Workers' Comp Claims: 3 Reasons Why Your Claim Could Be Denied

Posted on: 17 June 2022

Every employee who gets hurt at work is entitled to compensation to cover all the losses they incur. However, many will foot accident-related expenses from their pockets because their claim applications do not succeed. Some employers and insurers deny workers' lawsuits despite having genuine cases. You may also find yourself in such a situation after being injured in the line of duty, especially without the right legal help. That's why you need to know the reasons that could make your boss or their insurance provider deny your seemingly strong lawsuit.

Failing to Meet the Deadlines 

The workers' compensation process starts when you submit the relevant documents containing all the essential information about the accident and your condition to your employer's insurer. Also, you have to do this within the specified period. Failure to meet the set deadlines could lead to a denial of your claim. That said, you can file your lawsuit later if you have a good reason for missing the deadline. However, you should expect a heated argument with the insurance agents because they might argue that you never sustained the injuries during the said timeline. The best way to ensure that you meet the filing requirements is by working with a workers' comp lawyer. They will assist you in filling out the documents and filing your application before the deadline.

Varying Reports

Your employer might disapprove of your claim if some of the details in your report differ from their records. For example, they might argue that the accident did not happen where and how you say it did. The best way to avoid disputes is by discussing the incident with your lawyer and anyone else involved in your claim. They will preserve the essential details of the chronology of events before, during, and after the accident.

 Lack of Supporting Documents

The insurance provider requires as much information as possible about your injuries to gauge the payment they will offer you. Therefore, if you don't provide all the required documents, they might use that as a reason for refusing to accept your application. Your lawyer can assist you in gathering all the essential documents to make your claim as strong as possible.   

You have a right to appeal your employer or their insurer's decision to deny your claim. However, you may want to work with a workers' compensation lawyer to boost your chances of qualifying for the benefits. They will file a court case so the jury can review it and compel the insurance company to pay you the compensation you deserve.