Denied Claims: Reasons for Denial and What to Do Next

Denied Claims: Reasons for Denial and What to Do Next

On Behalf of Rosenthal, Levy, Simon & Sosa | July 29, 2024 | Workers' Compensation

If you’ve suffered an injury on the job, you are entitled to workers’ compensation. However, if your claim has been denied, it puts you in a very challenging position. Workers’ comp claims are denied more often than most people realize. The denial you received, however, isn’t necessarily the end of the matter, and an experienced West Palm Beach workers’ compensation attorney can help.

How Workers’ Compensation Works 

The objective behind workers’ compensation is to strike a balance between the rights of employers and employees alike – while supporting commerce. In the process, the matter of fault is taken out of the equation. While employees give up the right to sue their employers, they are guaranteed coverage in the event they suffer an injury on the job. And while employers are required to purchase workers’ compensation insurance for their employees, they are protected from the personal injury lawsuits that employees might otherwise file against them.

Protecting Your Claim from the Outset 

To begin, there are several steps you can take to protect your claim from denial and to fight a denial if it occurs, including:

• Seek immediate medical attention if you’re injured on the job, or do the same as soon as you recognize that your work has left you ill or injured.
• Let your boss, supervisor, or manager know that you were injured in the course of your work as soon as you can. Doing so triggers the workers’ comp claims process.
• Follow your doctor’s instructions and advice carefully.
• Consult with a knowledgeable workers’ compensation attorney as soon after the accident as possible.

Common Causes for Denials 

Some of the most common reasons workers’ compensation claims are denied include:

• Lack of medical evidence backing up your claim of a serious injury.
• You can’t relate the injury to work, such as if it occurred while you were off the clock.
• Your injury isn’t covered, such as if it relates to an illegal act or if you were injured while participating in a work-related social activity that wasn’t mandatory.
• There were errors in your claim application.
• You missed the 30-day window for filing a claim.

Working with a skilled workers’ compensation attorney from the start helps ensure that your claim proceeds smoothly. And if you do run into any problems, your attorney will be well prepared to effectively address them before they snowball into more serious concerns.

Discuss Your Claim with an Experienced West Palm Beach Workers’ Comp Attorney Today 

The capable West Palm Beach workers’ compensation attorneys at Rosenthal, Levy, Simon & Sosa are committed to fiercely advocating for a settlement that addresses your full range of covered losses in support of your complete recovery. Your claim is important, so please don’t delay reaching out and contacting us online or calling 561-478-2500 for more information about what we can do to help you today.