7 Reasons Your Workers’ Compensation Claim Got Denied

Denied Workers' compensation Claim | DYS Law Group

Workers’ compensation provides job safety and income protection to employees who have experienced a work-related injury or illness. If you are considering filing a claim, it is important that you are aware of the following 7 reasons your claim may get denied.

What are the 7 typical workers’ compensation claim denial reasons?

There are several reasons why your workers’ compensation claim could be denied. Here are seven of the most common reasons:

  1. You didn’t report your injury to your employer within the required timeframe.
  2. Your employer doesn’t have workers’ compensation insurance.
  3. Your injury is not covered by workers’ compensation.
  4. You were injured while engaging in horseplay or other unsafe activities.
  5. You were under the influence of alcohol or drugs at the time of your accident.
  6. Your injury is pre-existing and was not caused by your job.
  7. You failed to follow your doctor’s orders or missed too many days of work.

How to increase your chances of winning a workers’ compensation claim

If you’ve been injured at work, you may be wondering how to increase your chances of winning a workers’ compensation claim. Here are a few tips:

  1. Get medical attention right away. Don’t wait to see if your symptoms go away on their own – see a doctor as soon as possible. This will not only help you get the treatment you need, but it will also document your injury and start the process of building your case.
  2. Follow your doctor’s orders. If your doctor prescribes medication or physical therapy, be sure to take it as directed. Not only will this help you recover more quickly, but it will also show that you’re taking an active role in your recovery – which can be helpful evidence for your claim.
  3. Stay in touch with your employer. Once you’ve seen a doctor, be sure to notify your employer and file a workers’ compensation claim (if they don’t have an automated system in place). Keep them updated on your medical treatment and any changes in your ability to work.
  4. Keep detailed records. Throughout the process, from the initial injury to the final resolution of your claim, keep detailed records of everything that happens. This includes doctors’ appointments, correspondence with your employer or insurance company, and any other relevant documentation. This will not only help you keep track of what’s happening but it can also be used as evidence if needed.

What to do if my workers’ compensation claim was denied?

If you have been injured at work, you may be wondering what your next steps are. You may have already filed a workers’ compensation claim, only to have it denied. If this is the case, you may be feeling frustrated and unsure of what to do next.

There are a few different options available to you if your workers’ compensation claim has been denied. You can appeal the denial, file a lawsuit, or investigate other benefits that may be available to you.

Appealing the denial:

If you believe that your workers’ compensation claim was wrongly denied, you can file an appeal. This appeal will go before a judge, who will review the evidence and decide. If the judge decides in your favor, your workers’ compensation benefits will be approved.

Filing a lawsuit:

If you believe that your employer acted in bad faith or was negligent in causing your injury, you may want to consider filing a lawsuit against them. This is a complex process, and you should consult with an experienced attorney before taking this step.

Other benefits:

Even if your workers’ compensation claim is denied, there may be other benefits available to you. For example, if you have health insurance through your employer, they may still cover some of the costs associated with your injury. You should check with your human resources department to see what other options might be available to you.

Contact and visit the workers’ compensation attorneys at DYS Law Group

If you’ve been injured at work, you may be entitled to workers’ compensation benefits. However, claims are sometimes denied. If your claim has been denied, the workers’ compensation attorneys at DYS Law Group can help.

The attorneys at DYS Law Group have experience handling denied workers’ compensation claims. We will review your case and help you determine the best course of action. We can also assist with appeals if necessary.

If you’ve been injured at work, don’t hesitate to contact the experienced workers’ compensation attorneys at DYS Law Group at (310) 473-2355. We can help you get the benefits you deserve.

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