5 Reasons Your Workers' Compensation Claim Might Get Denied and What to Do About It
Top workers compensation attorney Georgia: If you’ve been injured on the job, you’re probably counting on your workers’ compensation claim to cover your medical expenses and lost wages. Unfortunately, though, workers’ compensation claims get denied all the time. If that happens to you, it can be difficult to know what to do next. In this blog post, we’ll discuss five common reasons workers’ compensation claims get denied and what you can do about it.
You need to prove your injury is work-related
One common reason workers’ compensation claims get denied is because the employer doesn’t believe the injury was work-related. If you’re claiming workers’ compensation for an injury that occurred at work, your employer will likely have to sign off on your claim. You need to make sure you report it as soon as it happens and do it in writing and in detail. Provide evidence, witness testimony, pictures, video, and anything else that shows you got hurt at work. If your employer refuses to acknowledge your claim as work-related, it’s likely that your claim will be denied by the insurance company that covers them.
You need to report your injury right away
The insurance company will look for any reason to deny your claim. In our experience, they even deny valid claims. If you’ve been injured on the job, it’s important to report your injury to your employer and seek medical attention as soon as possible. Your medical records will play a big role in whether or not your workers’ compensation claim. If you wait too long to seek medical attention, the insurance company will likely deny your claim on the grounds that your injuries didn’t have to occur at work. Even if you see a doctor right away, the insurance company may still try to find a reason to deny your claim. They may say that your injury is pre-existing or not work-related. If you think the insurance company unfairly denies your claim, it’s important to speak to an experienced workers’ compensation attorney who can help you get the benefits you deserve.
You missed too little time from work
Another common reason workers’ compensation claims get denied is because the injured worker missed too little time from work. In order to receive weekly income benefits, you must miss at least seven days of work on a doctor’s order. If you miss more than seven days of work, based on a doctor’s work excuse, you will be eligible for income benefits. However, if you miss more than 21 days of work, your claim will include payment for the first seven days you miss. The insurance company will argue that your injuries aren’t severe enough to warrant missing that much work.
You refused to participate in medical treatment
If you’re injured on the job, you are required to participate in medical treatment in order to recover from your injuries and return to work. If you refuse to participate in medical treatment, the insurance company may deny your claim. They may argue that you’re not doing everything possible to get better and return to work.
You returned to work too soon
If you return to work too soon after sustaining an injury, the insurance company may deny your claim. They may argue that your injuries weren’t as severe as you claimed if you’re able to return to work so soon. It’s important to make sure you’re fully healed before returning to work, or you risk having your claim denied. Even worse, you risk re-injury. Consult your doctor and your attorney before you return to work.
Hire a Top workers compensation attorney Georgia
Workers’ compensation cases can be tricky, and unfortunately, the system is designed to make it challenging to get compensation. The experienced workers compensation attorney Georgia who founded Rohan Law, Doug Rohan, understands this better than anyone. He and his team know that if you are injured at work, you really need an attorney to help you avoid mistakes and protect yourself from an unfair denial of your case. If your workers’ compensation claim has been denied, it’s also important to speak to an experienced attorney who can help you appeal the decision and get you the benefits you deserve. Don’t try to navigate the workers’ compensation system on your own – let us help you every step of the way. Contact us today for a free consultation. We’ll be happy to answer any questions you have about your claim and help you get started on the appeals process.