When an on-the-job accident leads to a workplace injury, your next step should be to file a workers’ compensation claim. Often, your claim will find approval. However, there are times when the Ohio Bureau of Workers’ Compensation (BWC) may decide not to honor your claim.
A claim denial can occur for several reasons. Many times, you can address your denial and go on to get the benefits you deserve. Other times, the BWC may defend its choice to invalidate your claim. In both situations, you have the right to appeal the Bureau’s decision.
Why would the BWC deny your claim?
Worker’s compensation exists to ensure those with workplace injuries get benefits like healthcare and wage replacement. However, it is not an automatic process. You must take the necessary steps and complete the required documentation to get your benefits. If you deviate from this process, it could delay your claim or result in a denial.
- Some specific reasons for a claim denial include:
- Failure to report the incident to your employer
- You waited too long after the injury to file a claim
- Failure to attend medical or other appointments
- Lack of a causal link between the injury and your job
- Your injury occurred due to horseplay or negligence
As stated previously, you have the right to appeal a workers’ compensation claim denial. Typically, you have 14 days to file your appeal; however, your denial notice should contain specific details about your filing deadlines.
When workplace injuries affect your well-being and finances, the decisions handed down by the BWC can improve your circumstances or make them worse. Familiarizing yourself with Ohio workers’ compensation laws and filing requirements can help you succeed with your claim.