Denied Disability Benefits? Speak to an Advocate for a Second Chance at Support

by April L. Roberts | Sep 13, 2023

Denied Disability Benefits? Speak to an Advocate for a Second Chance at Support

When denied disability benefits, it’s important not to lose hope. You have the right to appeal the Social Security Administration’s (SSA) decision, but without guidance to understand why you were denied, your appeal could also be denied. You can increase your chances of a successful appeal with the assistance of a disability advocate. Advocates have the expertise you need to navigate the complex appeals process and improve the chances of receiving the full benefits you deserve. Here, we explore why an advocate is your best resource when denied disability benefits.

The Role of Disability Advocates When Denied Disability Benefits

Disability advocates act as valuable allies in the appeals process. When your benefits are denied, contacting an advocate should be your first step, as they are well-versed in disability laws, regulations, and the intricacies of the claims system. Disability advocates are licensed professionals who must undergo highly specialized training and pass a rigorous exam on Social Security regulations and disability law. They must keep their certification up to date through mandatory continuing education so they understand changes to Social Security and disability laws and practices that may affect your case.

As a result, they capably manage your disability appeal and hearing with a keen understanding of crucial courtroom practices such as cross-examination and working with Administrative Law Judges (ALJ). They help people like you who need and deserve SSDI, with a focus on managing disability benefit clients.

Filing an Appeal with Confidence When Denied Disability Benefits

When you are denied disability benefits, you should act as soon as possible, following these critical steps:

  • Hire a disability advocate: To avoid frustration trying to appeal your case alone, scheduling a free consultation with an advocate is the first step to set the balls in motion. They will review your case and determine why you were denied before recommending the next step. If they find weaknesses in your case, they will recommend an appeal. However, if the cause is related to non-medical criteria, such as you have been working and earning what the SSA considers to be “substantial gainful activity” (SGA), they might find you do not qualify and will save you the stress and trouble of pursuing an appeal. Insufficient medical criteria is a different story, and your advocate will provide medical evidence to prove your disability keeps you from working.
  • Collecting evidence: Your advocate will collect medical evidence to help prove your disability meets the criteria based on the SSA’s definition of disability. They will prepare a strong case with sufficient medical and non-medical proof you are eligible to receive disability benefits.
  • File a request for reconsideration: This step initiates a complete review of your claim to reconsider your initial submission, along with critical evidence collected by your advocate. This will help establish your disability. The SSA will include a review by the Disability Determination Services (DDS) for your State. They will send you letters with further questions and requests for information, which your advocate will manage for you. They will correspond with the state and ensure you share thorough information to help establish your credibility. With the proper medical evidence, there is a good chance you can be approved at this stage. If you receive an unfavorable ALJ decision, your advocate will proceed with the next step.
  • File an appeal with Social Security: Your advocate will help you file an appeal at your local office to request a hearing before an administrative law judge (ALJ). Once filed, the SSA will send you notice of your hearing date, where your case and evidence will be reviewed. The SSA recommends seeking an advocate’s assistance to ensure everything is in order. At this stage, your advocate can seek witnesses to answer the ALJ’s questions and help provide evidence regarding your condition. Your advocate also listens to the ALJ’s explanation about the issues with your application and has an opportunity to ask questions about the decision. The SSA also has medical or vocational experts present, making witnesses and evidence all the more critical to help establish your eligibility. If your appeal fails, you can request further review from the Appeals Council.
  • Appeals Council review: At this stage, the Appeals Council reviews your case to determine if the ALJ’s decision was fair. Your advocate represents you and helps ensure the facts are presented as clearly as possible. If the Appeals Council grants your request, they will either issue a new decision or return your case to an ALJ for further action. Your advocate will look for weaknesses in the hearing recordings to find opportunities to support your claim.

The Advocate’s Expertise: Strengthening Your Case

Disability advocates can strengthen your case through expert analysis, gathering additional evidence, and identifying potential weaknesses in your initial application. For example, if they find you have insufficient medical evidence, they will seek medical records from your healthcare team and ensure all records, test results, medications, treatments, etc., are organized to show a clear path of your disabling condition, treatments you have tried without success, and level of disability that keeps you from working.

You can leverage an advocate’s experience to improve your chances of success, as their job is to find gaps in your application and supplement your application with persuasive evidence so your request for reconsideration is accepted. Although your condition might not fit directly with the SSA’s blue book listing, your advocate understands how to show that your condition is comparable to a condition or conditions on the list.

Emotional Support and Empowerment

After being denied disability benefits, having someone in your corner who understands the stress and emotional strain you are going through helps keep your eyes on the prize. Denial can lead to feelings of hopelessness when you don’t see the light at the end of the tunnel. An advocate provides emotional support so you feel empowered to confidently pursue your case.

They ensure you don’t give up when you continue to face denials at every stage of the appeals process. Knowing someone is advocating for your rights and understanding the countless cases that were approved with the assistance of an expert provides the strength you need to carry on. You will join the ranks of the thousands of applicants who finally received the compensation they deserved to cover their medical expenses and financially support their families.

Beyond Appeals: Advocates as Allies for Long-Term Benefit Management

Disability advocates continue to assist beyond the appeals process, helping to manage your benefits and ensure you remain compliant with SSA regulations. They can also advocate for adjustments, such as preparing a Dire Need Letter to request faster processing due to unmanageable financial strains.

When social security denies disability benefits, it is not the end of the road. You can find assistance from a compassionate and knowledgeable advocate who will fight for the benefits you deserve. They will review your case, gather critical information, and help you navigate the appeals process until your claim is approved.

Princeton Advocates offers free consultations when your disability benefits are denied. Click here to book your free consultation and set the balls in motion to file your appeal.