This is Susan.
She is an orthopedic surgeon. Even though she had a debilitating illness her claim for long term disability has been denied.
She needs to appeal the insurer’s claim denial, but is concerned the insurer’s appeals department will merely rubber stamp the claim denial.
Riemer Hess has dealt with the insurance company for years. Riemer Hess knew that if they prepared Susan’s appeal as though they expected litigation, the insurer would more likely pay the claim and save litigation for someone else’s client.
Riemer Hess changed the claim dynamic. They sent Susan to a functional capacity evaluation to further support Susan’s physical limitations.
They sent Susan to a neuropsychological evaluation to further support the debilitating nature of Susan’s cognitive complaints.
They sent Susan to a vocational expert to support why Susan’s physical and cognitive limitations prevented her from performing the specific duties of her occupation.
Riemer Hess pulled all of the information together and wrote a detailed letter brief explaining why the insurer’s denial was wrong and should be reversed.
As with most of Riemer Hess's clients, Susan’s appeal of her benefit denial was granted.
If you would like help with your disability appeal, please contact Riemer Hess at: 212.297.0700