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6 Ways to Win Your Long-Term Disability Claim or Appeal

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Anyone who applies for long-term disability insurance is required to prove that they are unable to work due to their conditions. Sometimes, when submitting a claim, the medical records and statements provided may not be sufficient. If your long-term disability benefits claim was denied, you have the right to appeal. However, it is a good idea to create an ironclad claim before submission to avoid the need to appeal completely. Here are our top tips for winning an LTD claim or appeal. 

Hire A Lawyer

Disability insurance is a complex field that can be difficult for even the most educated person to navigate. Working with an attorney who has experience with disability insurance policies and laws is the best way to effect a positive outcome. A lawyer will be able to help with your own occupation disability insurance and all occupation claims or appeals with equal finesse.

Make Sure You Have Objective Evidence

LTD claims that are submitted with strong objective medical evidence are more likely to be approved. An insurance provider will have a hard time denying objective advice from a reputable medical professional, even if they have their own doctor perform an evaluation. Gather clinical statements, lab tests, and the results of your functional capacity evaluations prior to submitting a claim or an appeal.

Get A Copy of Your Claim

If your claim has been denied and you plan to appeal, make sure you have a copy of your original claim. The claim file will have all communications between you and the insurance provider, copies of submitted forms and reports, and, the guidelines used to deny the claim. Knowing why your claim was denied will help you cure those problems upon appeal.

Prepare a Vocational Assessment

This assessment will provide thorough detail as to why your conditions prevent you from remaining gainfully employed. This assessment may include a list of duties and how your conditions prevent you from completing those duties. Depending on the policy type, the assessment will also determine if you are qualified to work in a different occupation while suffering from a disability.

Hire Your Own Experts

When filing a claim or an appeal for long-term disability benefits, assessments play a critical role. The insurance company will always have its own evaluators, but you have the right to hire your own. Have a reputable medical professional perform a functional capacity evaluation for consideration. Mental health is another important aspect to be assessed. You can also have a trained medical provider perform a neuropsychological evaluation for both cognitive and mental health changes.

Respond to the Denial

It is important to review the reasons your claim was denied and remedy those issues. The most common issues are a lack of medical evidence, poor or no treatment for the condition, and no evidence that there are severe symptoms. Being able to work with certain accommodations and actually having your condition improve are other common reasons for the denial. Respond to each denial reason provided to avoid facing an appeal denial.

Get The Benefits You Deserve

With the right planning and a savvy attorney, getting approval for LTD benefits will be a breeze. For those who are facing an appeal, working with a lawyer and following the suggestions above will put you on the path to success.

Author Bio: Heather Blacksmith has a Bachelor’s Degree in Finance and works at a finance firm based in Seattle, Washington. She specializes in small business finance, credit, law, and insurance. When she is not working, she spends her time in her favorite coffee shop writing on various finance-related topics. Other than that, she enjoys adult coloring books, recycling, and running.

Michelle has been a part of the journey ever since Bigtime Daily started. As a strong learner and passionate writer, she contributes her editing skills for the news agency. She also jots down intellectual pieces from categories such as science and health.

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Lifestyle

Derik Fay: The Strategist Who Built Empires Where Others Saw Limits

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In the ever-changing landscape of entrepreneurship, few names carry the weight of strategic precision like Derik Fay. Behind the scenes of some of the most dynamic, growth-driven companies in America, Fay has become a master at the art of scaling businesses without sacrificing soul.

What makes his journey all the more compelling isn’t just what he’s done — it’s how quietly and deliberately he’s done it. Born in Westerly, Rhode Island, on a cold November day in 1978, Fay didn’t come from connections or capital. He came from resilience. Raised in modest circumstances, he developed a mindset early on that would come to define his success: if a door doesn’t open, build the damn frame yourself.

At 6’1″, Fay’s physical presence is matched only by the magnitude of his vision. Over the past two decades, he’s grown from a solo operator into a force that touches nearly every major sector in American business. He is best known as the founder of 3F Management, a multi-sector venture and private equity firm that acts less like a bank and more like a command center — diagnosing broken business structures, overhauling teams, and rebuilding revenue engines from the inside out.

But 3F is only the beginning. Fay holds active leadership or board roles across a broad range of ventures, including Around the Clock Fitness, SalonPlex, Results Roofing, BIGG Pharma, Tycoon Payments, Eratyc Entertainment, FayMs Films, and even the combat sports disruptor Bare Knuckle Fighting Championships (BKFC). Each of these businesses reflects a different side of his philosophy: high-functioning systems, vertical integration, and zero tolerance for mediocrity. 

And while his public persona is often understated, the reach is massive. His online presence alone has generated billions of views, with over 1.4 million followers engaging with his strategic insights, mentorship content, and thought leadership across platforms. He’s not an influencer — he’s an executor with influence.

Yet behind the numbers and headlines is a family man. Since 2021, Fay has shared his life with his partner, Shandra Phillips, whose presence he often credits as grounding his often chaotic, deal-driven world. Together, they raise two daughters, Sophia Elena Fay and Isabella Roslyn Fay — the true north to his professional compass.

Despite his vast portfolio, Fay is not driven by applause. He’s driven by the ripple effect. Every deal, every venture, every mentorship session carries the same intention: to leave people, companies, and communities better than he found them.

He’s also begun exploring a new frontier — film and entertainment. Through FayMs Films and strategic partnerships with entertainment studios, Fay is merging business with storytelling, stepping occasionally into the spotlight as an actor and executive producer. It’s a logical evolution for a man who’s spent his life crafting narratives — only now, some of them play out on screen.

And while many entrepreneurs spend their careers chasing validation, Fay has been repeatedly recognized in major outlets like Forbes, Yahoo Finance, and Maxim, not for buzz but for results. He’s been cited alongside legacy names in global business and continues to operate with the same laser-focus that got him through his first startup, his first failure, and his first million-dollar win.

In a time when founders obsess over being seen, Derik Fay has built something far rarer — he’s become essential. Not just to his companies, but to the evolving definition of what modern leadership looks like: measured, disciplined, people-first, and unapologetically ambitious.

He doesn’t just build businesses.
He builds systems that build people.

Derikfay.com

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