Legal Guide

Functional Capacity Evaluations in Disability Lawsuits

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Functional Capacity Evaluations in Disability Lawsuits

When disability claims are denied, insurers often argue the claimant is still capable of working, citing "too subjective" doctor's notes or "no functional proof" of limitations. A **Functional Capacity Evaluation (FCE)** becomes critical in such situations.

An FCE is an **objective, standardized test that measures your physical and cognitive ability to perform work-related tasks**—sitting, lifting, standing, focusing, and more. For Alberta disability lawsuits, FCEs are among the most powerful forms of medical evidence you can present.

As Alberta disability lawyers who have defended insurance companies, we understand how insurers interpret these assessments and how to use them to prove genuine disability and overturn denials.

This guide explains:

What is a disability claim and what is an FCE
Common insurance challenges in Alberta disability claims
How an FCE strengthens a disability lawsuit
When to request an FCE
What to expect during an FCE
How insurers use or misuse FCEs
How lawyers use FCEs in disability lawsuits
Alberta-specific rules and deadlines

What Is a Disability Claim?

Disability insurance provides income replacement when a physical or psychological condition prevents you from working. In Alberta, claimants are generally covered by:

Short-Term Disability (STD)Temporary income support lasting up to 6 months for illness or injury.
Long-Term Disability (LTD)Monthly benefits that can continue to age 65 if you remain unable to work.
Private Disability PoliciesPurchased by professionals or business owners for broader protection.

What Is a Functional Capacity Evaluation (FCE)?

A **Functional Capacity Evaluation** is a comprehensive, standardized test administered by a qualified occupational therapist, kinesiologist, or physiotherapist. It evaluates your **ability to perform job-related physical and cognitive tasks** safely and consistently.

1

Lifting, carrying, and reaching tests

Measures physical strength and range of motion.

2

Sitting, standing, and walking tolerance

Assesses endurance and positional tolerance.

3

Hand strength and dexterity tests

Evaluates fine motor skills and grip strength.

4

Postural and balance assessments

Tests stability and coordination.

5

Cardiovascular endurance

Measures aerobic capacity and stamina.

6

Cognitive, concentration, and memory exercises

In hybrid or neuro-FCEs, assesses mental function.

7

Pain behaviour and fatigue observation

Documents how symptoms affect performance.

8

Consistency-of-effort analysis

Validates the reliability of test results.

The goal is to establish an accurate picture of your **functional limitations**—not just your diagnosis.

Common Insurance Challenges in Alberta

Insurers routinely deny disability claims due to 'insufficient objective evidence.' They argue that pain, fatigue, or cognitive fog are subjective and can't be quantified.

Lack of measurable functional limitations

Insurers claim there's no objective proof of restrictions.

Symptoms inconsistent with reported restrictions

Insurers argue your symptoms don't match your claimed limitations.

You can perform sedentary or light work

Insurers suggest you can still work despite your condition.

Medical notes are vague or inconsistent

Insurers dismiss doctor's reports as insufficient evidence.

Has your insurer said there's no proof you can't work?

Contact us today for a free consultation

Steps to Take When Your Disability Claim Is Denied

If your disability claim has been denied, taking the right steps can protect your rights and strengthen your case.

Review the denial letter carefully

Understand the specific reasons for the denial.

Gather all medical records

Collect reports from all treating physicians and specialists.

Consult with a disability lawyer

Get expert legal advice on your options and rights.

Consider requesting an independent FCE

If your lawyer recommends it, arrange for an FCE through a neutral evaluator.

File your appeal or lawsuit within the limitation period

Ensure you meet Alberta's two-year deadline from the date of denial.

How a Lawyer Helps with FCEs and Disability Claims

An experienced disability lawyer can coordinate FCEs strategically and use them effectively to strengthen your case.

Coordinating Independent FCEs

Arranging evaluations through neutral, credible evaluators to avoid insurer bias.

Interpreting FCE Results

Understanding how to present FCE findings to maximize their impact.

Challenging Biased FCEs

Countering insurer-arranged FCEs that may be manipulated or biased.

Integrating FCE Evidence

Combining FCE results with medical and vocational reports for maximum impact.

Negotiating Settlements

Using FCE data to secure fair compensation and avoid unnecessary litigation.

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Frequently Asked Questions

Conclusion

Functional Capacity Evaluations are one of the most effective tools in disability litigation. They transform vague symptoms into hard evidence — the kind insurers can't dismiss.

An FCE provides objective, measurable proof of your limitations.

Independent assessments carry more weight than insurer-arranged ones.

Combined with medical and vocational reports, FCEs can dramatically increase settlement value.

Legal coordination ensures your FCE aligns perfectly with your case strategy.

Still have questions? Contact us today for a free consultation.

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