Top Reasons Why Your Workers’ Compensation Claim Denied?

9 common reasons why your workers' compensation Claim Denied. | Pistiolas

Indeed for salaried employees in California work-related accidents are heartbreaking as the workplace injuries not only keep the injured worker away from work for a long but play a major negative role in complete for leading their personal and professional life to the sorrow of losing their employment due to severe injuries or disabilities. However, workers’ comp claims beneath the California Labor Code Section 3700 can be a big aid in balancing their financial status. However, things get worse in an instance of workers’ comp denial. Further, if insurance denies your claim, or if you do not want to go through the situation of claim denied then you must avoid the following 9 reasons suggested by the Law Office of Spiro K Pistiolas, a workers’ compensation attorney.

Avoid these 9 common reasons to safeguard your workers’ comp claims from denial:

  1. Late Reporting: If an injury at work is not reported promptly, there may be grounds for suspicion or insufficient evidence to support a workers’ compensation claim.
  2. Absence of Witnesses: It is more difficult to substantiate your claim without proof if no one saw the accident, and claims in this situation may be rejected.
  3. Pre-Existing Conditions: If an injury is linked to a pre-existing ailment rather than an occurrence at work, workers’ compensation claims may be dismissed.
  4. Refusing to Seek Emergency Care: Claim denied in some cases resulting from delayed medical attention may imply that the injury was not serious or linked to one’s job.
  5. Company Policy Violation: If an employee’s injury happened while they were breaking safety regulations or company policy, their claim may be rejected.
  6. Employment Status: If the worker was not employed at the time of the injury, they may face claim denial, which may have an impact on their eligibility to get denied claim benefits.
  7. False Claims: Any claim that raises red flags for possible fraud, including exaggerating injuries, may be immediately rejected by the insurance.
  8. Skipped Deadlines: If a workers’ compensation claim is not filed within the legally required periods, it may be refused for procedural non-compliance.
  9. Unapproved Medical Provider: Workers’ compensation claims may be rejected if a doctor is used who is not approved by the employer’s insurer.

Interact with the denied workers’ compensation claim attorney at the Law Office of Spiro K Pistiolas.

If you are dealing with the situation of workers; comp claim denied in California then you speak with the Law Office of Spiro K Pistiolas’ experienced attorneys. Our staff specializes in denied workers’ compensation claims and can help you navigate the difficult appeals process. We will thoroughly review your case, get any pertinent documentation, and provide strong legal guidance to fight for the workers’ compensation benefits to which you are entitled. By collaborating with us, you can improve your prospects of having the denial reversed and securing the funds needed to cover lost wages and medical costs.

Conclusion

To support your claim denial lawsuit, get in touch with the Law Office of Spiro K. Pistiolas right now at (844) 414-1768 for knowledgeable legal advice. Our committed staff will stop at nothing to make sure you get the benefits you are due, specializing in instances involving refused workers’ compensation claims throughout the Golden State. You may confidently handle the appeals procedure and obtain the necessary financial stability with their assistance. Make an appointment for a consultation with one of our lawyers to receive effective services for legal matters like claims denied in California.

Share :
Facebook
Twitter
WhatsApp
LinkedIn

Get your case evaluated from the most trusted attorney

Spiro K Pistiolas

Free Case Evaluation