Can You Appeal Your Workers’ Comp Claim?

Denied workers’ compensation claims are not uncommon. There are many reasons why workers’ compensation claims get denied, but the good news is — you have the right to appeal. The appeals process can be complex and if you want to have a positive outcome in your workers’ compensation claim appeal, here are some steps to take:

Why Was Your Claim Denied?

First and foremost, it’s important to understand why your workers’ compensation claim was denied. Here are some common reasons:

  • The injury was not reported in time
  • Missed claim deadline
  • The employer has disputed the claim
  • Claimant failed to obtain medical treatment
  • Insufficient evidence to support injury happened at work

Appealing Your Workers’ Compensation Claim Denial

Once you understand the reason why your workers’ compensation claim was denied, you have the option to appeal the decision. However, there are some things to consider first:

  • Was the denial due to an error?
    If you think that your denial was due to an error in paperwork, consider contacting the claims adjuster to see if you can resolve the error, but this route doesn’t usually prove to be a successful resolution. If you are unable to get a resolution, then you will need to move forward with appealing the denial.
  • Read the denial letter carefully
    Your denial letter will come with instructions on how to appeal. The first part of the appeal usually involves appearing before an administrative law judge. You will need to present medical and other evidence about your work-related injury to support your claim.

Have a Workers’ Compensation Attorney on Your Side

Appealing a workers’ compensation claim on your own may prove to be a daunting task. There can be a lot of “red tape” to go through and without understanding how the appeals process works, you may find it incredibly frustrating. You will be expected to know the rules and procedures involved with the workers’ compensation appeals process — a stressful requirement. Don’t let inexperience get in the way of a successful claim. Having legal representation can help you present a strong case.

If you have been injured at work and need assistance with filing a workers’ compensation claim or appeal, Law Offices of Bo Katzakian can help! Contact us at (844) 311-7793 to set up a free case evaluation today!







 
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