What Do People Mean by Wrongfully Denied Insurance Benefits?

You may hear the term wrongfully denial related to insurance benefits. Understanding what someone means when they say you were wrongfully denied insurance benefits is the first step towards resolving the issue via individual disability appeals or another process.

What It Means

Simply put, being wrongfully denied insurance benefits mean that you should have qualified for your insurance benefits, but for some reason, the government denied your application. This can refer to insurance benefits for Social Security Disability, workers’ compensation, unemployment benefits, or even an insurance claim with your private insurance provider.

It Means You Are Missing Out on Benefits

The bottom line is that if you are wrongfully denied insurance benefits, then you are missing out on some sort of financial compensation that you are legally entitled to. This financial benefit is designed to compensate you for an inability to work (or another situation) and the lack of it will negatively impact your quality of life. It may force you to work while in extreme pain or dealing with conditions that put you in physical danger. Or it may mean you are trying to live without any income, slowly eating up your savings and working your way into debt.

You Can Appeal
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The important thing to know is that if you are wrongfully denied insurance benefits, you can go ahead and appeal the decision. There is a process in place for appealing your wrongful denial. The Social Security Administration in the United States made sure to include an appeals process that is clearly outlined so it can ensure that everyone who should be receiving insurance benefits does, without wasting benefits on those who should not qualify.

How You Appeal

In most cases, the process of individual disability appeals begins with a process called reconsideration. When you are denied your claim for benefits, you will also receive instructions on how to appeal. The easiest way to do so is via a lawyer as they will be able to handle the legal intricacies of the situation. Their experience will also allow them to guide you as to the likely reasons your initial application was denied and the adjustments needed to secure benefits. There is a specific form that you fill out and you will typically have a time frame in which to appeal. As such, it is best to act quickly. Of course, acting quickly to begin the appeals process will also ensure you begin receiving benefits as soon as possible.

What to Do After the Appeal

In rare cases, even an appeal following wrongful denial of insurance benefits will fail. If this happens, then the lawyer that assisted you in the appeals process should be able to assist you with a lawsuit. That process is more involved and time-consuming, but can still produce results. You may also be able to request a hearing in front of an administrative law judge for reconsideration following a failed appeal. If this applies to your situation, you should take that step before attempting a lawsuit as the process will be quicker.

The bottom line is that even if you are wrongfully denied insurance benefits, you do not need to give up the fight. There are solutions available to ensure you get the benefits you deserve.