Workers' comp claim denied
Josh Wienman | November 6, 2022

My Workers’ Comp Claim Was Denied! Now What?

Companies may look for any reason to deny employee payment claims. In most cases, workplace injuries are covered by insurance. Workers’ compensation allows employees to receive compensation from their employer while performing their job duties.

Every employee has the right to a safe working environment, and an employer is responsible for supporting and assisting them in their recovery. Yet, if workers comp denies your claim, you still have options. Before you receive these benefits, a workers’ comp claim denied must still need the process.

Workers’ compensation requirements are complex, meaning a claim may refused to grant for various reasons. The good news is that a denial does not spell the end of your claim.

Continue reading to learn about compensation claims and how to get started.

Verify Your Eligibility Workers’ Comp Claim Denied

Apply for Worker’s Compensation

First, make sure you are eligible for workers’ compensation. Being injured at work does not entitle you to settle right away.

It is eligible for workers’ compensation for workplace accidents, even if they do not occur in the office. Yet, accidents that occur during an activity, such as commuting, are not eligible. If you were injured at work, you should know your legal rights and options, including the right to file a workers’ compensation claim.

Appeal the Decision on Worker’s Compensation

You can file an immediate appeal if your workers’ compensation claim is denied. It would help if you acted because the deadline for submitting the request has passed. Through your division, you will apply an application for the claim adjudication process.

The department will assign you a case number once you file an appeal. You can request a hearing before a judge, but you must attend a settlement conference.

Consult a Compensation Attorney

Getting a Workers Comp Attorney

When you submit a claim, and it gets denied, the problem could be incorrect information. Consulting a workers’ compensation attorney can determine the best way to correct the errors and identify how many workers’ comp claims are denied.

The workers’ compensation board may also rule that you can return to work, making you ineligible for the benefit.

Attend a Worker’s Hearing

In filing a workers’ compensation claim, hearings are like other types of trials, except that they do not involve juries. Nonetheless, both parties presented evidence and witnesses to appeal to the judge. You can rely on your attorney’s expertise during this hearing. Finally, you will receive the results in writing through the mail.

What is Covered by Worker's Comp Insurance

Knowing Your Rights Can Help Your Compensation Case

Accidents at work can occur in any industry. Workers’ comp claim denied workplace can have serious medical consequences that affect your ability to work. Understanding your workers’ compensation rights is critical, especially if you have injuries.

Knowing your rights will make filing a claim easier because you’ll see what you must do to ensure coverage when a workers’ comp claim is denied.

If you find this article helpful, read our other blogs to learn more.

Josh Wienman

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