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What should you do after a denied workers’ comp claim?

On Behalf of | Apr 25, 2024 | Workers' Compensation |

If you suffer an injury on the job, you know how important it is to receive proper care and support during your recovery. Even if the injury seems minor, it can have a significant and major impact on your life, and you may find that you are unable to work for a period of time. Depending on the nature of your accident, certain benefits could be available to you through your Pennsylvania employer’s workers’ compensation insurance.

Even if you have valid grounds to file a claim, that does not mean that you will be successful in your endeavor to secure workers’ compensation benefits. Workers’ compensation insurance providers sometimes deny claims, leaving workers without the financial help they need during these difficult times. In these situations, there are steps you can take to continue your fight for benefits.

Fighting for benefits

It can be devastating to learn that your claim for workers’ compensation benefits received a denial. While this is certainly a setback, it is not the end of the road for you. There are ways that you can pursue a different outcome, but the first step is to understand why the claim came back denied. Some of the most common reasons for a denied workers’ compensation claim include:

  • Your employer is disputing the claim.
  • The injury was not related to your work.
  • You waited too long to report your injury.
  • There was incomplete or inaccurate documentation in your claim.
  • You did not seek medical attention for your injury.
  • There are discrepancies between the medical records and your claim.

If your claim came back denied for any of these reasons and you have evidence to the contrary, you have grounds to appeal. You may have to attend a hearing in order to advocate for yourself and your right to a full and fair recovery, but you do not have to do it alone.

Help for the fight

It can be difficult to secure workers’ compensation benefits, even if you have a valid claim to this type of support. If you are unsure of where to begin after receiving the notice of a denied claim, you will benefit from seeking professional guidance regarding the best way forward.