Securing Legal Representation: A Guide to Navigating Social Security Disability Claims and Appeals

Find a qualified lawyer to help you with your legal matters. From personal injury to family law, teams can provide expert advice and representation.

Navigating the complexities of legal issues can be daunting without professional guidance. Whether it involves understanding entitlements such as social security disability benefits or handling appeals for denied claims, the expertise of a lawyer can be invaluable. Lawyers not only provide legal representation but also offer strategic advice and manage burdensome administrative tasks. This guide explores why you might need a lawyer, how to access legal aid, the costs involved, and what steps to take if your claim is denied.

Why You Might Need a Lawyer

Hiring a lawyer offers significant advantages due to their deep understanding of the legal system. A lawyer can manage all necessary legal tasks on your behalf, including handling paperwork, conducting research, and fulfilling other legal obligations. They can represent you during conferences, hearings, or interviews, offer legal advice, and help navigate complex issues. Many lawyers specialize in specific areas like employment or family law, ensuring you receive expert assistance for your particular needs. For instance, social security disability attorneys are crucial for acquiring medical records, requesting hearings, reconsiderations, and appeals, and preparing you and your witnesses for questioning.

How to Access Legal Aid

Numerous law offices are prepared to assist you. The Social Security Administration can provide a list of qualified representatives, or you can seek legal services independently. While one or more representatives may handle your case, a legal firm or corporation as a whole cannot be appointed. After securing representation, you must notify the Social Security Administration using the standard form, Claimant’s Appointment of a Representative (SSA-1696).

Is Legal Representation Free?

Obtaining a social security disability lawyer involves no upfront costs, allowing you to secure legal representation without immediate financial burden. These lawyers are typically compensated only if you win your case. If you are awarded back-pay, the lawyer’s fee is limited to 25% of the back-pay or $6,000, whichever is lower. This fee structure ensures that the lawyer’s payment is deducted from the funds you receive, sparing you any out-of-pocket expenses. Lawyers are also restricted from charging more than the court-approved fee for their services.

Understanding Backpay

Backpay refers to the benefits that accumulate from the time your case is filed until it is approved. These benefits commence on the date you filed your claim, applicable to both SSDI and SSI, or from the onset of your disability, ensuring that you receive all due benefits from the appropriate starting point.

Can Lawyers Charge More Than the Standard Fee?

While it is rare, there are circumstances under which a lawyer might charge more than the usual fee. This might occur if your case needs to be appealed at the federal level or if you decide to switch attorneys. To charge a higher fee, your lawyer must submit a "fee petition" to Social Security, which needs to be approved before they can increase their charges.

Understanding a Fee Petition

A fee petition is a formal request by your attorney to Social Security to allow them to charge more than the standard 25% of backpay or $6,000. The petition must detail the work the attorney has done on your case. Social Security will evaluate these details to determine if the requested fee is reasonable based on the attorney’s effort, the complexity of your case, and their level of expertise. If you object to the proposed fee, you have the right to formally contest the petition.

Covering Case-Related Expenses

It's important to note that the 25% cap on backpay does not include any out-of-pocket expenses your attorney might incur while handling your case. These expenses might include travel costs, long-distance phone calls, obtaining medical records, postage, or consultations with medical experts. Typically, your attorney will ask you to sign an agreement to cover these costs, regardless of whether your case is successful.

What Happens if Your Claim Is Denied?

If your claim is denied, you have a couple of options:

Appealing the Decision: You can ask for a reconsideration of your case with the help of your disability attorney. If reconsideration is denied, you can request a hearing within 60 days. Should your claim still be denied after the hearing, you have another 60 days to appeal to the Appeals Council, which will decide whether to review your case.

Reopening the Previous Claim: If you choose not to appeal or if you miss the deadline, you can still file a new claim related to the initial one. This action effectively reopens your previously denied claim and may allow you to combine benefits from both the old and new claims. For instance, if the new claim involves an injury related to one in the old claim, and if your case is approved upon reopening, you might be eligible to receive backpay dating back to when you filed your original claim.

Securing the services of a competent lawyer can significantly influence the outcome of your legal issues, particularly in matters requiring specialized knowledge such as social security disability claims. Lawyers ensure that all procedural requirements are met, from filing the initial claim to appealing denied ones. They work on a contingency fee basis, alleviating upfront costs and aligning their success with yours. Should you face a denial, your lawyer can guide you through the appeals process or help in reopening a previous claim. Understanding the role of a lawyer and how they can assist you provides not only peace of mind but also a clearer path to achieving your legal rights and due compensation.