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Steps to take after a workers’ compensation claim denial

| Mar 30, 2017 | Workers' Compensation

There are few things worse than suffering a serious injury on the job. If this happens, you will face a variety of challenges in the near future.

For example, you will need to seek medical treatment as soon as possible. Along with this, you may find that your injury requires ongoing treatment, often lasting for many months into the future. In the worst cases, you may not be able to work again.

Also, you need to report the accident and injury to your employer. By doing so, you put yourself in better position to receive workers’ compensation benefits.

In a perfect world, your first check would arrive shortly. In the real world, however, your claim may be denied.

Why are claims denied?

There are many reasons why your claim could be denied, such as:

  • Your employer disputes the claim, such as by arguing that you were not injured on the job.
  • You did not report the injury in time.
  • You did not file a claim for benefits in time.
  • You did not seek medical treatment in the appropriate time frame.
  • You are unable to provide evidence that proves that the injury is work related.

Regardless of the reason for the denial, it’s imperative to take the necessary steps in dealing with this unfortunate situation.

The first thing you should do is examine the denial letter in great detail. This will allow you to better understand the reason for the denial.

From there, learn more about how you can file an appeal. The steps for doing so can be found in the letter. In many cases, an appeal is as simple as providing more information, such as a piece of information that you overlooked the first time around.

Note: There is more than one level of appeal, so you don’t need to stop fighting for your rights if you run into resistance.

Above all else, hire a workers’ compensation lawyer

If you’re dealing with an on the job injury, , you shouldn’t stop until you receive the money that is due to you. As a worker, you have legal rights. Your lawyer protect these rights and give you every opportunity to recover the compensation you deserve.


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