If you have been involved in a work-related accident that resulted in your needing medical attention for injuries, you may wonder how you will pay for the medical expenses and other financial difficulties resulting from the incident. In many cases, workers’ compensation can help you fill the financial gaps created by such a scenario. However, you may feel at a loss if your workers’ compensation claim has been denied
Various reasons could lead to the denial of a claim, and if you would like to address your rejection, you may first wish to determine what may have led to your predicament. In some instances, a simple clerical error may have resulted in a mix-up, and speaking with your employer may clear up the matter. In other cases, you may need further action.
Reasons for Denied Claims
There may be procedural issues — such as missing cut off dates for filing reports and claims — that resulted in the insurance company denying your claim. If you did not file your claim in time, state law may hinder your attempts at compensation. Therefore, if you would like to appeal these issues, you may wish to seek assistance from legal professionals experienced in this area.
On the other hand, your denial may stem from your employer disputing your claim. An employer may state that the injury did not occur while you were on the job or because you were acting in a manner that was inappropriate and injured yourself. Unfortunately, some employers may file false claims of this type in efforts to avoid a compensation claim. As a result, you may need to take legal action in order to prove that your injuries are work-related.
Appealing a Denial
If you do take legal action to appeal a denied claim, you may want to gather as much information relating to your case as possible. Medical records from your treatment, time cards showing that you were on the job and other similar documents could help you disprove your employer’s claims. Various state laws impact how you go about seeking the appeal, and the process may prove complicated.
Due to the complex nature of workers’ compensation appeals, you may have the opportunity to strengthen your case by consulting with experienced West Virginia attorneys. These legal professionals could help you better understand why your claim may have been denied in the first place and what options you have for working toward your appeal.