The Reasons For Denying A Workers Compensation Claim?

by | May 13, 2015 | Law Services

It is often thought that a claim for workers compensation will be honored immediately, although this is often the case it is not a foregone conclusion. There are times when insurers will deny what you know is a legitimate claim, this in turn will normally force the claimant to seek redress by hiring workers compensation attorneys in Garden Grove and attempt to right the wrong, reinforcing your rights to claim. When a bona-fide claim is rejected the question of why arises. A few of the reasons stated are:

* There is not a witness to substantiate that the injury is work related

* An immediate report of the injury was not made

* The accident report and medical report are inconsistent

* It was shown in the medical report that your system contained illegal substances

* The claim was filed after termination

* Refusal to provide a recorded statement to the insurer

* Refusal to sign medical authorizations

Un-witnessed injury: There is nothing you can about your injury and the cause not being seen by others. You must however report the injury immediately and should you discuss it with anyone else make sure that you remain consistent with your incident report.

Failure to report: Insurance companies take the stance that if the injury was not such that you failed to report it immediately then you were really not hurt. This is the reason often seen by workers compensation attorneys in Garden Grove. Never ever wait, it does not matter what you think of the injury, if you are of the opinion that you will miss days at work or have medical bills as a result you must file an accident report.

Discrepancies: If the accident report given to the employer and the report given to the doctor differ substantially the insurer will often refuse the claim. Be consistent, when you relate the details to anyone including the doctor and co-workers tell the same story.

Illegal substances: If the medical care you receive shows any evidence of illegal substances in your system the claim will automatically be denied.

File a claim after termination: There are many times when an employee was legitimately injured at work but they were late in filing the claim and in the meantime they lost their job as a result of a lay-off or they were terminated. The insurer will see this as a revenge claim, this is one more reason why filing timely is very important.

If these or any other reasons for denial of claim are given to you by the insurer your first task should be to hire workers compensation attorneys in Garden Grove.

If you are having any difficulty with what you know is a valid claim for workers comp then you are wise to hire workers compensation attorneys in Garden Grove. Visit the the site website.com for more information.

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