How to Appeal a Workers’ Comp Claim Denial

How to Appeal a Workers’ Comp Claim Denial

In the event of an on-the-job injury, you expect that you will receive benefits in the form of workers’ compensation. Almost all employers in the country are required to have a workers’ compensation insurance plan that will cover the medical expenses and lost wages of employees who are injured at their place of work.

Sadly, you may not receive compensation for your on-the-job injury. Employers, and their workers’ compensation insurance providers, sometimes deny employee claims. When this happens, it is possible to appeal their denial, and eventually, receive the benefits you deserve.

Reasons for Workers’ Compensation Denial

There are a variety of reasons your employer may give for denying your workers’ compensation claim. Common reasons for workers’ comp claim denial generally relate to either the accident itself, or how the claim was handled in the aftermath.

Examples of reasons for denying a workers’ compensation claim include:

  • There were no witnesses to the injury, or other reason to believe the injury is not work-related.
  • The employee was under the influence of alcohol or drugs, or otherwise engaging in misconduct, at the time of their injury.
  • The claim was not filed in a timely manner.
  • The worker’s account of the incident does not correlate with medical records or witness testimonials, or the worker is providing insufficient evidence.

The Workers’ Compensation Claim Denial Appeal Process

So, your workers’ compensation claim was denied — now what do you do? Start by inquiring about the reason your claim was denied and collect all relevant documentation about your case and the denial. With this evidence, you can begin the process of building a case and filing a formal appeal. Our attorney can help.

Before pursuing any appeal action, the first thing you should do following a workers’ comp claim denial is contact our lawyer. At The Law Offices of William F. Underwood, III, P.C., we can guide you through the appeals process, answer your questions, and get the benefits you are entitled to.

Use our contact form or call (229) 999-4476 to schedule a free case evaluation.