Claims Handled by Sedgwick

Bartolic Law has helped many clients get their short-term and long-term disability claims approved by Sedgwick. In one case, Sedgwick denied the long-term disability claim of a clinical pharmacist suffering from Fibromyalgia. Clinical pharmacy work requires being on one’s feet for extended shifts. Sedgwick both overstated the client’s physical capacity and understated the demands of pharmacy work. We combined medical evidence of limitations with vocational evidence of the occupation demands. When Sedgwick requested an Independent Medical Examination, we attended with the client to document the duration, and prevent the IME doctor from making our client sit in the waiting room beyond the client’s documented capacity. We demanded the examination begin on time, or the examination would be forfeited. Shortly after the examination, Sedgwick approved the claim. In another case, Sedgwick asserted a 24-month mental health limitation applied to a formerly highly compensated client in an executive role, disabled by permanent damage from stroke. Like many insurers and claims administrators, Sedgwick imposed the limitation because the medical records documented depression and anxiety, secondary to the physical impairments. We persuaded Sedgwick the limitation does not apply and the client continues to receive monthly payments, as promised.