What if My Workers’ Comp Claim Gets Denied?

If you are injured while at work and no longer able to perform your job function, it is important to know your rights and responsibilities. In almost all cases, your employer has to have workers’ compensation insurance in place, which is set up to make payments to injured employees while they recover. This is an important benefit that employees receive that can help to minimize the financial impact that a work-related accident or injury causes.

When injured, you will need to file a claim in order to start receiving workers’ compensation benefits. Just like any other type of insurance claim, it will be reviewed and if all goes well, it will be approved so that your benefits can be given. If, however, your claim is denied, it is important to know that you still have options. Taking the right steps as soon as possible will help to give you the best chance possible at getting the decision reversed so you can start receiving your benefits.

Understanding Why Your Claim was Denied

One of the most important things you will need to do is read through your denial letter and get a good understanding of why the claim was denied. The process for appealing the claim will vary greatly based on the reason for the denial. If, for example, the claim was denied because you did not submit it in time, you may be able to successfully appeal if you can give just reasons for the delay. If it was denied because you did not receive medical care, submitting proof of the care you received may be necessary.

No matter why your claim was denied initially, you have the right to appeal it to try to get it reversed. Taking the time to make sure that your appeal is handled correctly will give you the best possible chance of having your claim approved after appeal. Keep in mind, however, that you need to file your appeal within 30 days of getting your denial letter, so make sure you act quickly.

Get Help from an Attorney

Every time you file a claim with workers’ compensation you are permitted to have an attorney working on your behalf. We have years of experience navigating the complex and often confusing workers’ compensation process, including filing appeals to decisions. Whether you are just filing your claim for the first time, or you want to appeal a denial, contact us to discuss your options.