My Employer And The Insurance Company Have Denied My Claim For WC - What Should I Do?

On Behalf of Rosenthal, Levy, Simon & Sosa | August 10, 2022 |

If you have been injured at work, it can be incredibly disheartening to find out that your workers' compensation claim has been denied. Every year, thousands of workers in the United States face a rejection of workers' compensation claims, but that doesn’t mean there is nothing you can do about it. There are ways that you can appeal your claim, and it might be beneficial to speak with a Port St. Lucie workers' compensation attorney first.

At Rosenthal, Levy Simon & Sosa, we understand how challenging it can be for a worker to focus on their recovery if they are facing weeks to months of being unable to work with little or no income. If you have suffered a job-related injury, we can help you file a workers' compensation claim to determine what benefits you're eligible for.

Additionally, should your claim be rejected by your employer and insurer, we can work alongside you to help you determine the best course of action. We have written this article to help give you an idea of what you can do.

What Are The Common Reasons Why Employers And Insurers Deny Workers’ Comp Claims?

There are many reasons why employers and insurers deny workers' compensation claims. Knowing more about why your claim was denied can help you during the appeals process. See below to learn more about the most common reasons why this type of claim is commonly denied.

What You Can Do If An Employer And Insurer Have Denied Your Workers’ Compensation Claim

When an employer and insurer have denied your claim, you have options. The first thing you should do is determine why your claim was denied. Usually, you will receive a letter detailing the exact reason your employer and insurer do not want to grant you benefits.

Should you believe that your claim was denied because of a paperwork issue, you can try to contact the claims adjuster to establish if they can be of assistance. Unfortunately, most times, you will need to appeal the denial, and although you can do this on your own, it's better to use the services of an attorney who has experience with the appeal process.

Usually, the letter denying your claim will include the information you need to appeal the denial. In most instances, the first level of appeal will be to attend a hearing before an administrative judge. At this hearing, you will be required to present supporting evidence, including medical documentation demonstrating that your injuries or illness are job-related.

In addition, you should note that there are levels of appeal beyond the initial administrative levels, so it's best to work with an attorney who can guide you through the process.

Contact A Port St. Lucie Workers’ Compensation Attorney Today To Discuss Your Case

As can be evidenced, appealing a workers' compensation claim denial can be incredibly complex and challenging to navigate. With so many reasons for refusal and limited opportunities for appeal, you should consider speaking with a Port St. Lucie workers' compensation lawyer. Some of the best workers' compensation lawyers in the area belong to the Rosenthal, Levy Simon & Sosa law firm. At our firm, we understand your frustrations and will work alongside you to ensure you have the best chance possible at receiving benefits after an appeal. To speak with us, you can contact us here or visit us in person to arrange an obligation-free consultation.