Workers’ Comp Claim Denied? Here’s Possible Reasons Why

Workers’ Compensation Attorney

If your workers’ compensation claim has been denied, there are a myriad of reasons why that could have happened. What you may not realize is that you have the right to appeal this decision if you wish to do so. First, you have to assess why your claim was denied, and then by working with a lawyer you can file an appeal and build a strong case for yourself. Reasons for a workers’ compensation claim denial are listed below:

Your injury happened outside of work.

To be eligible to receive workers’ compensation benefits, the injury must have occurred while performing a job duty. So, if you work at an office and tripped on loose cords, then you’re probably owed benefits. The same is true if you were performing a job duty while traveling and an injury accident happened while you were away from your usual place of work. 

You didn’t notify your employer on-time.

Injured workers only have a designated period of time to come forward and report an injury accident. If they wait too long, then they may miss their chance at receiving benefits. This is why workers are strongly advised to inform their employer about the accident right away, so they don’t hinder their chances at getting benefits.

You were under the influence or instigated a fight.

If your employer has a workers’ compensation program, then you have the right to request treatment and coverage for medical care costs. Any evidence that suggests a worker was under the influence of drugs and/or alcohol, or instigated an altercation with a coworker, may be denied benefits. 

As a Workers’ Compensation Attorney at Rispoli & Borneo P.C. would agree with, many injured worker’s compensation claims are wrongfully denied. So being informed about your rights and options by law can help you get the care you need to recover.

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