What happens if your workers’ compensation claim is denied?

by | May 12, 2017 | work injuries

If you suffer an injury on the job, you should immediately turn your attention to your health and well being.

In fact, there are three important steps to take:

— Receive immediate medical attention, even if the injury does not appear serious.

— Follow the guidance of your medical team.

— Report the accident and injury to your employer as soon as possible.

If you realize you’re unable to return to work, such as at the discretion of your medical team, you need to learn more about filing a claim for workers’ compensation benefits.

In a perfect world, you would make a claim and begin to receive compensation in the near future. In the real world, there may be obstacles to receiving the full and fair compensation you deserve, and a mistake in the process could even result in a denial of all benefits.

There are many potential causes of a workers’ compensation denial:

— You did not report the injury to your employer in time.

— You did not receive medical attention for your injury.

— You did not provide adequate medical evidence of the injury.

— Your employer disputes the claim, such as saying that you did not suffer the injury at work.

— You did not file the claim in time.

While these are some of the more common reasons for a workers’ compensation denial, there are others that could stand in your way.

File an appeal

If you find yourself in this position, you should not automatically assume that you are unable to receive workers’ compensation benefits. You may be able to file an appeal with the idea of having the original decision overturned.

Your denial letter will outline several details, such as:

— The reason for the denial

— The steps you can take next, such as how to file an appeal

— Any information you may need to include

In some cases, all you need to do is provide more documentation in order to receive benefits. In other cases, however, you’ll face more advanced challenges.

To ensure that your workers’ compensation claim and any related injure claims are handled properly, you should consult with an experienced attorney. Taking this step will work in your favor, as you’ll have somebody on your side who can answer your questions, communicate with the insurance company on your behalf, and fight for your rights every step of the way.