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  • Reasons Why Your Workers' Compensation Claim Was Denied

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    RamosLawFirm
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    Why your worker’s compensation claim got denied? Many workers are denied their claims through worker’s compensation every day because employers and their insurance carriers also try to deny as many claims as possible. They also wanted to avoid paying large payouts. But aside from that, here are the reasons why your worker’s compensation claim was denied: 1. The injury was not reported soon enough. It is important to report the injury immediately because employers will assume that if the injury was not reported then it did not actually occur. However, there are times also that the employee cannot immediately report the injury because he/she needs to seek immediate medical treatment. When this situation arises, it is best to immediately report any injury that may result in any missed time from work. 2. No one witnessed the injury. If the injury was not witnessed by a co-worker or a supervisor, the employer may not believe it. Most employers are careful about fraudulent claims, therefore, they won’t believe every claim. But it doesn’t mean that if nobody witnessed the incident it doesn’t happen in exactly the same manner as what the employee described. Find a workers compensation attorney to help you in the event that the employer denies your claim. 3. The injury happened offsite. Worker’s compensation includes every injury sustained by the employee onsite and offsite. This means that it extends to the time when the employee is traveling while fulfilling their duties. That is why one of the most common types of injuries stemmed from automotive accidents. 4. There was a pre-existing injury. Your claim for a worker’s compensation was denied maybe because of a pre-existing injury. Example of this is when you sustained an injury because of a car accident and then injured your back at work. The insurance company or the employer may deny your claim. They will believe that the injury was sustained because of work but because of the car accident. 5. The injury did not happen at work. You can only get the worker’s compensation benefit if the injury happened while you are at work. But if you got injured during lunch break or while commuting to the restaurant, you not eligible to make the claim. 6. Failed to notify the employer of the injury within the required time. Remember that there are time limits in the worker’s compensation claim process. Always report the injury as soon as you are able to. 7. You are under the influence of alcohol or drugs. Employers have the right to require you to be tested for alcohol or drugs in case you sustained an injury at work. If any of these are involved in your accident, you are not entitled to make a claim. 8. You didn’t receive any medical treatment. You need to have medical records to support your claim. If you fail to produce a medical record, the insurance company may claim that you fake the injury. 9. Failed to file the papers on time. Make sure to file your papers on time or else, you’re giving your employer and the insurance company to deny your claim. 10. The employer disputes your claim. Your employer will always find a way to deny any claim for worker’s compensation because it will increase the cost of the insurance policy. This is possible especially if you don’t have enough proof to support your claim. source: https://www.ramoslawfirm.com/common-reasons-workers-compensation-denial/

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    Why your worker’s compensation claim got denied? Many workers are denied their claims through worker’s compensation every day because employers and their insurance carriers also try to deny as many claims as possible. They also wanted to avoid paying large payouts. But aside from that, here are the reasons why your worker’s compensation claim was denied: 1. The injury was not reported soon enough. It is important to report the injury immediately because employers will assume that if the injury was not reported then it did not actually occur. However, there are times also that the employee cannot immediately report the injury because he/she needs to seek immediate medical treatment. When this situation arises, it is best to immediately report any injury that may result in any missed time from work. 2. No one witnessed the injury. If the injury was not witnessed by a co-worker or a supervisor, the employer may not believe it. Most employers are careful about fraudulent claims, therefore, they won’t believe every claim. But it doesn’t mean that if nobody witnessed the incident it doesn’t happen in exactly the same manner as what the employee described. Find a workers compensation attorney to help you in the event that the employer denies your claim. 3. The injury happened offsite. Worker’s compensation includes every injury sustained by the employee onsite and offsite. This means that it extends to the time when the employee is traveling while fulfilling their duties. That is why one of the most common types of injuries stemmed from automotive accidents. 4. There was a pre-existing injury. Your claim for a worker’s compensation was denied maybe because of a pre-existing injury. Example of this is when you sustained an injury because of a car accident and then injured your back at work. The insurance company or the employer may deny your claim. They will believe that the injury was sustained because of work but because of the car accident. 5. The injury did not happen at work. You can only get the worker’s compensation benefit if the injury happened while you are at work. But if you got injured during lunch break or while commuting to the restaurant, you not eligible to make the claim. 6. Failed to notify the employer of the injury within the required time. Remember that there are time limits in the worker’s compensation claim process. Always report the injury as soon as you are able to. 7. You are under the influence of alcohol or drugs. Employers have the right to require you to be tested for alcohol or drugs in case you sustained an injury at work. If any of these are involved in your accident, you are not entitled to make a claim. 8. You didn’t receive any medical treatment. You need to have medical records to support your claim. If you fail to produce a medical record, the insurance company may claim that you fake the injury. 9. Failed to file the papers on time. Make sure to file your papers on time or else, you’re giving your employer and the insurance company to deny your claim. 10. The employer disputes your claim. Your employer will always find a way to deny any claim for worker’s compensation because it will increase the cost of the insurance policy. This is possible especially if you don’t have enough proof to support your claim. source: https://www.ramoslawfirm.com/common-reasons-workers-compensation-denial/

