Accidents and injuries can occur at any time, including in the workplace. When a worker is hurt or becomes ill due to their job, they can file a workers’ compensation claim for financial support covering medical expenses and lost wages. However, not all claims are accepted, leaving workers questioning why. Here are some common reasons for denied claims and tips for overcoming these challenges with assistance from the John Mobley Law firm.

Failure to Report the Injury Promptly

One of the primary reasons for denied workers’ compensation claims is the failure to report the injury or illness promptly. If you delay reporting, it may be challenging to establish a direct connection between your injury and your workplace.

Solution: Report your injury or illness to your employer immediately. Document the incident and seek medical attention as soon as possible. Consult with an attorney at the John Mobley Law firm to ensure you have taken all necessary steps.

Lack of Medical Evidence

To approve a workers’ compensation claim, insurance companies often require substantial medical evidence that links the injury or illness to the workplace. If your medical records are incomplete or do not clearly establish causation, your claim may be denied.

Solution: Seek medical attention from a qualified healthcare provider who understands the workers’ compensation process. Make sure all your medical records are well-documented, and consult with an attorney to help you gather the necessary evidence.

Disputes Over the Injury’s Severity

Insurance companies may dispute the severity of your injury or illness, arguing that it does not warrant compensation. They may claim that your condition is not as severe as you say it is, leading to a denial.

Solution: Consult with medical specialists who can provide expert opinions on the severity of your injury. Additionally, enlist the assistance of an experienced attorney who can advocate on your behalf.

Pre-existing Conditions

If you have a pre-existing medical condition that is aggravated or exacerbated by your work, you may face challenges in securing workers’ compensation benefits. Insurance companies may argue that your condition existed before your workplace incident.

Solution: Consult with an attorney who can help you demonstrate that your pre-existing condition was worsened by your job, making you eligible for workers’ compensation benefits.

Missed Deadlines

Every state has specific deadlines for filing workers’ compensation claims. If you miss these deadlines, your claim may be denied automatically.

Solution: Be aware of your state’s deadlines and make sure to file your claim within the specified timeframe. Consulting with an attorney can help you navigate these legal requirements.

The Importance of Legal Representation

Denied workers’ compensation claims can be frustrating and disheartening for injured workers. However, understanding the common reasons for denial and seeking professional assistance from the John Mobley Law firm can significantly increase your chances of a successful claim. Remember that you have rights as an injured worker, and with the right legal guidance, you can obtain the compensation you deserve. Don’t hesitate to reach out to our experienced attorneys who specialize in workers’ compensation cases. We work tirelessly to protect your rights and secure the benefits you need to recover from your workplace injury or illness.