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What To Do If Your Workers’ Compensation Claim Is Denied?

When filing a worker’s compensation claim, it is crucial to keep in mind that even a small error could result in the claim being rejected. So, if you are applying for a workers’ compensation claim, it is important to understand the reasons that could result in the claim being denied. 

However, if your claim is already denied, then take a deep breath and get in contact with the workers’ comp lawyer Newport News and find out a way to fix it. For now, read this post to understand what process should be conducted next.

What Should I Do If My Workers Compensation Claim Is Denied?

If your worker’s compensation claim is denied, then you should find out the reason for it first and then contact an attorney to file a case for your compensation claim. 

Your attorney will help you apply for adjudication of the claim. This application will be filed at the DWC office of the country where you reside or the place where you got injured. 

Once you complete this process with the help of your attorney, you will receive the notice of confirmation of application. After this, your attorney will present your case to the judge in the court, and you can receive your workers’ compensation claim. 

However, to win the case, you will be required to prove these two points.

  • The injury happened in your workplace.
  • Your injury is the major reason for your disability.

Along with these two points, you will be required to collect more evidence to recover your workers’ compensation claim after knowing the reason for the denial of your workers’ compensation claim.

Why Is My Workers’ Compensation Claim Denied? 

  1. Injured during lunch break

Injuries that occur during lunch breaks are denied the workers’ compensation claim. The employees are not considered on the job during breaks; therefore, you should consult with your attorney to examine the compensation guidelines carefully.

  1. Treatment from an unauthorized center 

There are specific healthcare providers provided for your first aid after an injury, and if you went to an unauthorized center, then your workers’ compensation claim will be denied. 

However, in severe injury cases, you can visit the nearest healthcare provider and still apply for a compensation claim.

  1. Late and improper paperwork 

The insurance company accepts applications for injury claims only when you report your injury to the employer within a particular period. Therefore, your late reporting can result in the denial of your worker’s compensation claim. 

However, if you have reported the incident on time, your claim can be denied due to improper statements of the incident, incomplete medical records, etc. So make sure to report your injury in a timely with the required documents and a clear statement.

  1. Dispute with employer

Your employer’s statement matters during your compensation claim approval, and if it does not match your statement, then your compensation claim will be disqualified. 

Your employer can disagree with the incident that caused you injury and the insurance company will record it to prove you fraudulent.

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