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A denied workers’ compensation claim is not the end of the road

On Behalf of | Jun 6, 2020 | Firm News |

When you suffer injuries in a work-related accident, you know how important it is to get financial help quickly. When you can’t work, you can’t support your Texas family and pay for things you need. This is why workers’ compensation benefits exist. The intent of this type of insurance is to provide injured workers with the ability to have a source of income during their time of recovery.

If you were hurt in a work accident or you became ill as a result of your accident, you could have grounds for a workers’ compensation claim. However, it’s not always easy to secure these benefits, even with a valid job-related injury. Some workers’ comp claims even come back denied, leaving the applicant with no financial support. If this happened to you, you have the right to understand why your claim was not successful and continue your pursuit of the benefits you need.

Why a denial?

There are many reasons why a workers’ compensation claim may come back denied. It may help to remember that insurance companies are most interested in their own bottom lines, not the best interests of claimants. Thankfully, you can challenge a denial, strengthen your claim with additional documentation and appeal. Some of the most common reasons for a denial include:

  • The insurance company says you did not file the claim on time or report the injury within the required window.
  • Your employer is disputing your claim, saying your injuries happened outside of work or the result of inappropriate behavior at work.
  • There is no evidence that medical treatment for the injury was necessary.
  • Your injuries are not compensable, or you did not include enough evidence in your claim.

Once you understand the reason why your claim came back denied, you can then move forward with an appeal. You will likely need to do this within a certain window of time. It may be necessary to gather additional documentation or take other steps to increase your chance of success with your appeal.

Your recovery

You have the right to fight for what you need to get better and move forward after a work accident. If you need to file a workers’ compensation claim or appeal a denied claim, you do not have to take these steps alone. There is significant benefit in working with an experienced attorney at every step of this process. Before you move forward, you may find it helpful to seek an assessment of your case and explanation of legal options.