Getting approved for Social Security disability benefits is a unique combination of skill, luck and persistence.
Skill
in that someone has to prepare the case for appeal before an
administrative law judge. The person preparing the case must
understand, at minimum, the five sequential steps in the evaluation
process. The case won't go to step 2 until it passes step 1, etc.
Legally admissible evidence has to be presented and that evidence should
be compelling. Social Security will, honestly, be looking at ways to
deny the claim or appeal. So, skill is required to develop and present a
potentially winning case.
Luck,
in that there are things you cannot control. One example, you cannot
control which judge hears your case. Award rates vary widely from judge
to judge.
Persistence,
because most claims get denied at least once along the way. Don't give
up when this happens. A denial early in the process is not the end,
just the beginning. Appeal and keep going.
What
appeals are available to an ordinary Social Security disability claim,
once it has been initially denied? They are as follows:
1. Reconsideration (used in 40 states, but not used in Alabama--go to # 2).
2. Hearing before an administrative law judge.
3. Review by the Appeals Council.
4. File a suit in Federal District Court against the Commissioner of Social Security.
5. File an appeal in the U.S. Circuit Court of Appeals
The
appeals shown above must be taken in order. You cannot, for example,
file a suit in a Federal District Court until you have been refused by
the Appeals Council. For practical purposes, most claims end after the
Appeals Council. Only about 1 percent of all claims end up in Federal
District or Circuit Courts. At any point along the way, the claimant
may choose to dismiss the appeal and file a new claim (which does not
necessarily protect all of his/her interests in the original claim or
appeal). This should be done with caution and after vigorous
consideration of the pros and cons. Should you continue your appeal or
file a new claim? Get some professional advice before making that
decision.
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