attorney fees unless we win your claim or appeal and you receive disability benefits. Call 1-800-525-7111 today and let’s discuss your case. The consultation is free and there is no obligation.

How to improve your chances of getting disability?

A good way to improve your chances is to stay on top of things by staying in touch with the disability examiner assigned to your case and by keeping all parties involved updated on your situation. Learn more about how to improve your chances of winning disability benefits at a hearing.

How many ALJ hearings are won by disability claimants?

At the hearing level, nationally, only 47% of all ALJ hearings are won by disability claimants. But being represented by a disability lawyer at the hearing level can raise your chances significantly. A Social Security study found that those who brought a representative to a hearing were three times more likely to get an approval as those who ...

Why are the chances of being approved at the hearing level of appeal higher?

One reason that the chances of being approved at the hearing level of appeal are higher is that it takes so long to get a hearing; by then, many applicants have deteriorated physically or mentally, making their disability claim more clear cut.

How many chances of winning an appeal in federal court?

Federal Court. The chances of winning an appeal in federal court are barely better than at the appeals council—2% —but a large number of cases are at least given a second chance.

What is the first paper review of a Social Security disability?

Social Security requires you to go through a review of the initial decision on paper before an appeal hearing; that first paper review is called a reconsideration. The review is actually done at your state's Disability Determination Services (DDS) bureau, not at Social Security.

Do you get the same chance of getting disability benefits when you appeal?

Every disability case is different, so looking at the odds of approval at a disability hearing doesn't mean that you have the same chance of getting benefits when you file an appeal. But you can almost always bet that your chances will generally improve when you go to a hearing. Here are the averages, and what your chances of approval depend upon.

What are the odds of winning a disability hearing?

Your odds of winning at a disability hearing before a judge are about 50%. If you have a lawyer with you, however, your odds increase to 62%, making your claim statistically more likely to be approved than be rejected.

How many chances of being approved for Social Security?

Statistically speaking, according to the Social Security Resource Center, you only have a 30% chance of being approved after your initial application is submitted. When you submit an appeal, that number decreases even further to 15% approved for reconsideration.

Why is disability compensation important?

Disability compensation is essential if your disability keeps you from working and making ends meet. Unfortunately, the Social Security Disability system is one of the most overworked systems in the country, so getting the compensation you need may be difficult. In fact, most people are denied their initial claim and forced to appeal at a hearing.

What is disability based on?

Disability cases are based almost entirely on medical evidence. A lawyer by your side will be able to get the necessary evidence, such as medical records, as well as collect witnesses who can support your claims as extra ammunition for your case.

What happens if a supervisor approves a case that is faulty?

If the approval is deemed to be faulty, it will be sent back as a return, which is considered a black mark on the supervisor’s records. Quality control can deem a disapproved case approved, but the reverse is far more common. Because of this, supervisors often reverse approvals before cases even reach quality control.

Social Security Disability Claim Approval Rates

In 2018 (the most recent date for which statistics are available), the Social Security Administration awarded disability benefits to less than 24% of applicants upon their initial application. This means that unless you did everything right when you first applied, you will likely have to file an appeal.

Factors That Affect Your Odds of Winning a Disability Appeal

Several factors can influence your odds of getting a favorable decision when appealing an SSDI claim denial. Some of these factors you cannot control, but you can control several of the most important factors.

How to Improve Your Chances of Winning an SSDI Appeal

If you choose an experienced Florida Social Security disability lawyer to handle your original application, there’s an excellent chance that you won’t have to worry about a claim denial. Once you receive notice of denial, however, you can take steps to improve your chance of winning an appeal.

Contact a Florida Social Security Disability Attorney Now for Help

In Florida, the Social Security disability attorneys of Rue & Ziffra know how to get results. Our Social Security disability team is led by Attorney Luis Gracia, a specialist in this field and a board-certified Social Security disability lawyer. We fight tirelessly to get you the results you deserve.

Author

The staff at Rue & Ziffra are dedicated to assisting our attorneys with personal injury cases. We strive to help our clients stay informed about their cases and give the highest support to our attorneys in winning your case.

