Workers' compensation denials and your right to appeal

You were hurt at work, yet your claim for workers' compensation was denied. It's not fair, and there are legal options you can pursue to get your claim approved.

Most employers are required to have workers' compensation. Usually, it covers all injuries in the workplace regardless if you were to blame. However, there are some situations in which workers' compensation may not be paid out, like if you intentionally hurt yourself.

If your workers' compensation claim is denied, then you should first look at what the reason was. For instance, a denial letter might state you did not meet the qualifications for a claim. It may state you weren't working or on the job at the time, or it may suggest that you intentionally injured yourself. If you don't agree with the decision, it's time to look into appealing the decision.

Some other kinds of denials you could receive include those for failing to report the injury in time, failing to file the claim in time, having a non-compensable injury, not seeking medical treatment or having insufficient evidence that the injury is related to your job.

If you had insufficient evidence, you might want to look into gathering more information before submitting your appeal. When you get ready to appeal, your attorney can help you review the previous decision and submit the documents necessary to meet the criteria for workers' compensation. With the right help, you can get the compensation you deserve while you recover from an injury you suffered on the job.

Source: FindLaw, "Workers' Comp Denied? Here Are Your Next Steps," accessed March 10, 2017

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