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Appealing a Workers’ Compensation Claim Denial

Appealing a Workers’ Compensation Claim Denial

Employers are required to inform employees of their rights to workers’ compensation benefits for job-related injuries and illnesses. For this reason, when you are injured at work, you should rightfully expect to start receiving benefits on your workers’ compensation claim. Unfortunately, too many people who are already dealing with injuries then must deal with the stress of a denied workers’ comp claim.

Denials are Not Final

It can be concerning to learn that your workers’ compensation claim has been partially or completely denied. How will you cover your medical bills? What about the income you lost while you were recovering? The good news is that a denial by the insurance company is not the final say in your case – not at all.

It is entirely possible to appeal a denied claim. However, keep in mind that this process is not easy, and insurance companies will be looking for ways to uphold the denial. It is important to contact an experienced workers’ compensation lawyer in Sherman Oaks as soon as you learn of a denial.

The Appeal Process

First, we will determine exactly why your claim was denied. Some common reasons include:

  • You did not follow proper claim procedures
  • You did not provide the necessary documentation
  • Your employer failed to follow procedures
  • The insurer claims your injury was not work-related
  • The insurer challenges the severity of your injuries

We can then present evidence to support your claim to the insurer, and work to prove you deserve benefits. If this appeal to the insurer does not work, we can appeal the case to the California Board of Workers’ Compensation or even in civil court.

Consult with a Workers’ Compensation Lawyer in Sherman Oaks

If you need help with a claim or an appeal, the Sherman Oaks workers’ compensation attorneys at the Employee Defense Group are ready to help. Call 818.334.4870 or contact us online for assistance today.

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