Injuries often happen at work, sometimes when you least expect them. Whether that is a slip, a fall, or an accident with machinery, workplace injuries can cause significant disruption. After a workplace injury, you may be eligible for worker’s compensation— but what happens if you face a claim denial?
Potential reasons for the denial
A claim can be denied for various reasons. Understanding the reason for the denial can help you figure out your next steps. Here are some common reasons:
- Late reporting: If you did not report the injury to your employer promptly, your claim may be denied.
- Lack of medical evidence: There is insufficient medical records to support your injury claim.
- Disputed injury: The employer or insurer protests that the injury happened at work.
- Pre-existing condition: The injury is a result of a pre-existing condition.
- Non-compliance: Failure to follow medical advice or attend medical appointments.
- Inadequate documentation: Missing or incomplete paperwork.
If you face a denial, do not panic. Understanding the specific reason for the denial is important so you can address it effectively.
Challenging the denial
Facing a denial can be stressful but know that you have options. After gathering all documents related to your injury and denial, you may seek help from a legal professional. They can guide you through the appeals process, ensure you meet all deadlines, present necessary evidence and help you understand your rights.
The worker’s compensation system can be confusing, but with the proper legal guidance, you can build a compelling case, address any issues, and increase your chances of a more favorable outcome.