Appealing a Denied Workers’ Compensation Claim

Springfield, Jefferson City, Columbia

Workers’ compensation cases can drag on for a long period of time, causing stress and worry for the injured party. If a workers’ compensation claim is denied, it can be upsetting and leave the injured person not knowing where to turn to next. If your claim has been denied, a workers’ compensation lawyer can help you understand why and what to do next.

Why was my workers’ comp claim denied?

There are a variety of common reasons for a workers’ compensation claim being denied. When you receive your denial, the insurance company or employer should inform you why your claim was denied.

For example, if you waited too long to submit your claim, it may look suspicious to insurance companies. They will question why you waited to submit your claim. If you’ve been injured or fall ill, it’s important that you submit your claim within a reasonable amount of time.

Other common reasons for denying a workers’ compensation claim include attempting to claim injuries not sustained at work or a non-serious injury that didn’t require medical treatment or time off work.

Another reason may be that you do not consult a doctor to address the problem. Without proof of injury from a medical professional, employers and insurance companies will try to avoid honoring your claim.

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How do I file an appeal?

Once you know why your claim was denied, you can explore filing an appeal.

Filing a workers’ compensation appeal can be complicated, and a workers’ compensation attorney is best prepared to help you. 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 prepare and 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.

How can I win my workers’ comp appeal?

The most important things to remember when appealing a workers’ compensation denial is to be prepared, have your evidence ready, and understand your rights.

While you don’t need to hire a workers’ compensation attorney to file an appeal, it’s generally recommended. In an appeal case, your employer and the insurance company will have legal representation, so you will also most-likely want someone with the legal know-how to represent you and your interests.

Tolbert Beadle has experience working with all types and stages of workers’ compensation claims. If you’re needing a consultation, contact us, and we’ll be happy to talk through your case and your options.

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At Tolbert Beadle, LLC, our workers’ comp lawyers have the knowledge and experience to give you the best chance at fighting for the compensation you deserve. Make sure to have our team and resources on your side. Contact us for a free consultation.