When Your Workers’ Comp Claim Gets Rejected
If your workers’ compensation claim is denied, it means that the insurance company does not believe that your injury or illness is work-related. There are a number of reasons why your claim may be denied, including:
- You did not report your injury or illness to your employer within the required timeframe.
- Your injury or illness was not caused by your work.
- Your injury or illness was caused by your own willful misconduct or intoxication.
- You do not have a disability that meets the definition of workers’ compensation law.
If your claim is denied, you have the right to appeal the decision. You will need to file an appeal with your state’s workers’ compensation board. The board will review your claim and make a decision.
Here are the steps on how to appeal a denied workers’ compensation claim:
- Get a copy of the denial letter. The denial letter will explain why your claim was denied and will provide you with instructions on how to appeal the decision.
- File an appeal form. You can obtain an appeal form from your state’s workers’ compensation board or online.
- Submit your appeal form and supporting documentation. Your supporting documentation may include medical records, bills, and witness statements.
- Attend an appeal hearing. The appeal hearing is a formal proceeding where you will have the opportunity to present your case to a workers’ compensation judge.
It is important to note that the appeals process can be complex and time-consuming. It is always best to consult with an attorney to help you with your appeal.
This article is for general informational purposes only and is not legal advice. Contact us today to discuss your specific situation.