How much is the attorney fee for SSDI?

The federal government determines attorneys fees for disability cases. For their work on your SSDI or SSI benefit appeal, attorney fees are capped at $6,000 or 25 percent of the back pay you would receive during an appeal, whichever total is lower.

How much will I earn in 2021 if I have SSDI?

You also need to prove that you are not meeting the Substantial Gainful Activity (SGA) of income per month. In 2021, that is $1,310. If you are earning more than that amount in a month, even if you have a disability, you are not eligible for SSDI benefits.

What is the difference between SSI and Social Security?

There are some key differences in SSI benefits: SSI benefits are paid out of general tax revenue and not out of Social Security taxes. SSI benefits are designed to help individuals with a disability who have limited or no income and who have no assets above a certain level.

Why are SSDI applications denied?

Many applications for SSDI benefits or SSI benefits are denied because they do not have enough medical evidence to prove your disability claim. One of the main jobs of your attorney while preparing for the hearing with the ALJ is to gather all this necessary documentation.

What are the differences between SSDI and SSI?

There are some key differences in SSI benefits: 1 SSI benefits are paid out of general tax revenue and not out of Social Security taxes. 2 SSI benefits are designed to help individuals with a disability who have limited or no income and who have no assets above a certain level. 3 To be considered disabled for SSI benefits, you must meet the same conditions as SSDI benefits — you have not been able to work for the last 12 months or will be unable to work for the next 12 months or longer. 4 SSI benefits provide cash to meet basic needs like food, clothing and housing. 5 You can earn up to $750 a month on SSI benefits as an individual and up to $1,125 as a couple, but funds will be subtracted from your benefits if they meet the SSI definition of income. So if you were earning $200 a month in income as an individual, that amount would be subtracted from the $750 benefit total, and you would receive $550 in SSI benefits. 6 If you are eligible for SSI benefits, you may also be eligible for SSDI benefits. If you think you qualify for both benefits, this is an ideal situation where an attorney can help you determine how to proceed.

How long can I work with SSDI?

To be considered disabled for SSI benefits, you must meet the same conditions as SSDI benefits — you have not been able to work for the last 12 months or will be unable to work for the next 12 months or longer. SSI benefits provide cash to meet basic needs like food, clothing and housing.

What do I need to qualify for SSDI?

To qualify for SSDI benefits, you need to have a disability or a condition that satisfies the Social Security Administration’s (SSA) definition of disability: You need to have worked in a job where you paid taxes for Social Security.

What is the level of the system at which most disability lawyers or Social Security representatives improve their client’s chances of winning

The level of the system at which most disability lawyers or Social Security representatives improve their client’s chances of winning disability is the administrative law judge disability hearing. Disability claimants who have representation are as much as fifty percent more likely than those who do not have representation to win disability ...

How does a disability lawyer help an individual?

Frankly, in many instances, the only way a disability lawyer or representative helps an individual at these levels is by making make sure that the claimant files their appeal paperwork timely, respond to requests for information, and helps to make sure that their client remembers to attend consultative medical examinations. ...

How do most Disability Lawyers decide which cases to take?

The initial screening for whether or not a disability lawyer will take a disability claimantÂ’s SSI or SSDI case varies by disability attorney.

Does a disability lawyer care if the claimant has filed multiple claims?

Although some inexperienced disability lawyers may hesitate to take a claimantÂ’s SSI or SSDI case if they have filed multiple times and been denied, it could mean that the claimant is really disabled if they are willing to fight for benefits so tenaciously.

Why do some disability attorneys refuse to take a SSI case?

There are some disability lawyers who do not take Supplemental Security Income (SSI) cases. There are several reasons for this but the main reason is that there is no waiting period for SSI benefits, there is no retroactive payments, and the SSI payment is based on the federal benefit rate.

Other factors in the disability lawyers decision making

Another factor the SSI or SSDI lawyer will consider prior to taking a SSI or SSDI case is the claimantÂ’s age. GRID rules were created in 1979. These rules identified how age would be considered in the disability process.

image