There are many situations where a person might be injured on the job or develop a medical condition while working. This could include everything from lung disease because they were exposed to toxic chemicals as well as a repetitive strain injury and more. In these situations, workers believe they will qualify for workers’ compensation benefits. It is possible for mistakes to happen. Individuals have been wrongly denied workers’ compensation benefits.
It is possible for an employer’s insurance company or even an employer to find a reason to deny workers’ compensation claims.
There are some common reasons claims are denied.
It is always possible to appeal the denial of a workers’ compensation claim. The first step is to carefully read the denial letter. If it is appears the denial was based on a mistake with paperwork or something like it, the situation may be fixed by contacting a claims adjuster and working to fix the problem. This will only be successful if an insurance company and employer are willing to admit they made a mistake.
A denial letter should include information about a state’s appeal process. The initial appeal will often involve a hearing before an administrative law judge. This is where a person can present evidence to support their claim. Each state has its own type of appeals that follow a hearing before an administrative law judge.
Going through all of a state’s workers’ compensation claim appeals process can be very complicated. It is something that will require the legal guidance of an attorney experienced at handling workers’ compensation claims. They will know how to analyze a case and what is required to get a workers’ compensation claim approval after an initial denial.
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