4 Reasons for Workers Compensation Denials

The state of California does a good job at protecting workers who are injured on the job. However, many workers’ compensation claims are denied due to mistakes, attempts to avoid responsibility, or a variety of other reasons. If your workers’ compensation claim has been denied, it could be for one of these 4 common reasons.

1. Due Date

You must report your injury as soon as possible. Waiting to report your injury can cause problems for your case.

After an injury occurs you also have a short period of time to complete all of your documents and turn them into the correct individuals. If you do not act quick enough, the insurance company is more likely to deny your claim. 

2. Lack of Treatment

After an injury it’s also important to seek medical attention as soon as possible. Finding a doctor that is familiar with the workers’ compensation system is usually a good resource to get the paperwork you need to move forward in the claims process. 

3. Employer Disagreements

Your employer may choose to dispute your claim. Oftentimes, these disputes are for valid reasons, such as; intoxication or workplace violence. However, in other cases, employers just want to avoid higher insurance payments in the future. 

4. Non-Work Injuries

After you make a claim the insurance company might decide that your injury did not occur at work. This is especially common for repetitive stress injuries. If you believe that it did, you might be able to prove your point by providing the proper evidence. 

If you have received a denial of your workers’ compensation claim, it doesn’t have to be the end of the process. In each of these cases, it is often possible to appeal the claim denial with the help of a certified workers’ compensation specialist.

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Cole, Fisher, Cole, O’Keefe + Mahoney is Central California’s leading workers’ compensation and social security disability law firm. With over 30 years of successful experience, we are committed to securing maximum benefits for our clients in the Fresno, California area. Schedule a free consultation today.