Workers’ Compensation: Reasons for a Denied Application

Per state law, nearly every person who is injured while at work will be entitled to receive workers’ compensation benefits. Workers’ compensation benefits can help an injured worker alleviate any financial burdens associated with a serious injury. Regrettably, employers and their insurance carriers can sometimes deny legitimate claims.

If you are in the process of filing for a workers’ compensation claim, understanding the reasons for a denied petition can help you avoid common mistakes. In the event that you have already filed a workers’ compensation claim where you received notice of a rejection, you should know that you have the legal right to make an appeal. Consider speaking to a qualified workers’ compensation attorney on how you can appeal a denied claim.

Common Reasons for a Denied Workers’ Compensation Application

The workers’ compensation system in the state was designed to provide injured workers quick monetary benefits upon injury. When an employee is injured and has already begun to receive benefits, the insurance company will investigate the claim. Once their investigation has concluded, the company will continue to provide benefits, deny benefits, or lessen the amount of benefits distributed to the injured worker.  The following are common reasons behind workers’ compensation claim denials:

The injury did not occur while at work – This reason can be particularly challenging for those who drive for a living. Providing a copy of the driving record can help in the appeal.

The injury did not occur while the worker was performing his or her job duties – Many insurance companies can argue that the injury occurred as a result of the employee’s misbehavior or horseplay. Another common reason for this could be accusing the employee of working while under the influence.

The injury was caused by a preexisting medical condition – When an insurance company does not provide benefits on the basis that the employee already had the condition, a medical report can indicate that even if this was correct, the condition was made worse by the accident.

There is no indication of a debilitating injury – In certain situations, the insurance company may claim that the injury is minor and does not prevent the worker from returning to work.

Regardless of the reason for a workers’ compensation claim denial, filing a claim appeal can be a very daunting legal matter. If you are filing for a workers’ compensation claim or are facing an appeal, seek the legal support of a qualified and well-versed attorney. An appeal may offer you the opportunity to maintain your benefits and it can also help you in the event that you are not receiving the benefits you truly deserve.

Don’t Delay Taking Action; Seek Qualified Legal Support As Soon As Possible

Upon receipt of a denied workers’ compensation claim, you should not consider the rejection finalized. Consider speaking to an experienced attorney who can help your identify your legal options.

Attorney Albert Hirst has many years of dedicated experience handling denied claim cases. Attorney Hirst has a track record of successfully appealing a denied claim and expediting the complex process. When you have been denied workers’ compensation benefits, don’t delay; speak to a proficient attorney today.