Workers' Compensation Denied Claims
Bakersfield Workers' Comp Lawyer: (661) 460-5557
When a claim is denied, you will receive a denial letter stating the reasons
for the denial from the claims administrator. A claim can be denied for
a number of reasons, including technicalities and medically unjustified
injuries. But a denied claim is not the end of the process - you have
the right to challenge the decision by filing an appeal with your local
workers' compensation office.
If your claim has been denied for whatever reason, talk to our Bakersfield
workers' compensation attorney to learn more about what your options
are and how to dispute the denial. Read about the appeals process
Start with a
Common Reasons Why Claims Are Denied
Workers' compensation insurance is like any other insurance. They are
a business looking to protect their bottom lines, not the workers who
should benefit from them. Insurance companies often look for even the
most minor reasons to deny a claim, so it is always important to have
an attorney look over your denial letter.
Claims are commonly denied because:
Worker waited too long to file - your claim must be filed immediately.
Insufficient documentation - your application may not have included the necessary documents by a
medical provider to show that it is work related.
Employer disagrees with claim - your employer may dispute that the accident happened at work or is work-related.
Not medically justified - the claims administrator may not view your condition as severe enough
to justify benefits
Unapproved medical provider - the doctor who treated you may not have been within the network of providers
approved by the workers' compensation insurer.
Objecting to a Denied Claim
If you want to dispute a claim that was denied, you have the option of
pursuing an appeal. An attorney at our firm can help you file an appeal
with the local workers’ compensation office and walk you through
the entire process, including the paperwork, additional documentation,
and any hearings that arise.
Give us a call
at (661) 460-5557 to discuss your denial.