Denial of Benefits

Avoid Setbacks and Pitfalls

San Diego Attorneys are Experts at Handling Denied Workers’ Comp Claims

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Was your claim for workers’ compensation benefits denied? Do you think you’re entitled to workers’ compensation benefits, but you’re afraid your claim will be denied, perhaps because of what you’ve heard about the workers’ compensation system or someone else’s negative experience? It’s true—making a claim for workers’ compensation benefits can be complicated, which may lead to a denial if you’re not thorough and precise when it comes to following all the requirements for filing a claim. Here’s a rundown of some of the most common reasons workers’ comp benefits are denied, so you can avoid these setbacks and pitfalls.

Small Oversights Can Lead to a Workers’ Comp Claim Denial

Make no mistake, your employer’s insurance company will look for any excuse to deny your workers’ compensation claim, which means even the smallest oversight can lead to a workers’ comp claim denial if it’s a valid reason under California law. Some of the most common reasons workers’ comp benefits are denied include:

  1. You didn’t report your injury to your employer right away
  2. You missed a deadline for filing your workers’ compensation claim
  3. Your injury wasn’t witnessed by anyone else in your workplace
  4. There is a discrepancy between your accident report and your medical records
  5. You filed your workers’ compensation claim after you were fired or laid off
  6. You refused to give the workers’ comp insurer a recorded statement or refused to sign medical authorizations

Many people mistakenly believe that telling their employer they were injured on the job is enough to start the workers’ compensation process and set them up to receive benefits. However, filing a workers’ comp claim in California is generally a three-step process, with time limits for each step. First, you must report your injury within 30 days after the date of injury. Then, you must file an actual workers’ compensation claim with your employer. Finally, if you have any disagreements with the workers’ compensation insurer about medical treatment or your need to miss work, you must open a case with the Workers’ Compensation Appeals Board (WCAB) to resolve your dispute. If you have suffered a serious, long-term injury or illness, disputes are common, so opening a case is smart and proactive.

 


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 (619) 230-0330 WhatsApp

Denial of Benefits

Many people mistakenly believe that telling their employer they were injured on the job is enough to start the workers’ compensation process and set them up to receive benefits. However, filing a workers’ comp claim in California involves several steps, each with their own time limits.

 

Opening a case is smart and proactive:

 (619) 230-0330 WhatsApp

Call Banker’s Hill Law Firm, A.P.C. If Your Workers’ Comp Benefits Were Denied

If one of these common reasons workers’ comp benefits are denied rings true in your case, please contact Banker’s Hill Law Firm, A.P.C. as soon as possible to find out what you need to do to get your workers’ comp benefits—whether that’s revisiting your initial claim or filing an appeal. Our San Diego workers’ comp attorneys understand the system and how to rise above trivial reasons for denying workers’ comp benefits.

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