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Why Was My Workers’ Comp Claim Denied?

People who file a claim for workers’ compensation shouldn’t be too surprised by a denial. Worker’s compensation insurance companies will do their best to save every penny they can. Most insurance companies earn money by collecting premiums and can lose a substantial amount by paying for claims. An insurance company, therefore, might deny your claim in the hopes you’ll give up and accept defeat. However, there are other reasons your claim might have been denied.

You should have been informed of your denial by mail. Your denial letter should list the reason for the rejection, such as not meeting eligibility requirements.

Common reasons workers’ comp claims are denied can include (but are not limited to) the following:

  • Injury wasn’t reported in time
  • Claim was not filed in time
  • Employer is disputing claim
  • Injury is not compensable
  • No medical treatment was received
  • Insufficient evidence the injury was work-related

Once you know the reason for the denial, you can appeal the decision if the reason was invalid. The denial letter should provide a deadline for filing your appeal, which varies by state. You might also want to contact an experienced workers’ comp attorney to discuss your case.

A lawyer can look at the details of your situation and offer you a knowledgeable and honest opinion about whether you can successfully appeal the denial. Appeals can be complicated, particularly for workers’ compensation. Your case is best handled by a qualified workers’ comp attorney.

If you need to appeal a denial, let us help. Humphrey & Associates is dedicated to helping injured workers fight for the benefits they deserve. We have more than 20 years of legal experience to offer your case. Let us see what we can do for you.

Contact us at (844) 612-5800 or fill out our online form to schedule a free case consultation today.