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Why Your Social Security Disability Claim Was Denied

The Social Security Disability (SSD) program was designed for individuals who can no longer work due to severe physical or mental disabilities. Whether the disability is congenital or caused by injury, the program is supposed to ensure that those who are unable to engage in substantial gainful employment are not left without financial support.

However, the reality is the Social Security Administration (SSA) is often overwhelmed, underfunded, and slow to adapt to the needs of claimants. This results in a system that frequently denies benefits to those who need them most, forcing many into prolonged and stressful appeals processes. Find out more about why your claim was denied and how an experienced social security attorney can help you get the support you need.

Social Security Administration’s Reputation For Denying Claims

The Social Security Disability (SSD) program was designed for individuals who can no longer work due to severe physical or mental disabilities. Whether the disability is congenital or caused by injury, the program is supposed to ensure that those who are unable to engage in substantial gainful employment are not left without financial support.

However, the reality is the Social Security Administration (SSA) is often overwhelmed, underfunded, and slow to adapt to the needs of claimants. This results in a system that frequently denies benefits to those who need them most, forcing many into prolonged and stressful appeals processes.

Why the SSA Fails So Many

Several factors contribute to the SSA's high denial rate. Understanding these can help applicants better prepare their claims and avoid common pitfalls.

One of the biggest issues facing the SSA is the sheer volume of applications it receives each year. With hundreds of thousands of new claims being filed annually, the SSA is often ill-equipped to thoroughly review each application. This can lead to hasty or unfair denials, particularly in cases where the evidence of disability is complex or requires careful interpretation.

The SSA has long struggled with staffing shortages. Limited resources and an understaffed workforce mean that each claim is handled by a worker who may be stretched thin. This shortage can result in rushed decisions and a lack of thoroughness in reviewing medical records and other pertinent information.

In recent years, the SSA has imposed stricter requirements for medical evidence. Applicants must provide detailed documentation that proves their inability to work due to their medical condition. This means that even minor gaps or inconsistencies in medical records can lead to denials, as the SSA seeks to prevent fraudulent claims

The SSDI and SSI application process is notoriously complex. Applicants must navigate a maze of paperwork and provide comprehensive documentation of their medical condition, work history, and how their condition affects their ability to work. Many claimants find this process overwhelming and may make errors or omissions that contribute to denials.

The SSA is notorious for its bureaucratic red tape and inconsistent decision-making. The process of applying for disability benefits is riddled with confusing forms, strict deadlines, and complex regulations that can trip up even the most diligent applicants. For those without legal representation, the chances of making a mistake are high, and even a minor error can result in a denial. Additionally, different SSA offices may handle claims differently, leading to a lack of uniformity in how claims are assessed and decided.

The Appeals Process: A Long and Arduous Journey

If your claim is denied, it’s not the end of the road. You have the right to appeal the decision, but be prepared for a potentially lengthy and challenging process. The appeals process involves several stages, including reconsideration, a hearing before an administrative law judge, and potentially further appeals to the Appeals Council and federal court.

Each stage of the appeal requires careful preparation and detailed documentation to address the reasons for the initial denial. The process can be daunting, and many individuals find themselves overwhelmed by the complexities involved.

man with a disability fishing after his claim was denied

How Can an Attorney Help You Appeal a Denied Claim?

Navigating the appeals process effectively often requires expert guidance. An experienced attorney can help you address your specific needs while also helping you understand the process as it progresses. A good attorney will be able to:

Review Your Case: We will thoroughly assess the reasons for your claim's denial and identify any gaps or issues that need to be addressed.

Gather and Present Evidence: We will help you compile and present the necessary medical evidence and documentation to support your case..

Guide You Through the Appeals Process: From filing the appeal to representing you at hearings, we will guide you every step of the way.

Advocate for Your Rights: Our attorneys are committed to advocating for your rights and ensuring that you receive the benefits you are entitled to.

Frequently Asked Questions

  • The SSA uses a very specific set of criteria to determine eligibility for disability benefits. Even if your doctor confirms that you are disabled, the SSA may deny your claim if they believe your medical evidence does not sufficiently prove that your condition meets their strict requirements. It’s also possible that your claim was denied due to incomplete information, missed deadlines, or bureaucratic errors. Consulting with your Social Security lawyer can help you understand the specific reasons for your denial and how to address them in an appeal.

To improve your chances of approval, ensure that your application is complete and accurate, with detailed medical evidence that clearly documents your disability and how it prevents you from working. Follow your doctor’s prescribed treatments, maintain regular communication with the SSA, and seek legal assistance. 

It’s crucial to keep the SSA informed of any changes to your contact information. If your address or phone number changes, notify the SSA immediately to ensure that you don’t miss any important communications. Failing to do so can result in delays or even a denial of your claim. Your social security lawyer will help you to ensure everything is kept up to date.

If your disability is primarily caused by substance abuse, your SSDI and SSI claim may be denied. However, if your underlying medical condition would still exist without the substance abuse, you may still be eligible for benefits. It’s important to have your healthcare provider document your condition in detail. 

If your SSD claim was denied and you believe you are eligible, don’t give up and instead call Wettermark Keith to help your appeal and make sure it is in the best shape it can be to reapply and get the benefits you need.

 Wettermark Keith: Your Disability Allies

At Wettermark Keith, we have an excellent reputation as one of the most accomplished personal injury firms in the country. We offer a diverse range of practice areas, including personal injury cases, auto wrecks, trucking wrecks, nursing home abuse, medical malpractice, on-the-job injuries, social security, and VA disability, to name just a few. We believe in taking cases personally. Our purpose is to practice with care and compassion - to tell our clients' stories and make their voices heard. We achieve this by building strong relationships based on constant communication and an unwavering dedication to truth and trust.

Ready to work together? Contact us today for a free consultation.

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