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Working against a workers’ compensation claim denial

On Behalf of | Dec 21, 2017 | Workers' Compensation

If you were hurt at work, your situation may feel very overwhelming. A work accident could mean expensive medical bills and time away from work, and this could lead to financial duress for your Ohio family. For this reason, you may have valid grounds to seek workers’ compensation benefits.

Even with a valid claim to these benefits, however, it can be quite difficult to actually get the help you need. You may be discouraged to learn that your initial workers’ compensation claim came back denied, but it is not the end of the road for you. If denied, you may find it useful to understand the reason for the objection to your claim so that you can move forward with the appropriate course of action.

Understanding why claims come back denied

There are many reasons why a workers’ compensation could come back denied. You may know that workers’ compensation insurance companies do not have your best interests at heart. In fact, in many cases, it is possible that they will do everything possible to avoid paying the full amount you deserve. There are several reasons why a workers’ compensation could come back denied, including the following:

  • Your employer is disputing the claim or the insurance company is claiming that the injury is not eligible for compensation.
  • The insurance company claims you did not report the injury in the appropriate amount of time or file the claim within the required window of time.
  • You did not include sufficient evidence proving that injury was work related or required medical treatment.

Once you understand why your claim came back denied, you could decide if you wish to appeal. You may need to include additional information and medical documentation to prove you have a rightful claim to workers’ compensation benefits.

Navigating the appeals process

You have the right to appeal your denied claim, yet you do not have to navigate the process on your own. Effectively preparing an appeal can be complicated, but you may find it beneficial to first seek the assistance of an attorney who can help you reach your goals.

An accident at work may have left you injured, but you could make a claim for benefits that will allow you to get the medical care you need and recover a portion of your lost wages. You may find it helpful to seek a complete evaluation of your case before you file a claim or appeal a denied claim.