Why Was My Workers' Compensation Claim Denied?

Being injured at work is a scary and stressful experience. Medical bills can quickly pile up, and you may have to take time off work as a result of your injury. By law, your employer is required to have workers’ compensation insurance to pay for medical bills, lost wages, reasonable traveling expenses to and from medical appointments, and other injury-related costs.

When you file a workers’ comp claim, you expect to receive a settlement in a timely manner so you can move forward. However, this is not always the case. We have years of experience representing clients facing workers’ comp claim denials.

There are several reasons your workers’ compensation claim may be denied:

• You failed to receive medical attention. After an on-the-job accident, it is important to make an appointment to see your doctor. This will ensure you don’t have underlying soft tissue injuries, and it will also provide necessary evidence to support your claim. The insurance company may say that you were not actually injured at work. By seeing a doctor immediately and having a copy of your medical records, you can increase your chances of receiving a settlement.
• You failed to timely notify your employer. After a workplace accident, it is important to tell your employer as soon as possible. This will ensure your employer has enough time to file a claim with the workers’ compensation insurance company. If you wait to notify your employer, you will have a difficult time proving that your injury actually occurred at work.
• Your employer failed to properly file the claim. As soon as your employer learns of your workplace accident, he or she must file a report with the workers’ compensation insurance company. In this report, your employer needs to include details of how, when, and where the injury happened, the type of injury you suffered, what you were doing when you were injured, and the cause of the accident. Furthermore, the names of any witnesses must be included. If the employer files the claim without the necessary information, this may cause your claim to be denied. It is important to communicate thoroughly with your employer, and to provide necessary information regarding the accident.
• The insurance company disputes your claim. If the insurance company says that your injury did not occur at work, or that it is not a compensable injury, your claim may be denied. It is important to have evidence to support your claim. This may include witness statements, medical records, employment records, pictures of the scene, and other documentation. By having necessary evidence, you will be able to show that your injuries did occur at work, and that you are entitled to compensation for your accident.

Pursue a Favorable Outcome with the Help of Our Boston Workers’ Comp Attorneys

If you have been injured in an on-the-job accident, you are entitled to workers’ compensation benefits. The Law Office of Steven R. Whitman, LLC has guided hundreds of clients to successful legal solutions. If your claim was denied, you have the option to file an appeal. Our Boston workers’ compensation lawyers will answer your questions and represent you from start to finish.

Contact our office today to schedule a free consultation.