A work accident can bring a significant amount of stress and complication to your life. This type of incident is more than just an inconvenience for you and your family. It can also represent the potential for significant financial loss as you will have to take time off work to recover, and you may also be accumulating medical bills as you seek necessary treatment. It’s critical to secure workers’ compensation benefits, and it can be devastating if your claim came back denied.
Thankfully, there is still hope. Complications with the insurance company are common in workers’ compensation cases, and there is an appeals process. One of the first steps is to determine why your claim came back denied. This will allow you to correct errors, gather additional documentation and take other steps that will help you in the appeals process. The denial letter you received from the insurance company should include a reason why the insurance company did not approve your claim.
Unsuccessful workers’ comp claims
It is important to remember that the insurance company’s main priority is to shield their bottom line and profits. You may have to fight for approval and to get the full amount of benefits you need for recovery. Some of the most common reasons claims come back denied include the following:
- There is not enough evidence that your injuries happened because of your work.
- Your employer is denying or disputing your claim.
- You did not include sufficient evidence proving that you required medical attention.
- You did not file your claim within the required amount of time.
- You did not report your injuries or the accident within the required amount of time.
- There is not enough evidence to prove your injuries are compensable.
There is a limited amount of time to file a claim. If you believe that you should move forward with an appeal, it is in your interests to do so as soon as reasonably possible after receiving a notice of a denied claim.
Fighting for your interests
If you are completing your initial application for benefits or you need to appeal a denied claim, you will find it beneficial to work with an experienced Florida workers’ comp attorney. A legal ally can help you take the appropriate steps necessary to appeal and continue your fight for workers’ compensation benefits.