Sustaining a serious injury at your workplace can be overwhelming, and the prospect of a denied worker’s compensation claim adds to the stress. Many workers in the state encounter this issue, hindering their access to critical support during a difficult time.
This blog will explain the common reasons for denials and help you avoid pitfalls. By gaining insight into these critical issues, you can be ready to pursue the compensation you deserve.
3 common reasons for denial
Several components can lead to a denial when filing a worker’s compensation claim. Here are three common reasons why insurance companies may refuse to pay for support:
- Injured outside of work: The insurance company might not approve your claim if an injury occurs in your personal time or while breaking workplace rules. To increase the chances of approval, you must show that the injury happened because of something related to your job.
- Failed to report the injury: Many states require workers to inform their employers within a specific timeframe, often as short as ten days. Delays in reporting can hinder the employer’s and insurance company’s ability to investigate the incident effectively, which can result in a denial.
- Had insufficient medical evidence: If you seek financial assistance, you must have good medical records. This means seeing a doctor right away and following their advice. If your medical records aren’t complete or don’t clearly show how bad the injury is and how it happened at work, the insurance company might deny your claim.
Employees can take proactive steps to strengthen their claims by understanding these potential pitfalls. They can use this information to inform their next steps, increasing their chances of receiving financial assistance.
Get compensation for injuries sustained at work
Understanding the common reasons for claim rejections is critical for individuals who got hurt at work. If you are facing a denial, consider talking to a legal professional to know what to do and get valuable advice.