Why Was My Workers' Compensation Claim Denied?

Posted By Law Offices of Wax & Wax || 15-Feb-2016

If you have suffered a severe, debilitating injury in the workplace, few things are as frustrating and stressful as having your workers’ compensation claim denied. You are likely in need of money to cover your expenses and cost of treatment, and may be unable to work due to your injury. A skilled Glendale workers’ comp attorney, such as our team at The Law Offices of Wax & Wax, can help you appeal this decision and obtain the benefits you need and deserve. In this blog, we explore four common reasons why workers’ compensation claims are denied.

We can help you pursue the benefits you need. Contact us today for your free case evaluation.

You Didn’t Report the Injury or File a Claim on Time

In California, you have just 30 days from the date of your injury to notify your employer. For chronic conditions or other injuries which occur over time, you have 30 days from the date you suffer disability due to the injury.

As a best practice, however, you should report the injury to your employer as soon as possible. The sooner your report your injury, the more likely it is that the insurance company will take your claim seriously.

Your Employer Disputed the Claim

Workers’ compensation is an insurance policy – just like your car insurance, the rates will increase if you have to use it. As a result, many employers will dispute aspects of your claim, such as whether or not the injury even happened at work. For this reason, it is critical to retain a Glendale workers’ comp lawyer who can help you build an airtight case.

Your Report & Medical Records Don’t Match Up

It is very important that your injury report to your employer be supported by your medical records. As an extreme example, employees who report a broken leg, but actually suffered a broken arm, will have their claims denied. More commonly, injuries are exaggerated in a report in an attempt to strengthen the workers’ comp claim – the alleged broken leg is simply a sprain, for instance.

You Filed After Being Laid Off or Fired

Sometimes, insurance companies will deny legitimate claims because they think the employee is acting vengefully after being fired or laid off. It is often difficult to convince these companies that your claim has merit, but it is possible with help from an experienced Glendale workers’ comp lawyer. This serves as a reminder, however, of the importance of reporting your injuries as soon as possible.

Have you been hurt in Glendale, Santa Clarita, or any of the surrounding communities? Call (818) 946-0608 today to learn how we can help.

Categories: Workers' Compensation
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