St. Pierre Law

Common reasons for a workers’ compensation denial

If you suffer a workplace injury, you need to receive immediate medical treatment. Not only does this help stabilize your health, but it also puts you in position to receive workers' compensation benefits.

Even if you assume that you're eligible for workers' compensation benefits, it's possible you could receive a denial letter. Here are some of the reasons why this may happen:

  • You did not report your injury to your employer on time (or at all)
  • You did not file your claim in time
  • You did not receive medical treatment immediately after suffering the injury
  • Your employer disputes your claim, such as by arguing that you were injured outside of work
  • You suffered a noncompensable injury
  • You are unable to prove that the injury is work-related

Some of these things are easy to protect against, such as filing your workers' compensation claim in time. Others, however, such as proving that you were injured at work, are not always as straightforward.

If you receive a workers' compensation denial letter, read it from start to finish to better understand what comes next. In addition to the reason for your denial, the letter will outline your legal rights for filing an appeal.

If you strongly believe you should receive workers' compensation benefits, follow the appeals process to protect your legal rights. A denial will delay receiving benefits, but it's better than giving up.

A workers' compensation denial is frustrating, as you're dealing with an injury that doesn't allow you to work. Since compensation can help you during your recovery, you must fight for everything you deserve.

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