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

After a workplace injury workers’ compensation benefits may be the only wage replacement benefits available. If your claim is denied by the insurance company, both medical treatment and wage replacement benefits will be denied as well. 

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, even though you know it happened, its 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.