What Should You Do If Your Workers’ Compensation Claim Has Been Denied?

After a workplace injury, workers’ compensation benefits may be the only medical treatment and wage replacement resource available to you. If your claim is denied by the insurance company, you will not receive these benefits until the claim is resolved by a Workers’ Compensation Judge.

WHY WAS YOUR CLAIM DENIED?

Some reasons why a workers’ compensation claim is denied:

· Late or incomplete paperwork: Even when an injured worker completed the required paperwork, sometimes the employer does not. Following up on the claim status is usually a good idea.

· The severity of injury: Even if the injured worker reports an injury, the employer may not consider it “important” enough to tell their insurance carrier. Again, follow up!

· The “employer level investigation”: If you have received a letter from the insurance company that says “based on an employer level investigation” the claim is denied ( or some other excuse) even though you know it happened, it’s time to consider getting help.

If you have questions about your denied workers’ compensation claim, give us a call at 714-547-5025 for a free consultation.