01 · The Difficult Moment
A Knee Replacement Raised the Stakes of an Unresolved Claim
The client underwent a left total knee replacement. While the client dealt with treatment and recovery, the insurance claim remained uncertain.
The carrier’s initial offer was $10,773, an amount far below the result ultimately reached.
02 · The Coverage Problem
The Coverage Decision Took More Than Nine Months
The carrier was involved on both the first-party and third-party sides of the claim. It took more than nine months to determine that the third-party policy did not provide coverage.
03 · The Firm’s Work
The Firm Investigated the Coverage and Developed the Medical Record
The firm took over insurance communications, investigated the claim, and gathered the client’s medical records.
The legal team then negotiated the claim.
04 · The Outcome
The Case Resolved for $150,000
The case resolved for $150,000 after the prolonged coverage process.
The client felt relieved when the claim was finally resolved.