Top Reasons Workers’ Compensation Claims Are Denied

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Your claim might be denied for a variety of reasons under the Workers’ Compensation system. You may not be aware that if your claim is refused, you have the option to appeal the decision.

What went wrong with your workers’ compensation claim, and why was it refused? Here are the most typical grounds for a rejection of your Workers’ Compensation Claim:

Incident Did Not Occur At Workplace:

Your injury must have occurred while you were working to be liable for Workers’ Compensation payments.

This law has a tiny grey area surrounding it. If you weren’t at your workplace but were at a given task or function, you may have a claim. Keep in mind that insurers, as well as your company, may go to great lengths to establish that you were not at work when you were injured, even if you were. It might be difficult to contest a decision when there are no witnesses or CCTV video. A skilled Workers’ Compensation attorney, on the other hand, may be a tremendous force in getting this judgment overturned.

Someone Intoxicated You:

It is not the goal of workers’ compensation to find someone to blame. When alcohol or drugs are involved, payment may be difficult to get.

Your supervisor has the authority to demand that you be tested for alcohol when you go to the doctor for a work injury. The court will almost definitely dismiss your claim if tests indicate that you were under the influence at the time of the accident.

Your Injury Was A Result Of Practical Jokes:

It’s doubtful that Insurer will cover your injuries if you started horseplaying at work and were injured. While roughhousing, you are not regarded to be working in the eyes of the law. As a result, what appears to be fun and games may eventually turn into a huge source of stress.

You should consult with a professional attorney if your worker compensation claim is denied. An experienced lawyer like Jonathan R. Brockman, P.C, will know what to do. They will be able to advise you and increase the chances of your appeal being successful.

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