Our past years of representing insurance companies taught us a thing or two about how they work behind the scenes. Let our experience work for you.
Filing an appeal in a long-term disability case can be a lengthy process. The first step is to ensure that you have exhausted all of the possible administrative appeal remedies through your insurance company. Your insurance company is required to allow you at least one chance to appeal your case. Depending on your insurance company, you may have up to two opportunities to file for administrative review.
After you have exhausted your administrative remedies at the insurance company level, you will have to file a disability appeal in the federal court system.
Federal court litigation can be difficult. At the Law Offices of J. Price McNamara, our legal team can answer all of your questions about the process and can assist you with each stage of the litigation process. Please contact us online today for more information and to schedule a free case evaluation and legal consultation.
Receiving a bill should never be the first step in getting help. Our firm knows that when dealing with an ERISA, long term disability or insurance claim, what you need is answers, and we are here to provide them free of charge.
Our firm welcomes telephone calls or the opportunity to visit with you in person to answer any questions you may have. We also provide FREE comprehensive case reviews. There is no obligation to hire us as your ERISA attorney.
Too much is at stake to guess about the best approach and strategy for fighting your denied insurance claim — years and years of financial security.
After spending years representing insurance companies, we don’t guess. We know their playbook and how they work behind the scenes. Using that knowledge, we’ve developed our own Clear Advantage Process for fighting claims.
It’s personally satisfying to use what I’ve learned as an insurance company insider, now for the good — helping families reverse unfair denials of insurance benefits they paid for, need and deserve.
Price McNamara began his law practice in 1990 representing insurance companies.
In 1995, Mr. McNamara founded McNamara Law Offices, where he represents people across the U.S. who are wrongfully denied long-term disability insurance, life insurance, and accidental death insurance benefits, with special focus on ERISA claims and lawsuits.
His is a member of the Louisiana and Texas Bars, with office locations by appointment only in Baton Rouge, Metairie, and Houston. He lives in Baton Rouge, Louisiana with his wife and their three children.
“Price showed no fear. The only thing I can use to actively describe what I saw that day in court was someone standing there protecting our family and fighting for them at the same time…he took control of the situation and was truthful.”
“It was a smooth process. I didn’t have to guess about what was going to happen next…I was reassured that he was going to do the right thing. I was reassured that he was looking out for me.”
“He was ready to fight for me…I felt like he had my best interest in mind. It wasn’t just for the paycheck at the end.”
“Price worked for an insurance company in the past and now he’s working against the insurance company so it was because of that we trusted that he knew how an insurance company worked and how to fight them.”
“I feel blessed that I can help turn things around for my clients who have been denied that piece of mind of financial stability and we make sure that the insurance company and the court realize that these are actual people, these are families that are suffering greatly.”
I want to say thanks to J. Price McNamara for the sound free advice he gave me related how to increase my chances of being approved for Long Term Disability of being denied. I must say after implementing elements of…
I needed an attorney with a specific specialty and Price McNamara was definitely the right choice. His representation was based on principles that are probably unsurpassed by any other attorney in the field. McNamara represents individuals, not big-money corporations, like…
I found Mr. McNamara to be practical and efficient. He did what I needed in a reasonable amount of time, keeping me well informed and with excellent results. He communicated with me clearly and on a timely basis. I will…
I am a current client of Mr. McNamara’s. He is very accessible and responds to my emails and phone calls in a timely manner. I find him to be very professional and knowledgeable, as well as ready, willing and able…
I am an attorney. Price represented me, and in a separate suit represented my daughter, for injuries. He moved the cases at lightning speed and obtained maximum recovery. I was grateful and surprised. I would recommend Price to anyone who…
I would recommend Mr. Mcnanmara to anyone at any time. He was the best attorney that my family and I came in contact with. About three years ago we had a very tragic, accidental death in our family and the…
Price and Sara are great. They helped us in a time of need. Their communication was always spot on and I never felt out of the loop with what was going on with our case.
Price is very professional, honest, and reliable. Whatever he says, he will follow through with the utmost integrity. He will turn over every stone and pays close attention to even the smallest detail. I’m glad I secured his services.
Without going into the painful details regarding the reason for having to hire Price, his compassion and communication helped my family during an extremely difficult time. If you need legal help because you or a family member was injured by…
My client’s cause for an ERISA accidental death and dismemberment denial lawsuit began when both Esther and her husband were involved in a tragic head-on collision with an 18-wheeler. This tragic accident resulted in severe injuries to Esther, as well as David’s untimely death.
Our client, a young husband with two children, sustained closed-head brain injury as a result of an automobile accident. The at-fault driver’s insurance company initially refused to pay, but shortly before trial, agreed to pay the entirety of its insurance policy limits of $2,000,000.
Our client was a floor hand and Jones Act seaman who suffered a shoulder injury while working for Blake Offshore, LLC. Suit was filed in federal court in New Orleans. Blake and its insurance company offered relatively little in settlement, so the case proceeded to trial.
Our client sustained a fractured hip and reduced ability to earn wages in the future as a result of an accident sustained on the offshore drilling rig to which he was assigned. Suit was filed in federal court in New Orleans.
If you are filing a disability appeal, the first step that you should take is to look at your denial letter. You should have received a denial letter from your insurance company. In the denial letter, it will reference a deadline for filing an administrative appeal in your case. The denial letter should also state with particularity the reason or reasons why your disability claim was denied in the first place.
The majority of disability claims are denied when the insured fails to provide sufficient medical documentation. The documentation must demonstrate that you are suffering from an injury or illness that is disabling and that as a result, you are unable to work in any capacity.
When you file your administrative appeal, you should make sure that you include documentation from a physician which states that your disability prevents you from working. The insurance company review level is the only time when you are able to introduce additional medical documentation. Once the case proceeds to federal court, you are no longer permitted to introduce new medical evidence or otherwise supplement the record.
Our number-one goal is getting you and your family back to financial security as soon as possible.
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Once you have exhausted all of the administrative remedies at the insurance company level, if you are still without benefits, you must pursue litigation in federal court. What a federal judge is making a decision at the appellate level, he or she will only consider documentation which is already in the record. New documentation is inadmissible at the federal level.
There are several disadvantages to litigating the case in federal court. One significant disadvantage to federal court litigation is that a single judge will be deciding the outcome of your case, rather than a jury. Moreover, you are not permitted to file a bad faith claim against your insurance company for denying your benefits claim. Consequently, it is extremely important that you have an experienced Austin disability appeals lawyer on board.
Disability appeals are complex matters, and successfully appealing a case requires skilled and knowledgeable legal representation. At the Law Offices of J. Price McNamara, we can assist you with filing an appeal and navigating your way through the appeals process.
To schedule a free case evaluation and legal consultation with an experienced Austin disability appeals attorney, please contact us online today.
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