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    © All Rights Reserved
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    15 views1 page

    Reasons Why Your Workers' Compensation Claim Was Denied

    Uploaded by

    RamosLawFirm
    Why your worker’s compensation claim got denied? Many workers are denied their claims through worker’s compensation every day because employers and their insurance carriers also try to deny as many claims as possible. They also wanted to avoid paying large payouts. But aside from that, here are the reasons why your worker’s compensation claim was denied: 1. The injury was not reported soon enough. It is important to report the injury immediately because employers will assume that if the injury was not reported then it did not actually occur. However, there are times also that the employee cannot immediately report the injury because he/she needs to seek immediate medical treatment. When this situation arises, it is best to immediately report any injury that may result in any missed time from work. 2. No one witnessed the injury. If the injury was not witnessed by a co-worker or a supervisor, the employer may not believe it. Most employers are careful about fraudulent claims, therefore, they won’t believe every claim. But it doesn’t mean that if nobody witnessed the incident it doesn’t happen in exactly the same manner as what the employee described. Find a workers compensation attorney to help you in the event that the employer denies your claim. 3. The injury happened offsite. Worker’s compensation includes every injury sustained by the employee onsite and offsite. This means that it extends to the time when the employee is traveling while fulfilling their duties. That is why one of the most common types of injuries stemmed from automotive accidents. 4. There was a pre-existing injury. Your claim for a worker’s compensation was denied maybe because of a pre-existing injury. Example of this is when you sustained an injury because of a car accident and then injured your back at work. The insurance company or the employer may deny your claim. They will believe that the injury was sustained because of work but because of the car accident. 5. The injury did not happen at work. You can only get the worker’s compensation benefit if the injury happened while you are at work. But if you got injured during lunch break or while commuting to the restaurant, you not eligible to make the claim. 6. Failed to notify the employer of the injury within the required time. Remember that there are time limits in the worker’s compensation claim process. Always report the injury as soon as you are able to. 7. You are under the influence of alcohol or drugs. Employers have the right to require you to be tested for alcohol or drugs in case you sustained an injury at work. If any of these are involved in your accident, you are not entitled to make a claim. 8. You didn’t receive any medical treatment. You need to have medical records to support your claim. If you fail to produce a medical record, the insurance company may claim that you fake the injury. 9. Failed to file the papers on time. Make sure to file your papers on time or else, you’re giving your employer and the insurance company to deny your claim. 10. The employer disputes your claim. Your employer will always find a way to deny any claim for worker’s compensation because it will increase the cost of the insurance policy. This is possible especially if you don’t have enough proof to support your claim. source: https://www.ramoslawfirm.com/common-reasons-workers-compensation-denial/

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Pr
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    edby:
    www.
    Ramos
    LawFi
    rm.
    com

    Sourc e:
    htt
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    x abay .
    com
    htt
    ps:/
    /ank
    inl
    aw.com/worker
    s-compensation-denial s
    ht
    tp:
    //
    wor
    ker
    scompny
    .com/10-r
    easons-
    workers
    -compens at
    ion-cl
    aim- denied

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