When you file a workers’ compensation claim after suffering a workplace injury, you expect your benefits to come through. You may check your mailbox each day, hoping to see what compensation you will receive as you recover. But then, instead, you receive a notice that your workers’ compensation benefits have been denied.
You feel shocked. You know you can’t head back to work right now. You aren’t sure what to do. What steps should you take next?
Dealing with a denied workers’ compensation claim
If your employer’s workers’ compensation insurer denies your benefits, you first need to understand why. Your employers’ workers’ comp benefits provider should detail the reason it denied your claim in your denial letter. Some of the most common reasons you might not receive approval for workers’ compensation benefits include the following:
- You didn’t provide enough evidence to show that your injury was work related. You may need to see another doctor or provide additional evidence of how your injury was the result of your work duties.
- You didn’t seek medical treatment promptly after suffering your injury or you didn’t follow your doctor’s treatment plan. Both of these are important things to do if you suffer an injury on the job.
- Your injury isn’t eligible for workers’ compensation benefits. Sometimes, if you have a stress-related injury, it may be difficult to prove your injury or how it is work-related. Sometimes, your employer’s insurance provider won’t cover specific stress-related injuries or illnesses.
- Your employer disputes your workers’ compensation claim, saying your injury occurred outside of work.
- You didn’t report your injury to your supervisor or company promptly.
Getting legal help to receive your benefits
If your employer’s insurer denies your workers’ compensation claim, you need to consult an experienced attorney. An attorney can work as your advocate, so you receive the workers’ compensation benefits you deserve. An attorney can help gather hard medical evidence to prove the severity of your injury and that your work duties led to your injury.
You have a right to appeal if your workers’ compensation benefits are denied. With the right help, you can get your benefits approved and start receiving the benefits you need while you can’t work and need to focus on your recovery.