Frankle & Newfield Overturn a Denied Lincoln Insurance coverage Declare for a Grasp Builder/Venture Supervisor
Our 65-year-old shopper loved a protracted and prestigious profession as a Grasp Builder/Venture Supervisor for a North American-based worldwide building firm. He was happy with engaged on many high-profile tasks in New York Metropolis, together with the brand new Yankee Stadium and the Madison Sq. Backyard re-build.
The character of his job led to vital put on and tear on his physique over time, and a number of corrective surgical procedures, mixed with signs from a automobile accident many years earlier than, compelled him to cease working, reluctantly retiring from the place he cherished.
He suffers from a listing of quite a few debilitating and disabling situations, together with however not restricted to power ache, atrial fibrillation, coronary artery illness, cardiovascular palpitations, degenerative cervical disc illness, degenerative lumbar disc illness, lumbar spondylosis, failed again syndrome, complicated regional ache syndrome, publish laminectomy syndrome, a number of cervical anteriolistheses, new modic adjustments inflicting accelerated degenerative cervical backbone illness (spondylolistheses), umbilical and bilateral inguinal hernia together with anterolateral MI with perioinfarct angina, spinal wire stimulator, neck and again ache, power ache syndrome, kidney and ureteral stones, weight problems, hypertension and diabetes mellitus.
Earlier than submitting a declare, he consulted with a number of medical professionals for analysis of his sophisticated co-morbid situations, all of whom have been extraordinarily supportive of his determination to cease working and file for long run incapacity advantages.
Though an awesome quantity of medical help was submitted to Lincoln, his long-term incapacity advantages have been wrongfully denied. He retained the providers of Frankel & Newfield to combat for him and submit an enchantment that may overturn Lincoln’s wrongful denial. We labored collectively offering Lincoln with ample help as to why our shopper may now not work on a full-time sustained foundation in each a bodily and cognitively demanding profession.
We additionally labored intently together with his quite a few physicians in rebutting Lincoln’s inaccurate and unreliable peer opinions carried out by biased third occasion medical doctors who had by no means seen or handled our shopper in particular person. The enchantment contained subjective medical help, narrative stories from his treating physicians and a plethora of medical literature informing Lincoln of the severity of our shopper’s situations.
Just a few months after our enchantment was submitted, Lincoln summoned our shopper to attend an IME, an in-person “impartial” medical examination. We demanded {that a} witness be current with our shopper for this pivotal examination, however when the physician declined, we suggested Lincoln that they have been to conduct one other paper evaluation as a substitute and alerted them to the truth that many medical doctors allow witnesses – and those that don’t increase critical considerations for impartial fiduciaries. Shortly thereafter, Lincoln acquiesced, and considered one of our paralegals accompanied our shopper to the IME as a witness to take notes and supply a sworn assertion of what transpired.
Even Lincoln’s employed gun couldn’t refute our shopper’s extreme bodily limitations and complex medical historical past. After the examination findings have been submitted, Lincoln reversed its determination.
Our shopper is now receiving his month-to-month advantages and we proceed to watch his declare, making certain that he can concentrate on taking good care of himself and never worrying about monetary issues.
