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Common Reasons Workers’ Comp Claims Are Denied

On Behalf of | Jul 5, 2017 | Workers' Comp |

Workers’ comp benefits are intended to provide a safety net to help injured workers with their medical expenses and lost wages. However, obtaining these benefits can be a challenge for many workers. Each year, thousands of compensation claims are denied to workers who feel entitled to benefits. Below, we explain a few of the common reasons a workers’ comp claim might be denied.

  • Injury Wasn’t Reported On Time: Workers are required to report their injuries within 30 days of the incident.Failure to do so can disqualify you from compensation benefits. If you are injured at work, you should immediately report it to your supervisor or manager.
  • Nobody Witnessed the Injury: It’s important to document witnesses that might have seen your injury happen. Without witness statements, your injury claim can be difficult to substantiate and might result in your compensation being denied.
  • Proper Medical Care Wasn’t Sought: Employers often have a list of medical providers that have been approved by their insurance company. If your injuries are treated by a doctor who is not on your employer’s authorized list, your claim might be denied.
  • Discrepancy Exists Between the Accident Report and Medical Records: You must disclose all injury-related symptoms to the doctor. Failure to do so can jeopardize your claim. Promptly seeing a physician can help limit the appearance of a medical discrepancy.
  • The Injury Didn’t Happen at Work: Pre-existing injuries are not covered by workers’ compensation benefits, unless the injury was aggravated by a work-related accident. This includes injuries that might occur on the way to or from work.
  • Confirmation of Alcohol or Drugs: Your claim can be denied if your blood work reveals that you were under the influence of drugs or alcohol at the time of your accident.

Speak With Our Workers’ Compensation Attorney Today

At the Law Offices of Andrew B. Shin, we understand how important workers’ comp benefits are for your recovery and financial stability. Our workers’ compensation attorney can help protect your rights and fight for the compensation you deserve.

Contact our skilled lawyer, or call 408-341-6025 for a free case evaluation.