How to Win Your SSI or SSDI Appeal: Understanding the Disability Appeals Process

Ortega Disability Group

If your claim for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) has been denied, you’re not alone—and you’re not out of options. The appeals process exists to ensure that those who qualify for disability benefits still have a fair chance at approval. 

At Ortega Disability Group, our skilled SSI appeal attorneys and Social Security denial attorneys are here to guide you through every step, increasing your chances of success.

Keep reading to learn what to expect from the appeals process. Afterward, call (800) 322-1173 to schedule your free consultation! You’ll owe nothing unless we secure benefits for you. 

Why Disability Claims Get Denied

Initial denials can happen for many reasons:

  • Lack of sufficient medical evidence
  • Failure to follow prescribed treatment
  • Earning income above the limit for SSI or SSDI eligibility
  • Improperly completed application forms

Even if your condition meets the Social Security Administration’s (SSA) definition of a disability, a small error or omission can result in a denial. That’s why working with experienced Social Security appeal lawyers is so important.

The Four Levels of the Appeals Process

If you’re wondering how to win an SSDI or SSI appeal, the answer lies in understanding and navigating the four main stages of the appeals process. Ortega Disability Group can assist you at each of these steps.

1. Reconsideration

This is the first step after your initial denial. During reconsideration, someone who wasn’t involved in your original case reviews your application. They’ll look at the evidence you submitted before, as well as any new documents.

Tip: Adding updated medical records and additional documentation at this stage can make a big difference. Our SSI appeal attorneys help gather and organize strong supporting materials to present your case clearly and completely.

2. Administrative Law Judge (ALJ) Hearing

If your request for reconsideration is denied, the next step is a hearing with an ALJ. This is often where many applicants win their appeal. It’s your chance to tell your story and provide detailed medical and personal evidence.

You’ll want representation at this hearing. An experienced Social Security denial attorney from Ortega Disability Group can:

  • Prepare you for the judge’s questions
  • Cross-examine vocational experts
  • Present new medical evidence and arguments

We’ve helped many clients succeed at this stage, and our knowledge of what judges look for gives you a significant advantage.

3. Appeals Council Review

If the ALJ rules against you, you can ask the Appeals Council to review the decision. The Council may approve your case, deny the review, or send it back for another hearing.

The Appeals Council focuses more on whether the judge made a legal error than on the facts of your disability. Our Social Security appeal lawyers understand how to structure this type of appeal effectively and ensure your rights are protected.

4. Federal Court Lawsuit

The final option is to file a civil lawsuit in the Federal District Court. This stage is more formal and requires a thorough understanding of legal procedures and the SSA’s rules.

Our team has extensive experience with federal court appeals. If your case reaches this point, you can count on Ortega Disability Group to represent you with professionalism and dedication.

Why Choose Ortega Disability Group?

At Ortega Disability Group, disability law is all we do. We’ve helped thousands of clients fight back after a denial and secure the benefits they deserve. Our firm offers:

  • Personalized legal support: A dedicated caseworker and direct access to a licensed attorney.
  • No win, no fee: You only pay if we secure benefits for you. 
  • In-depth experience: We handle cases from the initial application all the way to federal court.

If you’re asking yourself how to win an SSI or SSDI appeal, the answer starts with hiring the right legal team. Our attorneys understand the Social Security system inside and out. We know how to present a compelling case that shows why you qualify for benefits.

Schedule your free consultation today to speak with a Social Security denial attorney who will fight for your rights!

What You Can Do Now

If your Social Security disability claim has been denied:

  • Don’t panic—most claims are denied at first.
  • Act quickly—you typically have 60 days to appeal.
  • Call our team—our SSI appeal attorneys can start preparing your case right away.

Let Ortega Disability Group help you fight back and secure the benefits you’re owed. We’ll help you build a stronger case with updated evidence, strong legal arguments, and personal support every step of the way.

Contact us now to schedule your free case evaluation. We’re ready to help you appeal your SSI or SSDI denial and move forward with confidence.

Frequently Asked Questions About Social Security Appeals

How Long Does the Appeals Process Take?

Timelines vary depending on the stage of the appeal and where you live. Reconsideration decisions may take several months, while waiting for a hearing before a judge could take over a year due to backlogs.

Despite the wait, it’s worth pursuing your appeal if you believe you qualify. Many people are ultimately approved during the appeals process. With Ortega Disability Group guiding your case, you won’t be navigating it alone.

I was denied Social Security Disability for the 2nd time—what should I do now?

If you’ve been denied Social Security Disability for the second time, don’t give up. Many applicants aren’t approved until the hearing stage before an Administrative Law Judge (ALJ), which comes after your second denial. Your next step is to request a hearing within 60 days. 

This is a critical point in your appeal where strong legal representation can significantly improve your chances. The experienced attorneys at Ortega Disability Group are here to help you move forward with confidence.

What are the chances of winning a Social Security appeal?

Statistically, many applicants are denied at first but succeed during the appeals process, especially at the hearing level. According to SSA data, over 50% of claimants represented by attorneys are approved at the ALJ hearing stage. Your chances of winning a Social Security appeal improve dramatically when you have experienced legal guidance, up-to-date medical records, and a well-prepared case. That’s where Ortega Disability Group comes in.

What is the Social Security disability appeal time frame?

The time frame for a Social Security disability appeal depends on the stage you’re in. Reconsideration typically takes 2 to 4 months. If your case goes to an ALJ hearing, it can take 10 to 14 months or more, depending on your location and backlog. Higher-level appeals, such as the Appeals Council or Federal Court, may take even longer. Ortega Disability Group keeps your case on track and ensures you meet all necessary deadlines to avoid unnecessary delays.

I was denied Social Security disability 3 times. Is it still worth appealing?

Yes, even after being denied three times, you still have the right to keep appealing—especially if you haven’t yet gone to federal court. Each level of appeal offers new opportunities to present stronger evidence and legal arguments. If you’ve faced multiple denials, it’s even more important to have a skilled legal team in your corner. Ortega Disability Group can help you understand what went wrong and what can be done to finally secure your benefits.

How long do you have to appeal an SSDI denial?

You generally have 60 days from the date you receive your denial letter to file an appeal. Missing this deadline could force you to restart the entire application process. Acting quickly is key. As soon as you receive a denial, reach out to Ortega Disability Group so we can help file your appeal on time and begin preparing a stronger case.

473 E. Carnegie Drive
Suite #20
San Bernardino, CA 92408

Monday – Friday: 9am – 5:00pm

350 10th Avenue
Suite #1000
San Diego, CA 92101

Monday – Friday: 9am – 5:00pm

1100 Town and Country Rd
Suite 1228
Orange, CA 92868

Monday – Friday: 9am – 5:30pm

505 14th Street
Suite 900
Oakland, CA 94612

Monday – Friday: 9am – 5:00pm

800.322.1173

All Mail: 30042 Mission Blvd #121-239 Hayward, CA 94544

Questions? Write to Us!