Sustaining a severe injury on the job usually means losing out on income and having medical bills piling up. During this time, you likely will depend on workers’ compensation to cover some of your bills and lost income. Unfortunately, there may be a delay in receiving benefits if your claim is denied.
Fortunately, according to a study performed by Lockton, courts reverse 67 percent of all denied workers’ compensation claims during the same year. These findings indicate that there is a high probability the court could overturn the denial and award you benefits if you appeal
Common reasons for denial
Even one minuscule mistake can cause your employer’s insurer to deny your request. Some of the most common reasons for claim denials include:
- Failing to notify your employer: Each state determines how long you have to inform your employer about the injury.
- Missing deadlines: There are also deadlines for filing your claim. If you do not file a workers’ compensation claim within the statute of limitations, your claim for benefits could be denied.
- The injury is not work-related: The insurance company might assert that your injury did not occur at work. To combat this, you can provide medical evidence or witness statements that corroborate your claim.
- Failure to receive medical care or a delay in seeking care: As soon as you sustain an injury, you should seek medical attention. Medical evidence will help support your claim and reduce the likelihood of a denial of benefits.
Working with a knowledgeable attorney can help you navigate through the process. Your lawyer can also evaluate your claim and help you appeal the denial