Customer Inquiry

Our last post was about worker’s comp claim denial as well. However, there are plenty more reasons as to why a worker’s comp claim faces denial. So, we’re going to list out a few more reasons why your claim can face denial…

Worker’s Comp Claim Denial Reasons, Part II

Not filing paperwork on time

One simple reason that leads to a lot of rejected claims, is not submitting the paperwork in a timely fashion. Keep in mind that employers, and their insurance companies do not want to pay out worker’s comp claims. For this reason, it’s important that you hit your marks when it comes to following the guidelines set forth for you. Make sure you adhere to deadlines carefully.

Your injury is the result of horseplay

If your injury was a result of doing something outside of your job description, rather— if your injury was a result of doing something you shouldn’t have, it’s easy to lose out on those benefits. Worker’s comp claims are there to care for the worker’s who were performing necessary duties, and are hurt as a result.

Your injury is from a pre-existing condition

One common reason for worker’s comp claim denial, are pre-existing conditions. Your employer is not responsible for a back injury you did not sustain while working. However, if your injury is worse due to the job? You’re the exception to the rule. However, these injuries can be difficult to prove sometimes. Furthermore, your employer might try to prove that your condition is naturally progressing, rather than made worse by the requirements of your job. This is one of those difficult gray areas to deal with in worker’s comp, and might increase your need for an attorney.

Speaking with Your Attorney

The thing to be aware of, is that every claim does not require an attorney. If your injury was minimal, will be dealt with quickly and properly, and your employer is being cooperative— you’re likely just fine going without. However, when injuries get serious, or your employer begins to refute their responsibility, it’s best to seek out representation quickly.