Next Steps: What To Do After A Work Comp Denial

Having your workers’ compensation denied is one of the most disheartening experiences you could ever deal with. After dealing with heaping portions of stress after your injury or illness,the last thing you need is to be told that your hopes of financial support have flown the proverbial coop.

It’s a confusing and frustrating situation to be in – especially because it’s not one you put yourself in. However,it’s entirely possible to have the decision reversed and obtain the support you need.

Let’s figure out what to do after a work comp denial.

First and foremost,you need to do some digging to discover why your claim was rejected. This should be properly explained in your rejection letter. Here are a few reasons why your claim was rejected:

1. You did not report your injury to a supervisor within the required time frame.

2. You did not file your claim within the correct time frame (usually 30 – 90 days).

3. Your employer disputes the claim and states that it occurred outside of work.

4. Your injury is not compensatable as it is stress-related and therefore difficult to prove.

5. You have not obtained official medical treatment for your injury.

6. There is insufficient evidence to suggest that your injury occurred in the workplace.

If you feel as though your claim was rejected unfairly,you can appeal the decision. Check your denial letter for the appeal deadline and make sure you get all your documentation in order in time. Bear in mind that the appeal process is fairly complicated,so you’ll need an experienced workers comp lawyer on your side.

You will need to prepare any additional documentation required – some of which was not included with your initial claim. You may even need to acquire medical records that disprove the reasons for the compensation denial. It’s also a good idea to grab a time sheet that indicates you were working at the time the injury occurred,just in case.

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