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What Are My Options if My Workers’ Compensation Claim Is Denied?

If you have been injured while at work and are seeking workers’ compensation, you likely have a pressing need for reimbursement. This is especially true if your injury is more serious and keeps you out of work for any amount of time, as this can place a financial burden on you and your family. Your injury may be keeping you from earning the money you need to afford your mortgage, auto loan, student loans, and other regular payments. Work-related injuries can also create significant losses for workers and their families by creating hefty medical costs for surgery, medication, rehabilitation, and other necessary treatments.

What to Do When You Are Denied Workers’ Comp Benefits

When your workers’ compensation claim is denied, it can put even greater distance between you and the money you need to afford your injury-related costs and losses. (If your workers’ compensation claim has been denied, it is worthwhile to explore the potential causes.)

As soon as you receive notice that your claim has been denied, it is important to appeal the decision within the time frame stated in your official workers’ comp denial letter. (This is typically 30 days.) Before doing so, it may be clarifying and helpful to set up a meeting with your employer to ask questions about your workers’ compensation claim and seek answers as to why you were denied. In some cases, workers’ comp denials can be the result of administrative oversight, confusion about the initial application, or other easily-resolved mix-ups.

When you do so, it may be very helpful to bring in record of a subsequent medical examination, further documentation of the status of your injuries and the costs you continue to incur as a result, and any other proof you may have that demonstrates the work-related nature of your injury.

However, if your workers’ comp denial was not a mix-up and your employer stands by the decision or does not offer you any recourse, you may need to take legal action in order to get the compensation you need.

Speak with an Experienced Workers’ Compensation Attorney in Orange County Today

At Humphrey & Associates, we understand that time is of the essence—especially when it comes to getting the money you need to afford the costs of treating an injury. When you bring in our team of aggressive workers’ compensation lawyers, we make it our mission to get you the fair treatment you deserve so that you can recuperate, be reimbursed for the costs of your injury, and ultimately get back to work.

It is also important to secure legal representation as soon as possible because, in cases of more serious injury, workers’ comp may not provide the funds you need to afford your medical expenses. If your injuries keep you out of work for a significant amount of time, your ability to perform your job is significantly reduced, or your medical expenses total more than a few hundred dollars, a personal injury lawsuit may be the only way to recover the compensation you need. In either case, we are here to help you and assist you in taking the best path forward.

If you have been held up by a workers’ compensation claim denial or you are experiencing pushback from your employer, let us help you. Call (844) 612-5800 to speak to one of our skilled workers’ comp attorneys today. You can also send us a message to schedule your initial consultation.