Has Your Claim Been Denied? Top Reasons for Worker’s Compensation Denials

If you have been injured at work, you may think that you are entitled to worker’s compensation, right? Not always. Many people believe that just because an injury happened at work, they can recover their losses in court. Although this would be ideal, you should not be surprised if you receive a denial letter in the mail with your name on it.

Employers and insurance companies will deny worker’s compensation claims to save themselves money. Unless the claim is substantiated with evidence and witnesses, it may be hard to even begin proving your case. If you do receive a denial in the mail, do not stress. Simply file an appeal.

If you have been denied and you are wondering why, explore the following reasons to learn why many employers deny worker’s compensation claims.

Seeking the Wrong Medical Attention

When you are injured on the job, you may be confused and scared. Before you head off to your doctor or chiropractor, discuss what your employer would like you to do. Many employers have doctors they work with to evaluate the claim.
If you make the mistake of missing an appointment or not following up with the correct physician, you will find a denial letter waiting for you.

Waiting too Long to File

When injured on the job, you only have a certain number of days you can wait to file a claim. While some people file the claim as soon as the injury occurs, you have 90 days to file the claim in Las Vegas. If you do wait until the deadline, be prepared to possibly answer questions about why it took so long.

Failure to Notify the Employer

As soon as an injury occurs on the job, no matter how minor it seems, you must notify your employer. You will need to fill out forms and sign papers related to your injuries. Your employer may ask you what happened to lead to the accident and how the injury was handled. It is not uncommon for employers to ask employees to take a urine or blood drug test after an accident to determine if you were negligent. Failure to notify your employer of an injury may result in a denial of your claim.

No One Saw the Injury Occur

If you work alone or you happened to be alone when the injury occurred, your employer may try to disprove that the injury happened at work. If there are witnesses, ask them to speak up for you and explain what happened.

Seek an Attorney When You Need Help

If you are having trouble understanding the laws, paperwork, or doctor’s orders, hire an attorney to help you sift through everything. Worker’s compensation cases can be denied for many reasons. You do not want to risk the chance of your case being tossed out.

Hire a good attorney, document all injuries, and go to all doctor’s appointments and follow ups. Proving your worker’s compensation case may seem difficult, but with the right mindset and paperwork, it will be no problem.

Bighorn Staff

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