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Reasons workers’ compensation claims get denied

On Behalf of | Aug 31, 2020 | Workers' Compensation |

Workers’ compensation can get denied. There is an appeals process that many workers can use, but it’s important to consider the reason for the denial first. This can help to show what steps should be taken in the future to prevent a repeat problem.

So, why do these claims get denied? Why do workers find out that they’re not going to get help with medical bills and missed wages? Some of the most common reasons that companies and insurance providers cite include:

  1. They cannot find enough evidence showing that the specific injury actually took place at work or was otherwise related to the person’s job. 
  2. The injury wasn’t bad enough to require medical treatment or the worker neglected to get treatment and therefore has no medical records. 
  3. The type of injury suffered is not one for which compensation is available. 
  4. The employer blames the employee; for instance, the employer says that the employee was ignoring safety procedures and engaging in horseplay on the job. They shouldn’t have gotten injured if they would have followed proper procedures. 
  5. The worker waited too long to report the injury. This could also call into question exactly when and where that injury took place. 
  6. Even if the worker reported the injury at work, they didn’t file their claim very quickly. They missed important deadlines and no longer qualify for compensation. 

Have you gotten injured on the job and filed for workers’ compensation? Has that claim been denied? You need to know what steps to take, and working with an experienced law firm can help. Remember, you can often appeal a denial and seek to have it overturned.