What Do I Do if My Workers’ Comp is Denied?

Places of business generally protect their interests with workers’ compensation insurance. Most states require that employers offer coverage to their employees in case of an accident at the workplace. However, just because your place of business offers insurance does not mean that your claim will automatically be approved.

If your workers’ comp was denied, you still have options. Your first step should be to contact a Workers’ Comp Lawyer if you do not already have representation. The Workers’ Comp Lawyers at Tolbert Beadle will explain the appeals process and what you can do if your claim was denied.

Why Was Your Claim Denied?

The first step your Workers’ Comp Lawyer will take is to find out exactly why your claim was denied. You will receive a denial letter that should explain in more detail. Some examples include: not meeting eligibility requirements, claiming the business was not at fault for the injury, or simply a missed deadline.

There are plenty of reasons why your claim may have been denied, but that does not have to be the final word on the matter. An experienced Workers’ Comp Lawyer, like the team at Tolbert Beadle, can continue to fight to ensure that you get the compensation that you deserve.

Appealing a Workers’ Comp Denial

Now that you have been informed as to why your claim was denied, you can begin the appeals process. Before you launch an official appeal request, it may be a good idea to speak with your employer or the insurance company to determine whether the dispute is easily resolved. Something like a clerical error or simple misunderstanding may bring the claim to a resolution. If your claim cannot be easily resolved, it is time to file an appeal.

It should be first understood that an appeals process is a complex procedure and a Workers’ Comp Lawyer is best prepared to handle your case. The appeals process varies by state, but in general, you will often have a hearing scheduled with an administrative law judge.

You will want to bring any documentation, including medical records that address the reason for your initial denial. This could be a second medical opinion, a timesheet showing you were at your place of business when the injury occurred, or any other evidence that can help to prove your case. The more information you can provide to the judge, the more likely your claim will be approved.

In Need of a Workers’ Comp Lawyer?

Tolbert Beadle LLC has an experienced staff of Workers’ Comp Lawyers that are ready and willing to take the fight to your employer or the insurance company. Our team will work to ensure that you get your deserved compensation. Contact us today to speak to a Workers’ Comp Lawyer by calling the Hurtline (1800-HURTLINE).