Appeals Process

Appealing Insurance Claim Denial in California

If you are frustrated about a denial of your insurance claim, we can help. The attorneys at Delfino Green & Green serve individuals and businesses whose insurance claims have been denied. We have decades of experience appealing denied claims. Our experience and skill can make the appeals process easier and increase your chances of overturning an improper denial.

Making Your Insurance Company Live up to the Promises It Made

You probably didn't expect that your perfectly legitimate insurance claim would be denied, and you might be angry at your insurance company. Our firm can evaluate your case and the reason for the claim denial. If your initial claim application was denied because of missing or inadequate information, we can take advantage of this second chance. We will advise you of several ways to strengthen your claim and increase the chance that your appeal will be successful.

A Chance to Make Your Disability Claim Stronger

If an updated doctor's report, medical record or recent test result is missing from your claim file, you can submit it during the appeal process and often this can make the difference that leads to a claim denial being turned into a claim approval. Also, in the case of certain ERISA plans, your the materials that you submit to the insurer may be the only evidence of your disability that a judge will see when your claim goes to court. We can help you take advantage of this important opportunity to strengthen your legitimate claim and increase the odds that a Court will reverse the insurer’s improper denial.

In short, since this may be your last opportunity to add information to “the record”, your claim must be right. Attorney William Green and our team of lawyers and staff will carefully review your claim file for possible gaps. We make sure that all the relevant, detailed evidence of your disability is in your file, including your doctor's detailed diagnosis and assessment of your disability.

Necessary Appeals under ERISA

The appeals process is a prerequisite for filing a lawsuit under the Employee Retirement Income Security Act (ERISA). Under ERISA, you must follow the rules in the disability claims process and file all required appeals before you can take your disability claim to court. Our experienced insurance litigation attorneys will help you comply with the administrative protocols to ensure that you are able to litigate your claim if necessary.

Contact Delfino Green & Green in San Rafael, California

We want to make working with a lawyer as easy as possible for you. Our firm offers free consultations and works on a contingency fee basis, which means we don't get paid unless you get paid. Spanish-language services and evening appointments are available when necessary to best serve our clients.

You have options after a claim denial. To appeal a denied disability or other insurance claim, contact Delfino Green & Green. We can be reached by phone at 415.442.4646 or by filling out the client form on our Contact Us page.