You were injured in a workplace accident, and your injury is serious enough to keep you out of work for a while. You dutifully reported your injury to your employer right away, followed all the proper steps to obtain medical treatment, filed your claim and waited.
Now, you’re either still waiting or you just found out that your employer (or their insurer) is contesting your claim. What’s going on?
Well, your claim may have been “red-flagged” through no fault of your own.
Insurers and employers are always looking for signs that a worker is trying to defraud the system in one of three ways:
How do they decide if a worker falls into one of those categories? They look for red flags like:
Frankly, there’s quite a list of reasons that your claim may be suspect, and many of them follow some pretty thin logic. If your workers’ compensation claim has been delayed or denied because of suspected fraud, don’t waste your time trying to argue your innocence. Find out more about your legal options, instead.