Top 5 Reasons Disability Claims are Denied

Living with a disability is one of the most exhausting challenges a person can face, especially when your disability insurance claim is denied. On top of your health difficulties, medical treatments, and being unable to work, the insurance company that was supposed to be there for you has decided they will not pay your disability benefits. These insurance company decisions can often be frustrating, not to mention poorly explained. If your long term disability claim has been denied, Share Lawyers will fight to get you the disability benefits you are entitled to.

Here are the 5 most common reasons insurance companies give for denying long term disability claims.

1. INSUFFICIENT MEDICAL INFORMATION

This is an extremely common reason given by insurers, and what they mean between the lines is that they don’t feel there is enough objective proof, medically, to justify you being on long term disability leave. Often times they will request detailed follow up medical information about your diagnosis, which complicates the process and leads to a denied claim. The truth is this decision is complicated, and should be made by doctors who understand your unique medical conditions, as opposed to insurance company middlemen.

2. YOU DO NOT MEET THE DEFINITION OF A DISABILITY

Effectively the insurance company is deciding that they do not believe your disability is serious enough, or is not considered a disability, and so they feel you can still work. These denied claims are quite common with “invisible” medical conditions, such as chronic pain, chronic fatigue, or mental illness. While this can sound like a final word on your disability claim, in reality it can be a subjective decision made by the insurer to override your doctors’ medical expertise. If a doctor is supporting your disability claim and leave, this can absolutely be challenged.

3. THE INSURANCE COMPANY, OR THEIR DOCTORS, BELIEVE YOU CAN WORK

The insurance company may employ doctors of their own, who review your claim and decide there is insufficient medical evidence - or come to a decision counter to your doctor’s diagnosis altogether. Often these insurance company doctors only spend a cursory amount of time reviewing your vital disability claim. While medical treatment and opinions can differ, it is crucial to speak to a doctor who knows you, knows your condition, and has your best interests in mind.

4. YOU HAVE A PRE-EXISTING MEDICAL CONDITION

This all too common response means that the insurance company isn’t even disputing that you are too disabled to work - merely, that they believe the medical condition preventing you from working came into effect before your disability benefits and insurance coverage began. A pre-existing policy exclusion only applies early in your coverage – typically in the first year. This is a highly technical situation where it is most critical to get a lawyer to have a proper and thorough review of your situation and prior medical treatments.

5. INSURANCE COMPANY SURVEILLANCE

Insurers will often monitor your social media posts, or hire private investigators to probe into your life and activities when you are seeking disability benefits. Often times, the information they present to impugn your credibility isn’t even objective proof that you’ve been “caught in a lie” – merely that they have jumped to conclusions without having the full context, and used that assumption to deny your LTD benefits claim.

While having a disability claim denied can be profoundly discouraging, you are not alone. At Share Lawyers, we can help you navigate this difficult time, and offer you the best possible disability support you deserve to receive the financial claims you are entitled to. Please contact us for a free consultation.


If you have had your claim for long term disability denied, contact the long term disability insurance lawyers at Share Lawyers. Our 35+ years of experience in long term disability (LTD) law can help you win your case against Canada Life, Desjardins, Manulife, RBC Insurance, Sun Life, and other insurance companies. We offer free consultations and there are no fees unless you win your case. Join us on Facebook and become a Top Fan for a chance to win each month.

Denied your long term disability claim?

Contact Share Lawyers today and put our experience to work for you. Our 35+ years of experience can help you win your case against Canada Life, Desjardins, Manulife, RBC Insurance, Sun Life, and other insurance companies. We offer free consultations and there are no fees unless you win your case. Join us on Facebook and become a Top Fan for a chance to win each month.

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A note from our long term disability lawyers

Taking a medical leave from work is not an easy decision to make. Concerns about providing for yourself and your family and keeping your job may cause you to want to push through your pain, but this won’t make your problems go away. Stopping work is often the smartest decision for your long term health and well-being, and your disability benefits are there to provide you with financial support until you can return to work.

If you have made the tough decision to stop working and apply for your short term disability or long term disability benefits, you may feel overwhelmed by the process and have questions that your employer and your insurance company are not able or willing to answer. Share is There to see you through and answer your questions.

Our Disability law firm knows what you have been going through

We understand that things have not been easy for you over the last little while. Your health has been suffering, you are unable to work, and now your insurance company, who was supposed to be there in your time of need, has decided they will not pay your disability benefits or respect your disability claim. These benefits exist to provide you with the financial support you need so that you can focus on your health and rebuilding your life. It is unfortunate that your insurance company has not lived up to its promise. If your disability claim has been denied, we will fight to get you the benefits you are entitled to. Our disability lawyers have helped thousands of Canadians get their long term disability benefits over the past 35 years, and we can help you too.

Our experienced disability lawyers can fight back on your behalf

Share Lawyers believes that every client who is dealing with a disability claim deserves superior personal service. To achieve that goal, we have developed our team of experienced, compassionate, and caring long term disability lawyers, law clerks, and administrative staff to meet all of your needs. Our team of experienced long term disability, life insurance, employment, and critical illness insurance lawyers have made successful claims against many insurance companies, third-party administrators and employers.

If you are unable to work, your disability benefits should be there to provide you with the financial support you need. While your insurance company may be focused on finding ways to avoid paying your claim, our focus is on what is in your best interest. When Share Lawyers gets involved, you have an entire team of lawyers that are there to support you and to fight for what is yours.

Our disability claim lawyers fight for your disability insurance claim by relying on our many years of experience to apply the best strategic planning and approach in each case, using the latest technology available. Experience matters, and with Share Lawyers, you are in the best hands with 35 years of success on your side.

In this video, we explain the role of a long term disability lawyer and how we can support you when you have been denied your long term disability benefits.




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