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What to do when you receive workers’ compensation denial

On Behalf of | Mar 12, 2024 | Workplace Injuries

Receiving a denial for your workers’ compensation claim can be disheartening and stressful.

It is important to remain calm and take proactive steps to address the situation.

Understand the reason for your denial

The first step is to carefully review the denial letter provided by your employer or their insurance company. Pay close attention to the reasons cited for the denial. Understanding your claim denial will help you determine the necessary steps to take next.

Gather relevant information

Collect all documentation related to your injury and the circumstances surrounding it. This may include medical records, accident reports, witness statements, lost wages reports, any correspondence with your employer or their insurance provider and any other workers’ compensation case costs. Having comprehensive documentation will strengthen your case if you decide to appeal the denial.

Consult with your employer

Schedule a meeting with your employer to discuss the denial and seek clarification on any points of confusion. They may be able to provide insights or additional information that could support your claim. Maintaining open communication with your employer demonstrates your commitment to resolving the issue amicably.

Request a review

If you believe the denial was in error, you have the right to request a review of your claim. Follow the instructions provided in the denial letter to initiate the review process. Submit any additional evidence or documentation that supports your case.

Appealing a workers’ compensation denial can be a lengthy and challenging process. It is important to remain persistent and continue advocating for your rights. Stay organized, keep detailed records of all communications and developments and follow up regularly on the status of your appeal.