Did you apply for workers’ compensation benefits after an accident at work or the onset of an illness related to your occupation? As a California employee, you have the right to certain benefits in case you are ever injured. However, it is not always an easy process to actually get these benefits, even when you have a valid claim.
The workers’ compensation process is complex, and it can be quite difficult to navigate. Unfortunately, many initial claims come back denied, and you may end up wondering what you should do next and how you will ever recover. Fortunately, a
The reasons why insurance companies deny claims
While the intent of workers’ compensation insurance is to provide benefits for injured workers, these companies do not always have your best interests in mind. Whether it is because of an error, a lack of evidence, or another reason, insurers can refuse to pay or greatly limit what they will pay to legitimately injured employees. Some of the most common reasons this happens include:
- The claimant did not file the claim in the appropriate amount of time.
- The employer is disputing the claim.
- There is not sufficient evidence to prove that the injury is work-related.
- The injury does not appear to be compensable.
- Evidence does not suggest that medical treatment was necessary.
The aftermath of a work accident can be daunting and quite expensive. It is important for you receive these benefits so that you can get the care you need, pay for medical treatment, and recover physically and financially. Once you determine why your claim was denied, you may then know how to move forward with an appeal.
Do not take risks with your recovery
Your financial and physical recovery after a work accident or during the treatment of an occupational illness is essential. While a denied claim is certainly a setback, it does not signal the end of your legal options. You would benefit greatly from taking quick action to protect your rights and interests by exploring whether you should move forward with an appeal.
Your future is too important to give up on your rightful benefits or delay in getting the help you deserve. You have the right to keep fighting for what you need to get better and move on with your life. If your claim has been denied, speak with an experienced workers’ compensation attorney as soon as possible.